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Multicenter Study
. 2010 Apr;42(4):211-7.
doi: 10.1016/j.aprim.2009.07.004. Epub 2009 Oct 12.

[Final results of a multifactorial and community intervention study for the prevention of falls in the elderly]

[Article in Spanish]
Montserrat Pujiula Blanch  1 , Miquel Quesada Sabaté, Esteve Avellana Revuelta, Rafel Ramos Blanes, Rafel Cubí Monfort; Grupo APOC ABS Salt
Collaborators, Affiliations
Multicenter Study

[Final results of a multifactorial and community intervention study for the prevention of falls in the elderly]

[Article in Spanish]
Montserrat Pujiula Blanch et al. Aten Primaria. 2010 Apr.

Abstract
in English, Spanish

Objective: To evaluate the effectiveness of a multifactorial and community intervention programme to decrease the number of falls and their complications in the >or=70 years population in a community.

Design: Multicentre, community intervention study, with no random assignment and with controls.

Setting: Two basic health areas in the province of Girona (Spain).

Participants: Random sample of people >or=70 years, 2515 in the intervention group (IG) and 1212 in the control group (CG). The IG received multifactorial intervention with community activities, individual in the clinic or at home and by the professionals, for 2 years. The CG received routine health care. MEASUREMENTS AND PRIMARY OUTCOMES: The baseline situation of two representative random samples, IG (n=329) and CG (n=379) and post-intervention IG (n=292) and CG (n=310), usinn a survey.

Results: (People with falls): IG baseline 29% (95% confidence interval [CI]: 25.8-31.9) and post-intervention 31% (95% CI: 25.6-36.5). CG baseline 32% (95% CI: 28.8-35.2) and post-intervention 30% (95% CI: 24.9-35.4). Falls with fractures: IG baseline 10.4% (95% CI:6-16.3) and post-intervention 5.3% (95% CI:2-11,2); CG baseline 7% (95% CI:4-11.2) and post-intervention 10.7% (95% CI:5.8-17.7). Falls with medical care: IG baseline 45.4% (95% CI: 37-54) and post-intervention 43.8% (95% CI: 34.4-54.4). GC baseline 30.3% (95% CI: 24.3-36.8) and post-intervention 40.8% (95% CI: 31-51.2).

Conclusions: A multifactorial community intervention programme in people >or=70 years did not reduce the number of falls at 2 years, but a tendency to reduce their consequences was observed, and could be integrated within routine care activities.

Objetivo: Evaluar la efectividad de un programa de intervención multifactorial y comunitario para disminuir el número de caídas y sus complicaciones en la población de 70 años o más de una comunidad.

Diseño: Estudio de intervención comunitaria, multicéntrico, con grupo control y sin asignación aleatorizada.

Emplazamiento: Dos zonas básicas de salud de la provincia de Girona (España).

Participantes: Muestra aleatorizada de personas 70 años o más, 2.515 en el grupo de intervención (GI) y 1.212 en el grupo control (GC).

El GI recibió una intervención multifactorial con actividades comunitarias, individuales en la consulta o domicilio y sobre los profesionales durante 2 años. El GC recibió la atención sanitaria habitual.

Mediciones y resultados principales: Se valoró la situación basal de 2 muestras aleatorizadas representativas, GI (n=329) y GC (n=379), y la situación posintervención del GI (n=292) y el GC (n=310) mediante una encuesta.

Personas con caídas: GI basal, el 29% (intervalo de confianza [IC] del 95%: 25,8–31,9) y posintervención, el 31% (IC del 95%: 25,6–36,5); GC basal, el 32% (IC del 95%: 28,8–35,2) y posintervención, el 30% (IC del 95%: 24,9–35,4). Caídas con fracturas: GI basal, el 10,4% (IC del 95%: 6–16,3) y posintervención, el 5,3% (IC del 95%: 2–11,2); GC basal, el 7% (IC del 95%: 4–11,2) y posintervención, el 10,7% (IC del 95%: 5,8–17,7). Caídas con asistencia médica: GI basal, el 45,4% (IC del 95%: 37–54) y posintervención, el 43,8% (IC del 95%: 34,4–54,4); GC basal, el 30,3% (IC del 95%: 24,3–36,8) y posintervención, el 40,8% (IC del 95%: 31–51,2).

Conclusiones: Un programa de intervención comunitario multifactorial en personas de 70 años o más no reduce el número de caídas a los 2 años, pero se observa una tendencia a la reducción de sus consecuencias y puede integrarse dentro de la actividad asistencial habitual.

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Figures

Esquema general del estudio
Esquema general del estudio
Estudio de intervención comunitaria, con grupo control y sin asignación aleatorizada. Se evaluó el efecto mediante muestras aleatorizadas de la población intervenida y del control. GC: grupo control; GI: grupo de intervención
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