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Registrations open for the ANZFPS and Motor Impairment Program Grant Balance Symposium

In collaboration with the NHMRC Program Grant into Motor Impairment (Led by Profs Lord, Gandevia, Herbert, Taylor), the ANZFPS are organising a focused symposium to showcase recent mechanistic and experimental studies to improve our understanding of balance control and falls in ageing and clinical groups. This meeting will be held at NeuRA in Sydney on Monday 4th December 2017.  Register your interest here

Research Paper Highlight

Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial

Hill AM, McPhail SM, Waldron N, et al. The Lancet. 2015 Apr 9. doi:10.1016/S0140-6736(14)61945-0.

Background

Falls are the most frequent adverse events that are reported in hospitals. We examined the effectiveness of individualised falls-prevention education for patients, supported by training and feedback for staff, delivered as a ward-level programme.

Methods

Eight rehabilitation units in general hospitals in Australia participated in this stepped-wedge, cluster-randomised study, undertaken during a 50 week period. Units were randomly assigned to intervention or control groups by use of computer-generated, random allocation sequences. We included patients admitted to the unit during the study with a Mini-Mental State Examination (MMSE) score of more than 23/30 to receive individualised education that was based on principles of changes in health behaviour from a trained health professional, in addition to usual care. We provided information about patients’ goals, feedback about the ward environment, and perceived barriers to engagement in falls-prevention strategies to staff who were trained to support the uptake of strategies by patients. The coprimary outcome measures were patient rate of falls per 1000 patient-days and the proportion of patients who were fallers. All analyses were by intention to treat. This trial is registered with the Australian New Zealand Clinical Trials registry, number ACTRN12612000877886).

Findings

Between Jan 13, and Dec 27, 2013, 3606 patients were admitted to the eight units (n=1983 control period; n=1623 intervention period). There were fewer falls (n=196, 7·80/1000 patient-days vs n=380, 13·78/1000 patient-days, adjusted rate ratio 0·60 [robust 95% CI 0·42–0·94], p=0·003), injurious falls (n=66, 2·63/1000 patient-days vs 131, 4·75/1000 patient-days, 0·65 [robust 95% CI 0·42–0·88], p=0·006), and fallers (n=136 [8·38%] vs n=248 [12·51%] adjusted odds ratio 0·55 [robust 95% CI 0·38 to 0·81], p=0·003) in the intervention compared with the control group. There was no significant difference in length of stay (intervention median 11 days [IQR 7–19], control 10 days [6–18]).

Interpretation

Individualised patient education programmes combined with training and feedback to staff added to usual care reduces the rates of falls and injurious falls in older patients in rehabilitation hospital-units.

Funding

State Health Research Advisory Council, Department of Health, Government of Western Australia.

 

ANZFPS conference, 2014

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6th Biennial Australasian Falls Prevention Conference
The 6th ANZFPS conference was held 16-18 November 2014  at Luna Park, Sydney.
Go to Conference Website: www.anzfpconference.com.au

To view conference photos, click here: https://www.flickr.com/photos/129396144@N02/
To view the conference plenary lectures, click here or you can visit our YouTube channel – Australian and New Zealand Falls Prevention Society