Falls Injury, Occupational Diseases, Poisoning Falls
Conditions
Interventions
Intervention arm:
Screening questionnaire, information leaflet, leaflet on falls prevention and invitation to attend the day hospital for assessment and any subsequent intervention.
Control arm:
Sc
Sponsors
Nottingham City Hospital (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The study population will comprise men and women aged 70 and over identified as being at high risk of falling by a postal screening questionnaire, registered with the participating general practices in Nottinghamshire and Derbyshire.
Exclusion criteria
Exclusion criteria: 1. Patients already attending one of the day hospitals 2. Patients under follow-up with an existing primary care based falls prevention scheme 3. Residents in nursing or residential homes 4. Patients with terminal illnesses 5. Those unwilling or unable to travel to the day hospital (using transport as provided)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of older people who fall over one year, identified in primary care as being at high risk of falling | — |
Secondary
| Measure | Time frame |
|---|---|
| Added 08/09/2009: 1. Proportion of people with single or recurrent falls (greater than 1) 2. Fall-related injuries: fracture, serious sprain requiring immobilisation in plaster, joint dislocations, head injury requiring hospitalisation, and lacerations requiring suturing 3. Disability: Nottingham Extended Activities of Daily Living Scale; Barthel Index of Daily Living; Quality of life: Falls Efficacy Scale and EuroQoL-5 4. Institutionalisation and use of health services: residency and diary information 5. Cost analysis 6. Screening tool, defined by sensitivity/specificity as well as positive and negative predictive values 7. Deaths will be checked against PCT records and measured as proportions | — |
Countries
United Kingdom
Outcome results
None listed