A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries

Injuries from falls are major contributors to death and complications in older adults. In this pragmatic, cluster-randomized trial, a multifactorial intervention that was administered by nurses did not result in a significantly lower rate of first adjudicated serious fall injury than enhanced usual...

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Veröffentlicht in:	The New England journal of medicine 2020-07, Vol.383 (2), p.129-140
Hauptverfasser:	Bhasin, Shalender, Gill, Thomas M, Reuben, David B, Latham, Nancy K, Ganz, David A, Greene, Erich J, Dziura, James, Basaria, Shehzad, Gurwitz, Jerry H, Dykes, Patricia C, McMahon, Siobhan, Storer, Thomas W, Gazarian, Priscilla, Miller, Michael E, Travison, Thomas G, Esserman, Denise, Carnie, Martha B, Goehring, Lori, Fagan, Maureen, Greenspan, Susan L, Alexander, Neil, Wiggins, Jocelyn, Ko, Fred, Siu, Albert L, Volpi, Elena, Wu, Albert W, Rich, Jeremy, Waring, Stephen C, Wallace, Robert B, Casteel, Carri, Resnick, Neil M, Magaziner, Jay, Charpentier, Peter, Lu, Charles, Araujo, Katy, Rajeevan, Haseena, Meng, Can, Allore, Heather, Brawley, Brooke F, Eder, Rich, McGloin, Joanne M, Skokos, Eleni A, Duncan, Pamela W, Baker, Dorothy, Boult, Chad, Correa-de-Araujo, Rosaly, Peduzzi, Peter
Format:	Artikel
Sprache:	eng
Schlagworte:	Accidental Falls - mortality Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Accidental Injuries - epidemiology Accidental Injuries - prevention & control Aged Aged, 80 and over Assessment centers Clinical trials Electronic health records Electronic medical records Falls Female Health care policy Health risk assessment Hospitalization - statistics & numerical data Humans Incidence Independent Living Injuries Injury prevention Male Medicaid Medicare Nurses Older people Patient Care Management - methods Patient-centered care Precision Medicine Primary care Risk Assessment Risk Factors Statistical analysis
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Beschreibung
Zusammenfassung:	Injuries from falls are major contributors to death and complications in older adults. In this pragmatic, cluster-randomized trial, a multifactorial intervention that was administered by nurses did not result in a significantly lower rate of first adjudicated serious fall injury than enhanced usual care.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMoa2002183