Id 1382 Multifactorial Intervention In Elderly Women To Prevent Falls In Primary Care

Conference: 
Author(s): 
Molina Guasch C, Fernández Pérez E, Mourelle Varela R, Valero Rodríguez J, Ramírez Moreno EM, Domínguez Sánchez A
Spain
r.mourelle@gmail.com
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Aim(s) or purpose: Reduce the incidence of falls after one year of monitoring in women > 65, attended in doctor’s office.
Design and method: Intervention study before-after in primary care attention. Population: women > 65 recruited during one year. Excluded: domiciliary attention or institutionalised. Socio-demographic data and risk factors for falling were also collected. Intervention: reduce number of drugs, remove benzodiazepines and/or antidepressants, detect posture-related hypotension, put right visual deficiencies, go in for sport and home risk information. Telephonic monitoring every 4 months and control visit once per year. Comparison of falling with the same group the previous year.
Results: 84 women began the study, from them 77 had already finished it (92 %). Average age: 75.8 (SD?± 5.83). 88.3 % shown some risk factors for falls, after 1 year the percentage had increased up to 96.2 %. 43.8 % of the women shown at least one falling during the control year, 26.2 % in previous period. Polypharmacy has been reduced from 75 % in to 71.4 %. Psychotropic treatments present no significant variation. Tinetti test shown worse results in 13.1 % of the women, at the same time Timed Up & Go made worse results in 25.9 %. 4 women were cataract surgical intervened.
Conclusions: It seems that we have few possibilities to reduce the risk of falls in our elderly, or that the impact of their age is higher that our efforts. We have not got better results in psychotropic consumption or in improve their visual acuity. Multifactorial or multidisciplinary intervention studies seem to be the most efficient way to reduce the risk of falling in elderly population
Literature: 
ID 1382
Multifactorial intervention in elderly women to prevent falls in primary care