Samenvatting
Doel
Beschrijven van de opzet van een studie naar het effect van multidisciplinaire interventie ter preventie van vallen bij ouderen met een hoog valrisico.
Methode
Design: gerandomiseerde trial met economische evaluatie. Deelnemers: recent gevallen, zelfstandigwonende ouderen (≥65 jaar). Na screening op valrisico wordt de hoogrisicogroep blind gerandomiseerd in een interventiegroep (n=100) en gebruikelijke zorggroep (n=100). Interventie: multidisciplinaire evaluatie en behandeling van valrisicofactoren. Follow-up: vallen, valgerelateerde kosten en therapietrouw. Data-analyse: volgens intention-to-treat en per protocol principe.
Discussie
Sterke punten zijn de selectie op valrisico, de transmurale, multidisciplinaire aanpak en de evaluatie van therapietrouw. Een effectieve interventie leidt tot reductie van valincidenten.
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onderzoeker in opleiding, VU Medisch Centrum, Amsterdam
internist/klinisch geriater, VU Medisch Centrum, Amsterdam
huisarts en onderzoeker, Huisartsenpraktijk de Grote Rivieren, Amsterdam
epidemioloog, Instituut voor Maatschappelijke Gezondheidszorg, Erasmus MC, Rotterdam
rector Magnificus, Vrije Universiteit, Amsterdam
hoogleraar afdeling Interne geneeskunde, VU Medisch Centrum, Amsterdam
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Peeters, G., de Vries, O., Elders, P. et al. Preventie van valincidenten. TVVG 33, 162–166 (2008). https://doi.org/10.1007/BF03078547
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DOI: https://doi.org/10.1007/BF03078547