Effect of a Statewide Fall Prevention Program on Incidence of Femoral Fractures in Residents of Long-Term Care Facilities
OBJECTIVES: To evaluate the effect of a statewide dissemination of a modified evidence‐based fall prevention program on incidence of femoral fractures in nursing homes. DESIGN: Observational study of a staged implementation of a successful fall prevention program. SETTING: One thousand three hundred...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2010-01, Vol.58 (1), p.70-75 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 75 |
|---|---|
| container_issue | 1 |
| container_start_page | 70 |
| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 58 |
| creator | Rapp, Kilian Lamb, Sarah E. Erhardt-Beer, Luzia Lindemann, Ulrich Rissmann, Ulrich Klenk, Jochen Becker, Clemens |
| description | OBJECTIVES: To evaluate the effect of a statewide dissemination of a modified evidence‐based fall prevention program on incidence of femoral fractures in nursing homes.
DESIGN: Observational study of a staged implementation of a successful fall prevention program.
SETTING: One thousand three hundred fifty‐nine nursing homes in two federal states in the south of Germany.
PARTICIPANTS: Nine thousand seventy‐seven residents in the intervention homes and 43,583 residents in control homes from the same and a different federal state.
INTERVENTION: Staff education on fall prevention, advice on environmental adaptations, and progressive strength and balance training over at least 1 year.
MEASUREMENTS: Incident femoral fractures.
RESULTS: One thousand five hundred eighteen femoral fractures occurred in the total study population during the intervention period. The crude incidence rate of femoral fractures was 39.5/1,000 person‐years in residents from the intervention homes and 40.9 and 39.7/1,000 person‐years in residents from two sets of control homes. In a multivariate model, there was no evidence of an effect of the fall prevention program on incidence of femoral fracture when compared with control homes from the same federal state (adjusted hazard ratio (AHR)=0.96, 95% confidence interval (CI)=0.83–1.11) or from a different federal state (AHR=1.00, 95% CI=0.86–1.16).
CONCLUSION: The statewide dissemination of a multifactorial fall prevention program did not appear to reduce the burden of femoral fractures in residents of nursing homes. |
| doi_str_mv | 10.1111/j.1532-5415.2009.02630.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733618894</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733618894</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4630-714232bdaacd951bf4f28b99515068b6be7178bf37cc744fef33c557bc89185e3</originalsourceid><addsrcrecordid>eNqNkUtvEzEUhUcIRNPCX0AWEmI1gx_jxyxYoNCEoghQG4TExvI419WEeRR7hib_vjYJQWKFNz7S_c7RtU-WIYILEs-bbUE4ozkvCS8oxlWBqWC42D3KZqfB42yGMaa5EqQ8y85D2GJMKFbqaXZG04RjPsv2l86BHdHgkEE3oxnhvtkAWpi2RV88_IJ-bIY-yuHWmw5FedXbSPQWkmcB3eBNixbe2HHyEFDTo2sIiRhDIlZDf5uvwXdobnwKtk3bjA2EZ9kTZ9oAz4_3RfZ1cbmef8hXn5dX83er3JbxTbkkJWW03hhjNxUntSsdVXUVJcdC1aIGSaSqHZPWyrJ04BiznMvaqoooDuwie33IvfPDzwnCqLsmWGhb08MwBS0ZE0Spqozky3_I7TD5Pi6nKcFMVopUEVIHyPohBA9O3_mmM36vCdapHL3VqQOdOtCpHP27HL2L1hfH_KnuYHMy_mkjAq-OgAnWtM6b-NfhL0cZKQVN3NsDd9-0sP_vBfTH5U1S0Z8f_E0YYXfyG_9DC8kk198-LfX367UQ_L3QK_YAXAq4Pg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>210379819</pqid></control><display><type>article</type><title>Effect of a Statewide Fall Prevention Program on Incidence of Femoral Fractures in Residents of Long-Term Care Facilities</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Rapp, Kilian ; Lamb, Sarah E. ; Erhardt-Beer, Luzia ; Lindemann, Ulrich ; Rissmann, Ulrich ; Klenk, Jochen ; Becker, Clemens</creator><creatorcontrib>Rapp, Kilian ; Lamb, Sarah E. ; Erhardt-Beer, Luzia ; Lindemann, Ulrich ; Rissmann, Ulrich ; Klenk, Jochen ; Becker, Clemens</creatorcontrib><description>OBJECTIVES: To evaluate the effect of a statewide dissemination of a modified evidence‐based fall prevention program on incidence of femoral fractures in nursing homes.
DESIGN: Observational study of a staged implementation of a successful fall prevention program.
SETTING: One thousand three hundred fifty‐nine nursing homes in two federal states in the south of Germany.
PARTICIPANTS: Nine thousand seventy‐seven residents in the intervention homes and 43,583 residents in control homes from the same and a different federal state.
INTERVENTION: Staff education on fall prevention, advice on environmental adaptations, and progressive strength and balance training over at least 1 year.
MEASUREMENTS: Incident femoral fractures.
RESULTS: One thousand five hundred eighteen femoral fractures occurred in the total study population during the intervention period. The crude incidence rate of femoral fractures was 39.5/1,000 person‐years in residents from the intervention homes and 40.9 and 39.7/1,000 person‐years in residents from two sets of control homes. In a multivariate model, there was no evidence of an effect of the fall prevention program on incidence of femoral fracture when compared with control homes from the same federal state (adjusted hazard ratio (AHR)=0.96, 95% confidence interval (CI)=0.83–1.11) or from a different federal state (AHR=1.00, 95% CI=0.86–1.16).
CONCLUSION: The statewide dissemination of a multifactorial fall prevention program did not appear to reduce the burden of femoral fractures in residents of nursing homes.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2009.02630.x</identifier><identifier>PMID: 20002505</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Accidental Falls - prevention & control ; Aged, 80 and over ; Biological and medical sciences ; Effectiveness studies ; fall prevention ; Falls ; Female ; femoral fractures ; Femoral Fractures - epidemiology ; Femoral Fractures - etiology ; Fractures ; General aspects ; Germany ; Humans ; Incidence ; Legs ; Long-Term Care ; Male ; Medical sciences ; Miscellaneous ; Nursing Homes ; Prevention and actions ; Prevention programs ; Public health. Hygiene ; Public health. Hygiene-occupational medicine</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2010-01, Vol.58 (1), p.70-75</ispartof><rights>2009, Copyright the Authors. Journal compilation © 2009, The American Geriatrics Society</rights><rights>2015 INIST-CNRS</rights><rights>Journal compilation 2010 The American Geriatrics Society/Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4630-714232bdaacd951bf4f28b99515068b6be7178bf37cc744fef33c557bc89185e3</citedby><cites>FETCH-LOGICAL-c4630-714232bdaacd951bf4f28b99515068b6be7178bf37cc744fef33c557bc89185e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.2009.02630.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.2009.02630.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4009,27902,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22314625$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20002505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rapp, Kilian</creatorcontrib><creatorcontrib>Lamb, Sarah E.</creatorcontrib><creatorcontrib>Erhardt-Beer, Luzia</creatorcontrib><creatorcontrib>Lindemann, Ulrich</creatorcontrib><creatorcontrib>Rissmann, Ulrich</creatorcontrib><creatorcontrib>Klenk, Jochen</creatorcontrib><creatorcontrib>Becker, Clemens</creatorcontrib><title>Effect of a Statewide Fall Prevention Program on Incidence of Femoral Fractures in Residents of Long-Term Care Facilities</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVES: To evaluate the effect of a statewide dissemination of a modified evidence‐based fall prevention program on incidence of femoral fractures in nursing homes.
DESIGN: Observational study of a staged implementation of a successful fall prevention program.
SETTING: One thousand three hundred fifty‐nine nursing homes in two federal states in the south of Germany.
PARTICIPANTS: Nine thousand seventy‐seven residents in the intervention homes and 43,583 residents in control homes from the same and a different federal state.
