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Accidental falls represents an elderly very important health problem, both in the community and within the hospital. The aim of this research project is to evaluate the effectiveness of accidental falls prevention care bundle in geriatrics, internal medicine, post acute, and rehabilitation wards, in terms of incidence and outcome reduction. It will be also investigated the cost effectiveness ratio, in terms of falls avoided, care bundle implementation costs, and falls related healthcare costs. The study will permit to evaluate the implementation feasibleness in time, considering the study will last for 20 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Accidental falls care bundle | Experimental | Care Bundle Implementation Arm |
|
| Accidental falls standard care | Active Comparator | Standard Care Implementation Arm (Universal strategy application for the environmental and patient) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Care bundle | Other | Risk fall assessment at hospital admission with Conley scale or with findings of specific risk characteristics (previous falls, cognitive impairment, neuropsychological damage, increased need to go to the bathroom for increased evacuative needs, neuroleptic or cardiovascular drugs assumption); if risk is found shear the information with the team, writing it in patient chart, and positioning a specific symbol on patient bed. Inform patient and family about fall risk and ask, if possible, a continuous caregiver presence. Universal strategy application for the environmental safety and patient safety. Periodic assessment of drugs therapy, with the aim of reduce those that acts on central nervous system and cardiovascular system. If patient is at risk and alone, verify each 2 hours the need to go to the bathroom, change position or drink. |
| Measure | Description | Time Frame |
|---|---|---|
| Falls Incidence rate | Number of accidental falls respect number of hospital days of stay in elderly hospital patients at the end of a 5 months step. | 5 months |
| Measure | Description | Time Frame |
|---|---|---|
| Falls outcome | Numbers falls from wich a fractures or a brain haemorrhage has been generated | 5 monts |
| Cost-effectiveness | Cost effectiveness ratio in terms of costs and avoided falls. Cost Implementation costs: costs for education and staff meeting; printed material costs. |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38251740 | Derived | Di Gennaro G, Chamitava L, Pertile P, Ambrosi E, Mosci D, Fila A, Alemayohu MA, Cazzoletti L, Tardivo S, Zanolin ME. A stepped-wedge randomised controlled trial to assess efficacy and cost-effectiveness of a care-bundle to prevent falls in older hospitalised patients. Age Ageing. 2024 Jan 2;53(1):afad244. doi: 10.1093/ageing/afad244. |
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| ID | Term |
|---|---|
| D064872 | Patient Care Bundles |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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|
| 20 months |