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Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people

falls disproportionately affect older people, who are at increased risk of falls and injury. This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people. we conducted a non-blinded cluster randomised trial in eight hospitals in England between Apr... Full description

Journal Title: Age and ageing 2013, Vol.42 (5), p.633-640
Main Author: Drahota, Amy Kim
Other Authors: Ward, Derek , Udell, Julie E , Soilemezi, Dia , Ogollah, Reuben , Higgins, Bernard , Dean, Taraneh P , Severs, Martin
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Publisher: England: Oxford Publishing Limited (England)
ID: ISSN: 0002-0729
Link: https://www.ncbi.nlm.nih.gov/pubmed/23868093
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title: Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people
format: Article
creator:
  • Drahota, Amy Kim
  • Ward, Derek
  • Udell, Julie E
  • Soilemezi, Dia
  • Ogollah, Reuben
  • Higgins, Bernard
  • Dean, Taraneh P
  • Severs, Martin
subjects:
  • Accidental Falls
  • Age
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Clinical trials
  • Cluster Analysis
  • Computers
  • England
  • Falls
  • Female
  • Flooring
  • Floors and Floorcoverings
  • Frail
  • Hospital Units
  • Hospitals
  • Humans
  • Injuries
  • Injury Severity Score
  • Inpatients
  • Intervention
  • Male
  • Odds Ratio
  • Older people
  • Pilot Projects
  • Property
  • Prospective Studies
  • Risk Factors
  • Time Factors
  • Wounds and Injuries - diagnosis
  • Wounds and Injuries - etiology
  • Wounds and Injuries - prevention & control
ispartof: Age and ageing, 2013, Vol.42 (5), p.633-640
description: falls disproportionately affect older people, who are at increased risk of falls and injury. This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people. we conducted a non-blinded cluster randomised trial in eight hospitals in England between April 2010 and August 2011. Each site allocated one bay as the 'study area', which was randomised via computer to intervention (8.3-mm thick Tarkett Omnisports EXCEL) or control (2-mm standard in situ flooring). Sites had an intervention period of 1 year. Anybody admitted to the study area was eligible. The primary outcome was the fall-related injury rate. Secondary outcomes were injury severity, fall rate and adverse events. during the intervention period, 226 participants were recruited to each group (219 and 223 were analysed in the intervention and control group, respectively). Of 35 falls (31 fallers) in the intervention group, 22.9% were injurious, compared with 42.4% of 33 falls (22 fallers) in the control group [injury incident rate ratio (IRR) = 0.58, 95% CI = 0.18-1.91]. There were no moderate or major injuries in the intervention group and six in the control group. The fall IRR was 1.07 (95% CI = 0.64-1.81). Staff at intervention sites raised concerns about pushing equipment, documenting one pulled back. future research should assess shock-absorbing flooring with better 'push/pull' properties and explore increased faller risk. We estimate a future trial will need 33,480-52,840 person bed-days per arm.
language: eng
source:
identifier: ISSN: 0002-0729
fulltext: no_fulltext
issn:
  • 0002-0729
  • 1468-2834
url: Link