INTERVENTION: Staff education on fall prevention, advice on environmental adaptations, and progressive strength and balance training over at least 1 year.
MEASUREMENTS: Incident femoral fractures.
RESULTS: One thousand five hundred eighteen femoral fractures occurred in the total study population during the intervention period. The crude incidence rate of femoral fractures was 39.5/1,000 person‐years in residents from the intervention homes and 40.9 and 39.7/1,000 person‐years in residents from two sets of control homes. In a multivariate model, there was no evidence of an effect of the fall prevention program on incidence of femoral fracture when compared with control homes from the same federal state (adjusted hazard ratio (AHR)=0.96, 95% confidence interval (CI)=0.83–1.11) or from a different federal state (AHR=1.00, 95% CI=0.86–1.16).
CONCLUSION: The statewide dissemination of a multifactorial fall prevention program did not appear to reduce the burden of femoral fractures in residents of nursing homes.</description><subject>Accidental Falls - prevention & control</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Effectiveness studies</subject><subject>fall prevention</subject><subject>Falls</subject><subject>Female</subject><subject>femoral fractures</subject><subject>Femoral Fractures - epidemiology</subject><subject>Femoral Fractures - etiology</subject><subject>Fractures</subject><subject>General aspects</subject><subject>Germany</subject><subject>Humans</subject><subject>Incidence</subject><subject>Legs</subject><subject>Long-Term Care</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nursing Homes</subject><subject>Prevention and actions</subject><subject>Prevention programs</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtvEzEUhUcIRNPCX0AWEmI1gx_jxyxYoNCEoghQG4TExvI419WEeRR7hib_vjYJQWKFNz7S_c7RtU-WIYILEs-bbUE4ozkvCS8oxlWBqWC42D3KZqfB42yGMaa5EqQ8y85D2GJMKFbqaXZG04RjPsv2l86BHdHgkEE3oxnhvtkAWpi2RV88_IJ-bIY-yuHWmw5FedXbSPQWkmcB3eBNixbe2HHyEFDTo2sIiRhDIlZDf5uvwXdobnwKtk3bjA2EZ9kTZ9oAz4_3RfZ1cbmef8hXn5dX83er3JbxTbkkJWW03hhjNxUntSsdVXUVJcdC1aIGSaSqHZPWyrJ04BiznMvaqoooDuwie33IvfPDzwnCqLsmWGhb08MwBS0ZE0Spqozky3_I7TD5Pi6nKcFMVopUEVIHyPohBA9O3_mmM36vCdapHL3VqQOdOtCpHP27HL2L1hfH_KnuYHMy_mkjAq-OgAnWtM6b-NfhL0cZKQVN3NsDd9-0sP_vBfTH5U1S0Z8f_E0YYXfyG_9DC8kk198-LfX367UQ_L3QK_YAXAq4Pg</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>Rapp, Kilian</creator><creator>Lamb, Sarah E.</creator><creator>Erhardt-Beer, Luzia</creator><creator>Lindemann, Ulrich</creator><creator>Rissmann, Ulrich</creator><creator>Klenk, Jochen</creator><creator>Becker, Clemens</creator><general>Blackwell Publishing Inc</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201001</creationdate><title>Effect of a Statewide Fall Prevention Program on Incidence of Femoral Fractures in Residents of Long-Term Care Facilities</title><author>Rapp, Kilian ; Lamb, Sarah E. ; Erhardt-Beer, Luzia ; Lindemann, Ulrich ; Rissmann, Ulrich ; Klenk, Jochen ; Becker, Clemens</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4630-714232bdaacd951bf4f28b99515068b6be7178bf37cc744fef33c557bc89185e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Effectiveness studies</topic><topic>fall prevention</topic><topic>Falls</topic><topic>Female</topic><topic>femoral fractures</topic><topic>Femoral Fractures - epidemiology</topic><topic>Femoral Fractures - etiology</topic><topic>Fractures</topic><topic>General aspects</topic><topic>Germany</topic><topic>Humans</topic><topic>Incidence</topic><topic>Legs</topic><topic>Long-Term Care</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Nursing Homes</topic><topic>Prevention and actions</topic><topic>Prevention programs</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rapp, Kilian</creatorcontrib><creatorcontrib>Lamb, Sarah E.