To assess the effectiveness of an additional cardiovascular assessment and intervention to a multidisciplinary falls-intervention.
ID
Source
Brief title
Condition
- Cardiac disorders, signs and symptoms NEC
- Decreased and nonspecific blood pressure disorders and shock
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcome parameter will be fall incidents.
Secondary outcome
Secondary outcome measures will be cardiovascular events, adherence to advices,
fall-related injuries and quality-adjusted life years.
Background summary
Falls form a major healthcare problem in our aging society. Current falls
guidelines are still hampered by a lack of underlying evidence. Recently, we
have shown that cardiovascular abnormalities form a major fall-risk factor in
older persons, however, effectiveness of treating these abnormalities is still
uncertain. Adding a cardiovascular intervention to the multifactorial falls
intervention may reduce falls and subsequent injury.
Study objective
To assess the effectiveness of an additional cardiovascular assessment and
intervention to a multidisciplinary falls-intervention.
Study design
In a pilotstudy, all older patients visiting the falls clinic with a positive
falls history (N=15) will be eligible. At inclusion all participants will
receive regular care. The intervention group will receive an echocardiography
and tilt table testing with assessment of orthostatic hypotension, vasovagal
collapse and carotid sinus hypersensitivity. This will be followed by a
multidisciplinary protocolized treatment advice. Subsequent treatment
comprises drug interventions, (para-)medical therapies or invasive treatment.
During a 6-month follow-up falls, fall-related injuries, cardiovascular events
and quality of life will be assessed.
Study burden and risks
Burden: Performing the cardiovascular assessment will take 2 hours, preferably
immediately following the visit to the falls clinic. Participant might
experience lightheadedness and/or vasovagel collapse during tilt-table testing.
Participants will be asked to fill out a weekly falls calender during six
months that will be sent three-monthly.
Risks: Carotid sinus massage is associated with the occurence of Transcient
Ischemic Attacs (TIA) in less than 1 in 10.000 massages.
Meibergdreef 9
1105AZ
NL
Meibergdreef 9
1105AZ
NL
Listed location countries
Age
Inclusion criteria
Positive falls history, as defined by one ore more falls in the previous year
Exclusion criteria
Age * 64 years
Cognitive dysfunction as defined by a Mini-Mental State Examination of 21 (out of 30) points or lower
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL39359.018.12 |