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Age and Ageing 2006 35(Supplement 2):ii60-ii64; doi:10.1093/ageing/afl089
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© The Author 2006. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Clinical Risk Assessment, Interventions and Service

Implementation of multifactorial interventions for fall and fracture prevention

A. John Campbell1 and M. Clare Robertson2

1 Faculty of Medicine, University of Otago Medical School, PO Box 913, Dunedin, New Zealand
2 Department of Medical and Surgical Sciences, University of Otago Medical School, PO Box 913, Dunedin, New Zealand

Address correspondence to: A. J. Campbell. Tel: (+64) 3 479 7454. Fax: (+64) 3 474 5459. Email: john.campbell{at}stonebow.otago.ac.nz

Over 60% of falls experienced by older people result from multiple aetiological factors. Preventing falls in individual patients requires the identification and treatment of these interacting factors. Multifactorial interventions have been successful in some, but not all, fall prevention trials. Preventing falls in populations requires selection of the population most likely to benefit, and selection of the particular interventions shown to have been effective in this group. The implementation of preventive measures has been low despite strong evidence that fall and fractures can be reduced. Misconceptions about the potential for prevention in old age, the time to effect improvement, resource issues and the nature of the interventions contribute to the low uptake. An improved system of delivery of proven preventive measures is needed.

Keywords: fall prevention, older people, multifactorial


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