Prevention of Falls and Injuries in Residential Care

  1. Jane Jensen, MSc;
  2. RPT Lillemor Lundin-Olsson, PhD; and
  3. RPT Yngve Gustafson, PhD, MD
  1. Umeå University; 90185 Umeå, Sweden (Jensen, Lundin, Gustafson)

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    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.

    Jane Jensen, MSc, RPT

    Lillemor Lundin-Olsson, PhD, RPT

    Yngve Gustafson, PhD, MD

    Umeå University; 90185 Umeå, Sweden

    The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:

    •Include no more than 300 words of text, three authors, and five references

    •Type with double-spacing

    •Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.

    Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.

    Annals welcomes electronically submitted letters.

    References

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