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REPLY
Prevention of Falls and Injuries in Residential Care
Jane Jensen, MSc;
RPT Lillemor Lundin-Olsson, PhD; and
RPT Yngve Gustafson, PhD, MD
19 November 2002 | Volume 137 Issue 10 | Page 857
IN RESPONSE:
Given the high-risk target group of residents and the multifactorial nature of falls, the intervention program of our trial combined several measures that targeted known risk factors for falls and fall-related injuries. We agree that with this design it is not possible to determine the specific effect of each measure. However, many interventions in institutional settings have failed to reduce falls (1, 2). This multifactorial fall intervention program was intended to be a first step toward gaining more knowledge about fall and injury prevention in this group of older people at a high risk for falling. A multifactorial approach is in accordance with the pioneering work by Tinetti and colleagues (3) directed at older people living in the community. Even as a first step, the reduction of falls and hip fractures with our program shows that it has value from a human as well as economic point of view. Further subgroup analyses of our study and new studies might elucidate the effect of individual measures.
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Author and Article Information
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Umeå University; 90185 Umeå, Sweden (Jensen, Lundin, Gustafson)
1. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 2001:CD000340. [PMID: 11686957].
2. Nowalk MP, Prendergast JM, Bayles CM, D'Amico FJ, Colvin GC. A randomized trial of exercise programs among older individuals living in two long-term care facilities: the FallsFREE program J Am Geriatr Soc. 2001;49:859-65. [PMID: 11527475].
3. Tinetti ME, Baker DI, McAvay G, Claus EB, Garrett P, Gottschalk M, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community N Engl J Med. 1994;331:821-7. [PMID: 8078528].
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