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Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial

PLoS Medicine May 31, 2019

Barker A, et al. - In this trial, researchers ascertained if a 6-month, telephone-based, patient-centered program—RESPOND—reduced falls and fall injuries in older people presenting to the emergency department (ED) after a fall. Individuals aged 60-90 years who presented to the ED with a fall and were planned to discharge within 72 hours were enrolled. Eligible participants also included those who could walk without hands-on assistance, use a telephone, and were free of cognitive impairment. A total of 430 people were included in the primary outcome analysis—217 were randomized to the RESPOND group and 213 were randomized to the control group. There was no significant difference in fall injuries. The rate of fractures was significantly lower in the RESPOND group vs the control group, but there were no significant differences in other secondary outcomes between groups. Overall, participants in the RESPOND group demonstrated reduced falls but not fall injuries. In addition, among secondary outcomes, only fractures reduced. The investigators concluded that adopting patient-centered strategies into routine clinical practice for falls prevention may offer an opportunity to improve outcomes and reduce falls in patients attending the ED.

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