Age Ageing
Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht 6200MD, The Netherlands. j.neyens@zw
Published: March 2009
Objective: to evaluate the effectiveness of a multifactorial intervention on incidence of falls in psychogeriatric nursing home patients.
Design: cluster-randomised controlled 12-month trial.
Setting: psychogeriatric wards in 12 nursing homes in The Netherlands.
Participants: psychogeriatric nursing home patients (n = 518).
Intervention: a general medical assessment and an additional specific fall risk evaluation tool, applied by a multidisciplinary fall prevention team, resulting in general and individual fall prevention activities.
Measurements: falls.
Results: there were 355 falls in 169.5 patient-years (2.09 falls per patient per year) in the intervention group and 422 falls in 166.3 patient-years (2.54 falls per patient per year) in the control group. Intention-to-treat analysis with adjustment for ward-related and patient-related parameters, and intra-cluster correlation, showed that the intervention group had a significantly lower mean fall incidence rate than the control group (rate ratio = 0.64, 95% CI = 0.43-0.96, P = 0.029). Subgroup analyses showed that fall risk declined further as patients participated longer in the intervention programme.
Conclusion: the introduction of a structured multifactorial intervention to prevent falls in psychogeriatric nursing home patients significantly reduces the number of falls. This reduction is substantial and of high clinical relevance.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1093/ageing/afn297 | DOI Listing |
Psychogeriatrics
March 2025
School of Nursing, Jinan University, Guangzhou, China.
Aim: To investigate the predictors of post-stroke delirium (PSD) in the old ischaemic stroke patients, and develop a nomogram to predict the risk of PSD.
Methods: A cross-observational study was conducted. The old ischaemic stroke patients in a tertiary hospital in South China were recruited and randomly divided into the train group and test group.
Psychogeriatrics
March 2025
Faculty of Health Sciences, Department of Psychiatric Nursing, Gaziantep University, Gaziantep, Turkey.
Natural disasters are large-scale catastrophic events that seriously disrupt the functioning of a community or society. The frequency and severity of disasters are increasing and involve widespread human, material, economic, or environmental impacts that exceed the ability of the society affected by them to cope using its resources. In addition, disasters significantly affect the physical, emotional, and psychological health of individuals and cause numerous deaths, injuries, and economic losses.
View Article and Find Full Text PDFAlzheimers Dement
January 2025
Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
Introduction: Hearing impairment is associated with dementia. We aimed to clarify the association between hearing impairment and future cognitive test performance measured by the Montreal Cognitive Assessment Scale (MoCA), adjusted for confounders, avoiding reverse causation through long follow-up.
Methods: We used the Norwegian population-based longitudinal cohort study, The Trøndelag Health Study (HUNT).
Psychogeriatrics
March 2025
Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.
Aim: This study examines whether expressed emotion (EE) mediates the association between caregiver relationship closeness and behavioural and psychological symptoms of dementia (BPSD).
Methods: We recruited 64 families with dementia in Osaka and collected data for 3 months. Caregiver-patient relationship closeness was assessed using the Relationship Closeness Scale (RCS), and BPSD was measured with the Neuropsychiatric Inventory Questionnaire (NPI-Q).
Introduction: Understanding how a research sample compares to the population from which it is drawn can help inform future recruitment planning. We compared the Wisconsin Alzheimer's Disease Research Center (WADRC) participant sample to the Wisconsin state population (WI-pop) on key demographic, social exposome, and vascular risk measures.
Methods: The WADRC sample included 930 participants.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!
© LitMetric 2025. All rights reserved.