Intervenciones para la prevenci贸n de ca铆das en personas de edad avanz...
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Risk of bias Item
Authors' judgement Description
Adequate sequence generation?
Unclear
Quote: "Randomised by researcher not involved in subject screening or assessment". Method not described.
Allocation concealment?
Unclear
Insufficient information to permit judgment.
Blinding? Falls
Unclear
Falls reported by participants who were aware of their group allocation.
Low risk of bias Yes in recall of falls?
Prospective. Monthly falls postcard calendar.
Close 1999 Methods
RCT. Losses: 93 of 397 (23%).
Participants
Setting: community, London, United Kingdom. N = 397 Sample: community dwelling individuals presenting at A&E after a fall. Admitted patients not recruited until discharge. Age: mean 78.2 (SD 7.5). Inclusion criteria: aged 65 and over; history of falling. Exclusion criteria: cognitive impairment (AMT <7) and no regular carer (for informed consent reasons); speaking little or no English; not living locally.
Interventions
1. Medical and occupational therapy assessments and interventions. Medical assessment to identify primary cause of fall and other risk factors present (general examination and visual acuity, balance, cognition, affect, medications). Intervention and referral as required. Home visit by occupational therapist (functional assessment and environmental hazards). Advice, equipment and referrals as required. 2. Control: usual care only.
Outcomes
1. Rate of falls. 2. Number of people falling. Other outcomes reported but not included in this review.
Notes Risk of bias Item
Authors' judgement
Description
Adequate sequence generation?
Yes
Randomised by random numbers table.
Allocation concealment?
Yes
List held independently of the investigators.
Blinding? Falls
Unclear
Falls reported by participants who were aware of their group allocation.
Low risk of bias in Yes recall of falls?
Prospective. Falls diary with 12 monthly sheets, collected every 4 months.
Coleman 1999 Methods
RCT. Cluster randomised. Unit of randomisation physician practice. Losses: 56 of 169 (33%).
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