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titlePilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people
creatorDrahota, Amy Kim ; Ward, Derek ; Udell, Julie E ; Soilemezi, Dia ; Ogollah, Reuben ; Higgins, Bernard ; Dean, Taraneh P ; Severs, Martin
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descriptionfalls disproportionately affect older people, who are at increased risk of falls and injury. This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people. we conducted a non-blinded cluster randomised trial in eight hospitals in England between April 2010 and August 2011. Each site allocated one bay as the 'study area', which was randomised via computer to intervention (8.3-mm thick Tarkett Omnisports EXCEL) or control (2-mm standard in situ flooring). Sites had an intervention period of 1 year. Anybody admitted to the study area was eligible. The primary outcome was the fall-related injury rate. Secondary outcomes were injury severity, fall rate and adverse events. during the intervention period, 226 participants were recruited to each group (219 and 223 were analysed in the intervention and control group, respectively). Of 35 falls (31 fallers) in the intervention group, 22.9% were injurious, compared with 42.4% of 33 falls (22 fallers) in the control group [injury incident rate ratio (IRR) = 0.58, 95% CI = 0.18-1.91]. There were no moderate or major injuries in the intervention group and six in the control group. The fall IRR was 1.07 (95% CI = 0.64-1.81). Staff at intervention sites raised concerns about pushing equipment, documenting one pulled back. future research should assess shock-absorbing flooring with better 'push/pull' properties and explore increased faller risk. We estimate a future trial will need 33,480-52,840 person bed-days per arm.
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subjectAccidental Falls ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Clinical trials ; Cluster Analysis ; Computers ; England ; Falls ; Female ; Flooring ; Floors and Floorcoverings ; Frail ; Hospital Units ; Hospitals ; Humans ; Injuries ; Injury Severity Score ; Inpatients ; Intervention ; Male ; Odds Ratio ; Older people ; Pilot Projects ; Property ; Prospective Studies ; Risk Factors ; Time Factors ; Wounds and Injuries - diagnosis ; Wounds and Injuries - etiology ; Wounds and Injuries - prevention & control
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descriptionfalls disproportionately affect older people, who are at increased risk of falls and injury. This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people. we conducted a non-blinded cluster randomised trial in eight hospitals in England between April 2010 and August 2011. Each site allocated one bay as the 'study area', which was randomised via computer to intervention (8.3-mm thick Tarkett Omnisports EXCEL) or control (2-mm standard in situ flooring). Sites had an intervention period of 1 year. Anybody admitted to the study area was eligible. The primary outcome was the fall-related injury rate. Secondary outcomes were injury severity, fall rate and adverse events. during the intervention period, 226 participants were recruited to each group (219 and 223 were analysed in the intervention and control group, respectively). Of 35 falls (31 fallers) in the intervention group, 22.9% were injurious, compared with 42.4% of 33 falls (22 fallers) in the control group [injury incident rate ratio (IRR) = 0.58, 95% CI = 0.18-1.91]. There were no moderate or major injuries in the intervention group and six in the control group. The fall IRR was 1.07 (95% CI = 0.64-1.81). Staff at intervention sites raised concerns about pushing equipment, documenting one pulled back. future research should assess shock-absorbing flooring with better 'push/pull' properties and explore increased faller risk. We estimate a future trial will need 33,480-52,840 person bed-days per arm.
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titlePilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people
authorDrahota, Amy Kim ; Ward, Derek ; Udell, Julie E ; Soilemezi, Dia ; Ogollah, Reuben ; Higgins, Bernard ; Dean, Taraneh P ; Severs, Martin
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7Computers
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26Prospective Studies
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30Wounds and Injuries - etiology
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abstractfalls disproportionately affect older people, who are at increased risk of falls and injury. This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people. we conducted a non-blinded cluster randomised trial in eight hospitals in England between April 2010 and August 2011. Each site allocated one bay as the 'study area', which was randomised via computer to intervention (8.3-mm thick Tarkett Omnisports EXCEL) or control (2-mm standard in situ flooring). Sites had an intervention period of 1 year. Anybody admitted to the study area was eligible. The primary outcome was the fall-related injury rate. Secondary outcomes were injury severity, fall rate and adverse events. during the intervention period, 226 participants were recruited to each group (219 and 223 were analysed in the intervention and control group, respectively). Of 35 falls (31 fallers) in the intervention group, 22.9% were injurious, compared with 42.4% of 33 falls (22 fallers) in the control group [injury incident rate ratio (IRR) = 0.58, 95% CI = 0.18-1.91]. There were no moderate or major injuries in the intervention group and six in the control group. The fall IRR was 1.07 (95% CI = 0.64-1.81). Staff at intervention sites raised concerns about pushing equipment, documenting one pulled back. future research should assess shock-absorbing flooring with better 'push/pull' properties and explore increased faller risk. We estimate a future trial will need 33,480-52,840 person bed-days per arm.
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