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Review: lack of evidence that multifactorial risk assessment and targeted interventions prevent falls in elderly people

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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 …

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