You are invited to attend the Australasian Vestibular Rehabilitation Conference at Randwick, Sydney, from 22-24 May 2020. For more information click here.
26-28 November 2018
Crowne Plaza Hotel, Coogee, Sydney Australia
From the US National Council for Aging Care, Fact sheet: Falls – the biggest threat to senior health and safety
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
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.
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.
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).
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]).
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.
State Health Research Advisory Council, Department of Health, Government of Western Australia.
Bids for hosting the 2018 ANZFPS biennial conference are now open. For more information, click 2018 conference bid.
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
The NSW Falls Prevention Network held it’s annual forum on Friday 23rd May at SMC Conference Centre. The recorded talks and pdfs of the presentations are available here