Association Between Treatment or Usual Care Region and Hospitalization for Fall-Related Traumatic Brain Injury in the Connecticut Collaboration for Fall Prevention
- Autores: Terrence E. Murphy, Dorothy I. Baker, Linda Leo-Summers, Heather G. Allore, Mary E. Tinetti
- Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 61, Nº. 10, 2013, págs. 1763-1767
- Idioma: inglés
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Resumen
Objectives: To evaluate the association between the treatment region (TR) or usual care region (UCR) of the Connecticut Collaboration for Fall Prevention (CCFP), a clinical intervention for prevention of falls, and the rate of hospitalization for fall-related traumatic brain injury (FR-TBI) in persons aged 70 and older and to describe the Medicare charges for FR-TBI hospitalizations.
Design: Using a quasi-experimental design, rates of hospitalization for FR-TBI were recorded over an 8-year period (2000�2007) in two distinct geographic regions (TR and UCR) chosen for their similarity in characteristics associated with occurrence of falls.
Setting: Two geographical regions in Connecticut.
Participants: More than 200,000 persons aged 70 and older.
Intervention: Clinicians in the TR translated research protocols from the Yale Frailty and Injuries: Cooperative Studies of Intervention Techniques, a successful fall-prevention randomized clinical trial, into discipline- and site-specific fall-prevention procedures for integration into their clinical practices.
Measurements: Rate of hospitalization for FR-TBI in persons aged 70 and older.
Results: Connecticut Collaboration for Fall Prevention's TR exhibited lower rates of hospitalization for FR-TBI than the UCR (risk ratio = 0.84, 95% credible interval = 0.72�0.99).
Conclusion: The significantly lower rate of hospitalization for FR-TBI in CCFP's TR suggests that the engagement of practicing clinicians in the implementation of evidence-based fall-prevention practices may reduce hospitalizations for FR-TBI.
