A Targeted Falls Prevention Program in Rehabilitation In-Patients
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Purpose
Falls are a major complication in patients treated in rehabilitation departments, yet studies evaluating different interventions to reduce falls-risk are rare and inconclusive.
The aim of the present study is to evaluate the efficacy of a multidisciplinary fall-prevention program to reduce falls and injury in stroke patients treated in a rehabilitation department.
All stroke patients consecutively admitted to the department of rehabilitation at Hadassah-Hebrew University Medical Center for a period of one year will be eligible for inclusion. Upon receiving an informed consent subjects will be randomized to the intervention group or the control (convention care) group.
There are no exclusion criteria. The Intervention includes group education on risk of falling and safe mobility and transfers; physical therapy of balance training at the patients' bedside twice weekly and medical assessment of medication use (anxiolytics/hypnotics, neuroleptics, antihypertensives and other vasodilators), orthostatic hypotension, urinary frequency/incontinence, delirium and visual problems.
Intervention therapy will not be given as an extra time, rather at the same treatment time as the control group.
Primary outcomes are rate of falls and related injuries.
| Condition | Intervention |
|---|---|
|
Accidental Falls |
Other: Multidisciplinary falls prevention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Targeted Falls Prevention Program in Rehabilitation In-Patients |
- Rate of falls and fall-related injury [ Time Frame: At one year ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 100 |
| Study Start Date: | November 2009 |
| Estimated Study Completion Date: | November 2010 |
| Estimated Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Falls prevention |
Other: Multidisciplinary falls prevention
Group education on falls risk and mobility and transfers safety; Physical therapy at the subjects' bedside consisting of balance training; Medical assessment - medications use (anxiolytics/hypnotics, neuroleptics, antihypertensives, antiarrhythmics and other vasodilators) with effort to discontinue or reduce dose when possible; orthostatic hypotension - discontinue/reduce dose of related medications; urinary frequency/incontinence - evaluation and treatment; delirium - evaluation and treatment; visual pathology - evaluation and treatment
|
|
No Intervention: Control group
Routine rehabilitation treatment
|
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All stroke patients admitted to rehabilitation
Exclusion Criteria:
- None
Contacts and Locations| Contact: Yoram Maaravi, MD | 00 972 2 5844474 | ymaaravi@gmail.com |
| Israel | |
| Hadassah Medical Organization | Not yet recruiting |
| Jerusalem, Israel, 91120 | |
| Contact: Arik Tzukert, DMD 00 972 2 6776095 arik@hadassah.org.il | |
| Contact: Hadas Lemberg, PhD 00 972 2 6777572 lhadas@hadassah.org.il | |
| Sub-Investigator: Yoram Maaravi, MD | |
| Principal Investigator: | Yoram Maaravi, MD | Hadassah Medical Organization |
More Information
No publications provided
| Responsible Party: | YORAM MAARAVI MD, HADASSAH MEDICAL ORGANIZATION |
| ClinicalTrials.gov Identifier: | NCT00973297 History of Changes |
| Other Study ID Numbers: | 151059-HMO-CTIL |
| Study First Received: | August 25, 2009 |
| Last Updated: | September 8, 2009 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Hadassah Medical Organization:
|
Falls |
ClinicalTrials.gov processed this record on May 19, 2013