+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Association between treatment or usual care region and hospitalization for fall-related traumatic brain injury in the Connecticut Collaboration for Fall Prevention



Association between treatment or usual care region and hospitalization for fall-related traumatic brain injury in the Connecticut Collaboration for Fall Prevention



Journal of the American Geriatrics Society 61(10): 1763-1767



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. 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. Two geographical regions in Connecticut. More than 200,000 persons aged 70 and older. 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. Rate of hospitalization for FR-TBI in persons aged 70 and older. 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). 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.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 051678505

Download citation: RISBibTeXText

PMID: 24083593

DOI: 10.1111/jgs.12462


Related references

Trends in Fall-Related Traumatic Brain Injury among Older Persons in Connecticut from 2000-2007. Journal of Gerontology and Geriatric Research 3(4), 2015

Tracking Senior Fall and Fall-Related Injury EMS Calls to Target Fall Prevention Programs, Salt Lake County, Utah. Preventing Chronic Disease 16: E48, 2019

Recommendations for Fall-Related Injury Prevention: A 1-Year Review of Fall-Related Root Cause Analyses in the Veterans Health Administration. Journal of Nursing Care Quality 35(1): 77-82, 2019

Comparison of fall-related traumatic brain injury in residential aged care and community-dwelling older people: A population-based study. Australasian Journal on Ageing 36(2): 144-150, 2018

Hierarchical models to evaluate translational research: Connecticut collaboration for fall prevention. Contemporary Clinical Trials 29(3): 343-350, 2008

Characteristics of fall-related traumatic brain injury in older adults. Internal Medicine Journal 48(9): 1048-1055, 2018

The Association Between Fall Frequency, Injury Risk, and Characteristics of Falls in Older Residents of Long-Term Care: Do Recurrent Fallers Fall More Safely?. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 73(6): 786-791, 2017

Nonfatal fall-related traumatic brain injury among older adults--California, 1996-1999. Mmwr. Morbidity and Mortality Weekly Report 52(13): 276-278, 2003

Falling in the Netherlands. Prevention, care, and follow-up of fall-related injury. Nederlands Tijdschrift Voor Traumatologie 19(3): 98-98, 2011

Fall-related traumatic brain injury deaths and hospitalizations among older adults--United States, 2005. Journal of Safety Research 39(3): 269-272, 2008

Fall Risk Assessment Predicts Fall-Related Injury, Hip Fracture, and Head Injury in Older Adults. Journal of the American Geriatrics Society 64(11): 2242-2250, 2016

Repercussions of hospitalization due to fall of the elderly: health care and prevention. Revista Brasileira de Enfermagem 71 Suppl 2: 763-769, 2018

Association of Statewide Implementation of the Prehospital Traumatic Brain Injury Treatment Guidelines With Patient Survival Following Traumatic Brain Injury: The Excellence in Prehospital Injury Care (EPIC) Study. JAMA Surgery 154(7): E191152, 2019

Evidence Levels: Applied to Select Fall and Fall Injury Prevention Practices. Rehabilitation Nursing 41(1): 5, 2016

Diversity in fall characteristics hampers effective prevention: the precipitants, the environment, the fall and the injury. Osteoporosis International 28(10): 3005-3015, 2017