Falls Among Elderly Inpatients
Conditions
Keywords
Accidental falls, safety management, aged, inpatient, stepped wedge design
Brief summary
Falls among elderly inpatients are common, multifactorial and associated with a significant increase of complications and morbidity. According to a recent Cochrane review, the effectiveness of fall prevention program has been assessed in community-dwelling and in long stay wards but not in rehabilitation wards (RW) and geriatric acute wards (GAW). IPR study aims to measure the impact of a multidisciplinary prevention program on falls in elderly inpatients.
Interventions
The intervention is a multidisciplinary program of fall prevention including 3 complementary interventions which focus on several stages of elderly inpatient management: 1. Identification of patient's fall risk, 2. Multifactorial fall prevention program (integrated actions targeted on risk factors, exercise programs and review of the hospital environment), 3. Get up workshop and morbidity and mortality conferences related to fall cases
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female subject aged over 65 years * Admitted during the study * Participation agreement
Exclusion criteria
* Patients with a MMSE\<10 and incapable to participate to a reeducation program * Patient with an evolutionary and\\or badly checked psychiatric pathology * Bedridden patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of falls among elderly inpatients | patients will be followed for the duration of hospital stay, 15 months maximum |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of fall-related mortality | patients will be followed for the duration of hospital stay, 15 months maximum |
| Incidence of fall-related | patients will be followed for the duration of hospital stay, 15 months maximum |
Countries
France