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NSW Falls Prevention Network e-news
FALLS LINKS
 e-Newsletter 1 2020

Welcome to the first e-newsletter of 2020

Upcoming Events

 
Forum on Healthy Ageing
Tuesday 28th January 2020, 10.00am to 4.00pm
UNSW Business School, Lecture Theatre 119
College Rd, UNSW Sydney, Kensignton, NSW

Co-hosted by CEPAR and the UNSW Ageing Futures Institute, the aim of this forum is to provide a deeper understanding of healthy ageing.
The Forum will feature the following confirmed speakers: 
•    Kaarin Anstey (Director, UNSW Ageing Futures Institute, and CEPAR Chief Investigator)
•    John Beard (former Director of the World Health Organisation's Department of Ageing and Life Course, and now a professorial fellow at CEPAR, UNSW Sydney)
•    Julie Byles (CEPAR Associate Investigator, University of Newcastle)
•    Denzil Fiebig (CEPAR Associate Investigator, UNSW Sydney)
•    Brenda Gannon (CEPAR Affiliate, the University of Queensland)
•    Vas Yiengprugsawan (CEPAR Senior Research Fellow, UNSW Sydney)

If you would like to attend, please register online by 24 January. Places are limited.
Online registration     forum-healthy-ageing.eventbrite.com.au



NSW Falls Network Rural Forum FWNSW LHD
Wednesday 25th March 2020, 9.30am to 3.00pm
Musicians Club, 276 Crystal St, Broken Hill

This forum will inspire & motivate care staff to provide high quality evidenced based care with a focus on strategies to reduce risk & harm from falls. There will be discussion on the latest research and improvement science approach to falls prevention and management including Comprehensive care (Standard 5) with a focus on strategies to reduce risk & harm from falls and falls preventative measures.
 
Who should attend: Allied Health, Nursing and Medical Staff from Hospital, Community and Residential Aged Care Settings and Allied Health, Exercise Physiology, Nursing and Medical Students
Registrations at My Health Learning will open mid-January
for external registrations email c.hicks@neura.edu.au
Registrations close 13th March 2020


Save the Date

NSW Falls Prevention Network Forum
Friday 15th May 2020
Wesley Conference Centre, 220 Pitt St, Sydney

Speakers Include
  • Pam Albany Guest Lecture: Professor Kaarin Anstey, Senior Principal Research Fellow, NeuRA: Healthy cognitive ageing
  • Professor Jacqueline Close, Consultant Geriatrician POWH, FBIRC NeuRA: Dementia and preventing falls
  • Professor Stephen Lord, Senior Principal Research Fellow, Falls, Balance and Injury Research Centre (FBIRC) NeuRA: Falls prevention research update
For further details and registrations go to the website or Register Now
Website News

The first quarterly articles have been completed. These include all journal articles published in Q4 of 2019 for the areas listed below:
  • Exercise Interventions and Falls
  • Medication and Falls
  • Neurological Conditions
  • Fractures and Head Injury
  • Dementia and Cognition
Aritcles for Q1 of 2020 are now being collated and are also updated weekly on the website. These can all be found at http://fallsnetwork.neura.edu.au/resources/safetylit-falls-prevention-abstracts/

If there are any particular categories you feel would be beneficial or resources that should be added to the website let us know by sending an email to fallsnetwork@neura.edu.au
Recent Publication

Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic Review

Sherrington C, Fairhall N, Wallbank G, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb S. Br. J. Sports Med. 2019; ePub(ePub): ePub.

Affiliation
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
(Copyright © 2019, BMJ Publishing Group)

DOI 10.1136/bjsports-2019-101512 PMID 31792067

An update to the cochrane review on exercise as a single intervention preventing falls in older people living in the community. A review of 59 studies found that exercise reduces the rate of falls by 23% (rate ratio (RaR) 0.77, 95% CI 0.71 to 0.83; 12 981 participants, 59 studies; high-certainty evidence). The evidence is clear and effective programmes should now be implemented.




Research Update

Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial

Anna Barker, Peter Cameron, Leon Flicker, Glenn Arendts, Caroline Brand, Christopher Etherton-Beer, Andrew Forbes, Terry Haines, AnneMarie HillI, Peter Hunter, Judy Lowthian, Samuel R. Nyman, Julie Redfern, De Villiers Smit, Nicholas Waldron, Eileen Boyle, Ellen MacDonald, Darshini Ayton, Renata Morello, Keith HillI PLoS Med 16(5): e1002807. https://doi.org/10.1371/journal.pmed.1002807

Abstract
Background
Falls are a leading reason for older people presenting to the emergency department (ED), and many experience further falls. Little evidence exists to guide secondary prevention in this population. This randomised controlled trial (RCT) investigated whether a 6-month telephone-based patient-centred program—RESPOND—had an effect on falls and fall injuries in older people presenting to the ED after a fall.

Methods and findings
Community-dwelling people aged 60–90 years presenting to the ED with a fall and planned for discharge home within 72 hours were recruited from two EDs in Australia. Participants were enrolled if they could walk without hands-on assistance, use a telephone, and were free of cognitive impairment (Mini-Mental State Examination > 23). Recruitment occurred between 1 April 2014 and 29 June 2015. Participants were randomised to receive either RESPOND (intervention) or usual care (control). RESPOND comprised (1) home-based risk assessment; (2) 6 months telephone-based education, coaching, goal setting, and support for evidence-based risk factor management; and (3) linkages to existing services. Primary outcomes were falls and fall injuries in the 12-month follow-up. Secondary outcomes included ED presentations, hospital admissions, fractures, death, falls risk, falls efficacy, and quality of life. Assessors blind to group allocation collected outcome data via postal calendars, telephone follow-up, and hospital records. There were 430 people in the primary outcome analysis—217 randomised to RESPOND and 213 to control. The mean age of participants was 73 years; 55% were female. Falls per person-year were 1.15 in the RESPOND group and 1.83 in the control (incidence rate ratio [IRR] 0.65 [95% CI 0.43–0.99]; P = 0.042). There was no significant difference in fall injuries (IRR 0.81 [0.51–1.29]; P = 0.374). The rate of fractures was significantly lower in the RESPOND group compared with the control (0.05 versus 0.12; IRR 0.37 [95% CI 0.15–0.91]; P = 0.03), but there were no significant differences in other secondary outcomes between groups: ED presentations, hospitalisations or falls risk, falls efficacy, and quality of life. There were two deaths in the RESPOND group and one in the control group. No adverse events or unintended harm were reported. Limitations of this study were the high number of dropouts (n = 93); possible underreporting of falls, fall injuries, and hospitalisations across both groups; and the relatively small number of fracture events. 

Conclusions 
In this study, providing a telephone-based, patient-centred falls prevention program reduced falls but not fall injuries, in older people presenting to the ED with a fall. Among secondary outcomes, only fractures reduced. Adopting patient-centred strategies into routine clinical practice for falls prevention could offer an opportunity to improve outcomes and reduce falls in patients attending the ED.
Trial registration

Australian New Zealand Clinical Trials Registry (ACTRN12614000336684).





 
Abstracts from the research literature

Share your news


Do you have any news on Falls Prevention you want to share with others on the network, or report on a project that is happening in your area. We also welcome suggestions for articles and information you would like to see in this newsletter.  
Send your news and suggestions to: fallsnetwork@neura.edu.au

 

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Email: fallsnetwork@neura.edu.au

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NSW Falls Prevention Network
Neuroscience Research Australia
PO Box 1165
Randwick NSW 2031


 






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NSW Falls Prevention Network · Barker St · Randwick · Sydney, Nsw 2031 · Australia

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