THERAPEUTICS
Review: lack of evidence that multifactorial risk assessment and targeted interventions prevent falls in elderly people
| The first 150 words of the full text of this article appear below. |
S Gates
Dr S Gates, University of Warwick, Coventry, UK; s.gates@warwick.ac.uk
QUESTION
In community-dwelling elderly people, do multifactorial fall risk assessment and targeted interventions prevent falls and fall-related injuries?
REVIEW SCOPE
Included studies compared a fall prevention intervention (consisting of an assessment of multiple risk factors for falling and treatments delivered by healthcare professionals) with standard care or no fall prevention intervention. Outcomes (assessed preferably at 12 mo) were falls, recurrent falls, fall-related injuries, use of health services, move to institutional care, and death.
REVIEW METHODS
Medline, EMBASE/Excerpta Medica, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, and Social Science Citation Index (to March 2007); and reference lists were searched for randomised or quasi-randomised trials published as full articles. 19 trials (n = 6397, mean age 72–84 y, 2–80% women) met the selection criteria. Fall risk assessments included gait and balance, drug use, and home environment. Treatments ranged from knowledge or referral to supervised exercise,
SUNY Stony Brook School of Medicine, Stony Brook, New York, USA
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