Effectiveness of a Tailored Fall-Prevention Program for Discharged Older Patients: A Multicenter, Preliminary, Randomized Controlled Trial

Tetsuya Ueda, Yumi Higuchi, Gentoku Hattori, Hiromi Nomura, Gen Yamanaka, Akiko Hosaka, Mina Sakuma, Takato Fukuda, Takanori Fukumoto and Takashi Nemoto
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Tetsuya Ueda: Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino City 583-8555, Osaka, Japan
Yumi Higuchi: Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino City 583-8555, Osaka, Japan
Gentoku Hattori: Department of Rehabilitation, Yao Tokushukai General Hospital, Yao City 581-0011, Osaka, Japan
Hiromi Nomura: Department of Rehabilitation, Yao Tokushukai General Hospital, Yao City 581-0011, Osaka, Japan
Gen Yamanaka: Department of Rehabilitation, Chiba-Nishi General Hospital, Matsudo City 270-2251, Chiba, Japan
Akiko Hosaka: Department of Rehabilitation, Hanyu General Hospital, Hanyu City 348-8505, Saitama, Japan
Mina Sakuma: Department of Rehabilitation, Shonan Fujisawa Tokushukai Hospital, Fujisawa City 251-0041, Kanagawa, Japan
Takato Fukuda: Department of Rehabilitation, Uji Tokushukai Medical Center, Uji City 611-0041, Kyoto, Japan
Takanori Fukumoto: Department of Rehabilitation, Nozaki Tokushukai Hospital, Daito City 574-0074, Osaka, Japan
Takashi Nemoto: Department of Rehabilitation, Shonan Kamakura General Hospital, Kamakura City 247-8533, Kanagawa, Japan

IJERPH, 2022, vol. 19, issue 3, 1-9

Abstract: This multicenter, preliminary, randomized controlled trial investigated the effect of a tailored fall-prevention program using home floor plans for discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year ( n = 72) at five acute-care hospitals. The control group received standard care (exercise to prevent recurrent falls), whereas the intervention group received a tailored fall-prevention program in addition to usual care. A physical therapist conducted the tailored education program using each patient’s home floor plans before discharge. A follow-up survey of falls and near-falls at home was performed using a monthly fall calendar for the 1-month period after discharge. Data on 81.5% of participants remained for the final analyses. No falls occurred in the intervention group; however, 4.3% of those in the control group experienced a fall. Near-falls were reported by 3.7% and 26.9% of the participants in the intervention and control groups, respectively. The proportion of participants who did not experience near-falls in the 1st month after discharge was lower in the intervention than in the control group ( p = 0.018). In conclusion, the tailored fall-prevention program using home floor plans in multiple acute-care hospitals was effective in reducing falls and near-falls in discharged orthopedic patients.

Keywords: fall prevention; discharged patients; home floor plans; multicenter; acute-care hospital; intervention study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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