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Preventing further falls and functional decline among elderly persons presented to the accident and emergency (A&E) department with a fall: randomised controlled trial.


- candidate number1182
- NTR NumberNTR113
- ISRCTNISRCTN64716113
- Date ISRCTN created11-okt-2004
- date ISRCTN requested
- Date Registered NTR12-aug-2005
- Secondary IDsZON-MW 945-02-053  
- Public TitlePreventing further falls and functional decline among elderly persons presented to the accident and emergency (A&E) department with a fall: randomised controlled trial.
- Scientific TitlePreventing further falls and functional decline among elderly persons presented to the accident and emergency (A&E) department with a fall: randomised controlled trial.
- ACRONYMInterval
- hypothesisResearch questions:
1. Is a multidisciplinary intervention programme more effective than usual care in preventing new falls and functional decline among community-dwelling elderly people who visit a GP cooperative and/or A&E department at a hospital because of a fall?
2. Is the multidisciplinary intervention programme cost-effective compared to usual care when assessed from a societal perspective?
- Healt Condition(s) or Problem(s) studiedFall injuries
- Inclusion criteriaAge 65 years or older, community-dwelling, having visited the A&E department or GP cooperative at the University Hospital Maastricht for the consequences of a fall, and living in Maastricht or its surrounding area.
People were only allowed to enter the programme after completing and returning an informed consent form.
- Exclusion criteriaNot able to speak or understand Dutch,
Not able to complete questionnaires or interviews by telephone,
Cognitive impairment (a score of less than 4 on the Abbreviated Mental Test 4 (AMT 4),
Long-term admission to a hospital or other institution (more than four weeks from the date of inclusion),
Permanently bedridden, or fully dependent on a wheelchair.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type-
- Studytypeintervention
- planned startdate 1-dec-2002
- planned closingdate31-okt-2008
- Target number of participants333
- Interventions1. Patients in the intervention group underwent a detailed medical and occupational-therapy assessment with referral to relevant services if indicated;
2. Those assigned to the control group received usual care only.
- Primary outcome1. Effect evaluation: Falls, functional decline;
2. Economic evaluation: programme costs, healthcare costs and patient and family costs.
2a. Cost Effectiveness Analysis: percentage of people sustaining a fall during one year of follow-up.
2b.Cost Utility Analysis: generic health-related quality of life descriptions, measured according to the standard Dutch version of the EuroQol (EQ 5-D).
- Secondary outcome1. Recuperation from the fall, health complaints, perceived health measured by means of the first two items of the RAND-36;
2. ADL and IADL disability measured by means of the GARS (Groningen Activity Restriction Scale);
3. Mental health measured by means of the HADS (Hospital Anxiety and Depression Scale);
4. Quality of life measured by means of the European Quality of Life instrument (EuroQol).
- Timepoints
- Trial web siteN/A
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIES Marike Hendriks
- CONTACT for SCIENTIFIC QUERIESProf. Dr. J.Th.M. Eijk, van
- Sponsor/Initiator University Maastricht (UM), CAPHRI Research Institute
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsHendriks MR, van Haastregt JC, Diederiks JP, Evers SM, Crebolder HF, van Eijk JT: Effectiveness and cost-effectiveness of a multidisciplinary intervention programme to prevent new falls and functional decline among elderly persons at risk: design of a replicated randomised controlled trial [ISRCTN64716113]. BMC Public Health 2005, 5(1):6. http://www.biomedcentral.com/1471-2458/5/6
- Brief summaryN/A
- Main changes (audit trail)
- RECORD5-aug-2005 - 13-dec-2006


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