naa a22 4500 510786898 CHVBK 20180411083305.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12603-012-0416-2 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0416-2 Characteristics of patients who stop falling after a risk-based multidisciplinary intervention initiated in a geriatric day hospital [Elektronische Daten] [O. Flabeau, G. Laurendeau, H. Laksir, S. Castaings-Pelet, S. Harston, I. Bourdel-Marchasson] Background: Multidisciplinary interventions for fallers have provided conflicting results in part due to the diversity of fallers' profiles. Objectives: to determine the characteristics of the subgroup of patients with a positive response to a multidisciplinary fall prevention program initiated in a geriatric day hospital. Design: Prospective observational study in day hospital. Methods: Patients > 75 years referred for falls during the last 3 months benefited from a multidisciplinary assessment to record their characteristics at baseline and to tailor a risk-based multidisciplinary intervention for fall prevention. Patients free from falls at the 3rd or 6th month were compared to persistent fallers for baseline characteristics. Results: Sixty-nine patients were assessed at baseline (mean age 85.2 y (SD=0.6)), 44 at the 3rd month and 21 at the 6th month. Baseline characteristics of the patients free from falls at the 3rd month were the lower number of previous non-serious falls (p=0.013), living in nursing home (p=0.045), a higher Berg balance score (p=0.02) and a better mental health-related quality of life (M HQol, p=0.045). On multivariate analysis restricted to home-dwelling patients, the positive predictive factors were less isolation at home (OR=0.028, 95%CI [0-0.813], p=0.037), a lower number of non-serious previous falls (OR= 0.526 [0.309-0.894], p=0.018), a better M HQol (OR=1.205 [1.000-1.452], p=0.050) and a trend for younger age (OR= 0.662, [0.426-1.027], p=0.066). Conclusion: Being able to call upon a support person (familial or institutional) to apply advice and a less serious risk of falling may be preliminary conditions for success in a multidisciplinary intervention initiated in a day hospital. Serdi and Springer-Verlag France, 2013 Fall nationallicence mulitdisciplinary intervention nationallicence observational study nationallicence Flabeau O. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut Laurendeau G. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut Laksir H. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut Castaings-Pelet S. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut Harston S. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut Bourdel-Marchasson I. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 199-204 1279-7707 17:2<199 2013 17 12603 https://doi.org/10.1007/s12603-012-0416-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0416-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Flabeau O. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut NATIONALLICENCE 700 1- Laurendeau G. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut NATIONALLICENCE 700 1- Laksir H. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut NATIONALLICENCE 700 1- Castaings-Pelet S. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut NATIONALLICENCE 700 1- Harston S. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut NATIONALLICENCE 700 1- Bourdel-Marchasson I. Pôle de Gérontologie Clinique, CHU de Bordeaux, F-33000, Pessac, France aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 199-204 1279-7707 17:2<199 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer