Patient education to prevent falls among older hospital inpatients

Haines, Terry P., Hill, Anne-Marie, Hill, Keith D., McPhail, Steven, Oliver, David, Brauer, Sandra, Hoffmann, Tammy and Beer, Christopher (2011) Patient education to prevent falls among older hospital inpatients. Archives of Internal Medicine, 171 6: 516-524. doi:10.1001/archinternmed.2010.444

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Author Haines, Terry P.
Hill, Anne-Marie
Hill, Keith D.
McPhail, Steven
Oliver, David
Brauer, Sandra
Hoffmann, Tammy
Beer, Christopher
Title Patient education to prevent falls among older hospital inpatients
Journal name Archives of Internal Medicine   Check publisher's open access policy
ISSN 0003-9926
1538-3679
1667-4901
Publication date 2011-03-28
Year available 2010
Sub-type Article (original research)
DOI 10.1001/archinternmed.2010.444
Open Access Status File (Publisher version)
Volume 171
Issue 6
Start page 516
End page 524
Total pages 9
Place of publication Chicago, IL, United States
Publisher American Medical Association
Collection year 2011
Language eng
Formatted abstract
Background: Falls are a common adverse event during
hospitalization of older adults, and few interventions
have been shown to prevent then.
Methods: This study was a 3-group randomized trial to
evaluate the efficacy of 2 forms of multimedia patient education
compared with usual care for the prevention of
in-hospital falls. Older hospital patients (n=1206) admitted
to a mixture of acute (orthopedic, respiratory, and
medical) and subacute (geriatric and neurorehabilitation)
hospital wards at 2 Australian hospitals were recruited
between January 2008 and April 2009. The interventions
were a multimedia patient education program
based on the health-belief model combined with trained
health professional follow-up (complete program), multimedia
patient education materials alone (materials only),
and usual care (control). Falls data were collected by
blinded research assistants by reviewing hospital incident
reports, hand searching medical records, and conducting
weekly patient interviews.
Results: Rates of falls per 1000 patient-days did not differ
significantly between groups (control, 9.27; materials
only, 8.61; and complete program, 7.63). However,
there was a significant interaction between the intervention
and presence of cognitive impairment. Falls were less
frequent among cognitively intact patients in the complete
program group (4.01 per 1000 patient-days) than
among cognitively intact patients in the materials-only
group (8.18 per 1000 patient-days) (adjusted hazard ratio,
0.51; 95% confidence interval, 0.28-0.93]) and control
group (8.72 per 1000 patient-days) (adjusted hazard
ratio, 0.43; 95% confidence interval, 0.24-0.78).
Conclusion: Multimedia patient education with trained
health professional follow-up reduced falls among patients
with intact cognitive function admitted to a range
of hospital wards. ©2010 American Medical Association. All rights reserved.
Keyword Randomized controlled-trial
Multifactorial intervention
Care
Injuries
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Subheading: A Randomized Controlled Trial. Published online November 22, 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Sun, 12 Dec 2010, 00:12:31 EST