</creatorcontrib><creatorcontrib>Erhardt-Beer, Luzia</creatorcontrib><creatorcontrib>Lindemann, Ulrich</creatorcontrib><creatorcontrib>Rissmann, Ulrich</creatorcontrib><creatorcontrib>Klenk, Jochen</creatorcontrib><creatorcontrib>Becker, Clemens</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rapp, Kilian</au><au>Lamb, Sarah E.</au><au>Erhardt-Beer, Luzia</au><au>Lindemann, Ulrich</au><au>Rissmann, Ulrich</au><au>Klenk, Jochen</au><au>Becker, Clemens</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of a Statewide Fall Prevention Program on Incidence of Femoral Fractures in Residents of Long-Term Care Facilities</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2010-01</date><risdate>2010</risdate><volume>58</volume><issue>1</issue><spage>70</spage><epage>75</epage><pages>70-75</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>OBJECTIVES: To evaluate the effect of a statewide dissemination of a modified evidence‐based fall prevention program on incidence of femoral fractures in nursing homes.
DESIGN: Observational study of a staged implementation of a successful fall prevention program.
SETTING: One thousand three hundred fifty‐nine nursing homes in two federal states in the south of Germany.
PARTICIPANTS: Nine thousand seventy‐seven residents in the intervention homes and 43,583 residents in control homes from the same and a different federal state.
INTERVENTION: Staff education on fall prevention, advice on environmental adaptations, and progressive strength and balance training over at least 1 year.
MEASUREMENTS: Incident femoral fractures.
RESULTS: One thousand five hundred eighteen femoral fractures occurred in the total study population during the intervention period. The crude incidence rate of femoral fractures was 39.5/1,000 person‐years in residents from the intervention homes and 40.9 and 39.7/1,000 person‐years in residents from two sets of control homes. In a multivariate model, there was no evidence of an effect of the fall prevention program on incidence of femoral fracture when compared with control homes from the same federal state (adjusted hazard ratio (AHR)=0.96, 95% confidence interval (CI)=0.83–1.11) or from a different federal state (AHR=1.00, 95% CI=0.86–1.16).
CONCLUSION: The statewide dissemination of a multifactorial fall prevention program did not appear to reduce the burden of femoral fractures in residents of nursing homes.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>20002505</pmid><doi>10.1111/j.1532-5415.2009.02630.x</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2010-01, Vol.58 (1), p.70-75 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733618894 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Accidental Falls - prevention & control Aged, 80 and over Biological and medical sciences Effectiveness studies fall prevention Falls Female femoral fractures Femoral Fractures - epidemiology Femoral Fractures - etiology Fractures General aspects Germany Humans Incidence Legs Long-Term Care Male Medical sciences Miscellaneous Nursing Homes Prevention and actions Prevention programs Public health. Hygiene Public health. Hygiene-occupational medicine |
| title | Effect of a Statewide Fall Prevention Program on Incidence of Femoral Fractures in Residents of Long-Term Care Facilities |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T05%3A14%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20a%20Statewide%20Fall%20Prevention%20Program%20on%20Incidence%20of%20Femoral%20Fractures%20in%20Residents%20of%20Long-Term%20Care%20Facilities&rft.jtitle=Journal%20of%20the%20American%20Geriatrics%20Society%20(JAGS)&rft.au=Rapp,%20Kilian&rft.date=2010-01&rft.volume=58&rft.issue=1&rft.spage=70&rft.epage=75&rft.pages=70-75&rft.issn=0002-8614&rft.eissn=1532-5415&rft.coden=JAGSAF&rft_id=info:doi/10.1111/j.1532-5415.2009.02630.x&rft_dat=%3Cproquest_cross%3E733618894%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=210379819&rft_id=info:pmid/20002505&rfr_iscdi=true |