Evidence map›Paper›PMID 30721940›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2019

Falls After Hospital Discharge: A Randomized Clinical Trial of Individualized Multimodal Falls Prevention Education.

Anne-Marie Hill, Steven M McPhail, Terry P Haines, Meg E Morris, Christopher Etherton-Beer, Ronald Shorr, Leon Flicker, Max Bulsara, Nicholas Waldron, Den-Ching A Lee and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Interprofessional approach to fall prevention in hospital care.Revista da Escola de Enfermagem da U S P · 2024
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  17. Optimizing Post-Acute Care Patient Safety: A Scoping Review of Multifactorial Fall Prevention Interventions for Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Anne-Marie HillSchool of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia.
Steven M McPhailSchool of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Terry P HainesSchool of Primary and Allied Health Care, Monash University, Clayton, Victoria, Australia.
Meg E MorrisHealthscope and La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Bundoora, Victoria, Australia.
Christopher Etherton-BeerWestern Australian Centre for Health & Ageing, Medical School, University of Western Australia, Crawley, Western Australia, Australia.
Ronald ShorrMalcom Randall VA Medical Center, Geriatric Research Education and Clinical Center (GRECC), Gainesville, Florida.
Leon FlickerWestern Australian Centre for Health & Ageing, Medical School, University of Western Australia, Crawley, Western Australia, Australia.
Max BulsaraInstitute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Nicholas WaldronDepartment of Aged Care and Rehabilitation, Armadale Kelmscott Memorial Hospital, East Metropolitan Health Service, Armadale, Western Australia, Australia.
Den-Ching A LeeSchool of Primary and Allied Health Care, Monash University, Clayton, Victoria, Australia.
Jacqueline Francis-CoadSchool of Physiotherapy, Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Amanda BoudvilleDepartment of Aged Care and Rehabilitation, St John of God Midland Public and Private Hospital, Midland, Western Australia, Australia.

Funding

Fall prevention in high-and low-fall hospital nursing unitsR56AG051799 · NIA · UNIVERSITY OF FLORIDA · PI SHORR, RONALD I · 2016 to 2016
$424k
Nursing Unit Design and Hospital FallsI01HX002191 · VA · VETERANS HEALTH ADMINISTRATION · PI SHORR, RONALD I · 2018 to 2021
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6 · The paper itself

Abstract

backgroundOlder people are at high risk of falls after hospital discharge. The study aimed to evaluate the effect of providing individualized falls prevention education in addition to usual care on falls rates in older people after hospital discharge compared to providing a social intervention in addition to usual care.

methodsA randomized clinical trial at three hospitals in Western Australia: participants followed for 6 months after discharge. Baseline and outcomes measured by assessors masked to group allocation. Participants: aged 60 years and over, admitted for rehabilitation. Eligibility included: cognitively able to undertake education (Abbreviated mental test score >7/10). Intervention: tailored education comprising patient video and workbook, structured discussion and goal setting led by trained therapist. Main outcomes: falls in the 6 months after discharge; proportion of participants sustaining one or more falls.

resultsThere were 382 (194 intervention; 188 control) participants (mean age 77.7 [SD 8.7] years). There were 378 falls (fall rate per 1,000 patient-days, 5.9 intervention; 5.9 control) reported by 164 (42.9%) participants in the 6 months following hospital discharge; 188 (49.7%) of these falls were injurious. There were no significant differences in falls rates between intervention and control groups: (adjusted IRR, 1.09; 95% CI [0.78 to 1.52]) or the proportion of participants who fell once or more (adjusted OR, 1.37; 95% CI [0.90 to 2.07]).

conclusionsProviding individualized falls prevention education prior to discharge did not reduce falls at home after discharge. Further research is warranted to investigate how to reduce falls during this high-risk transition period.

Indexed as

Patient DischargePatient Education as TopicAccidental FallsAgedAged, 80 and overHumansSingle-Blind MethodAccidental fallsPatient dischargePatient educationRandomized controlled trial

Identifiers

PMID30721940
PMCPMC7330456

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.