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OBJECTIVE To evaluate whether a service to prevent falls in the community would help reduce the rate of falls in older people who call an emergency ambulance when they fall but are not taken to hospital. DESIGN Randomised controlled trial. SETTING Community covered by four primary care trusts, England. PARTICIPANTS 204 adults aged more than 60 living(More)
BACKGROUND UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents' health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than health, care records. AIM to describe in detail the health status and healthcare resource use of UK care(More)
OBJECTIVE To explain the current delivery of healthcare to residents living in UK care homes. DESIGN Qualitative interview study using a grounded theory approach. SETTING 6 UK care homes and primary care professionals serving the homes. PARTICIPANTS Of the 32 participants, there were 7 care home managers, 2 care home nurses, 9 care home assistants, 6(More)
BACKGROUND A thorough understanding of the literature generated from research in care homes is required to support evidence-based commissioning and delivery of healthcare. So far this research has not been compiled or described. We set out to describe the extent of the evidence base derived from randomized controlled trials conducted in care homes. (More)
OBJECTIVE To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. DESIGN Pilot randomized controlled trial. SETTING Inpatient stroke rehabilitation service. SUBJECTS Seventy consecutive stroke patients with persistent dressing problems and accompanying cognitive difficulties at(More)
INTRODUCTION Frail older people are often unable to undertake high-intensity exercise programmes. Chair-based exercises (CBEs) are used as an alternative, for which health benefits are uncertain. OBJECTIVE To examine the effects of CBE programmes for frail older people through a systematic review of existing literature. METHOD A systematic search was(More)
OBJECTIVE To evaluate effectiveness, safety and cost-effectiveness of Computerised Clinical Decision Support (CCDS) for paramedics attending older people who fall. DESIGN Cluster trial randomised by paramedic; modelling. SETTING 13 ambulance stations in two UK emergency ambulance services. PARTICIPANTS 42 of 409 eligible paramedics, who attended 779(More)
BACKGROUND Chair based exercise (CBE) is suggested to engage older people with compromised health and mobility in an accessible form of exercise. A systematic review looking at the benefits of CBE for older people identified a lack of clarity regarding a definition, delivery, purpose and benefits. This study aimed to utilise expert consensus to define CBE(More)
BACKGROUND Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this group. METHOD PARTICIPANTS Patients aged > 70 years and scoring positive on a risk screening tool(More)
BACKGROUND Community participation is often restricted after stroke, due to reduced confidence and outdoor mobility. Australian clinical guidelines recommend that specific evidence-based interventions be delivered to target these restrictions, such as multiple escorted outdoor journeys. The aim of this study was to describe post-inpatient outdoor mobility(More)