Ulrich Rissmann

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The purpose of this study was to review the evidence of the economic burden of falls in old age. This review showed that falls are a relevant economic burden. Efforts should be directed to fall-prevention programmes. Falls are a common mechanism of injury and a leading cause of costs of injury in the elderly. The purpose of this study was to review for the(More)
Das Ziel der vorliegenden Studie ist die Beschreibung der Probleme und Ressourcen einer nichtselektierten Heimbewohnerpopulation gemäß den Definitionen des Minimum Data Sets aus dem Resident Assessment Instruments. Die Stichprobe umfasste 769 Bewohner aus sieben Pflegeeinrichtungen einer süddeutschen Stadt mit 116 000 Einwohnern Das durchschnittliche Alter(More)
OBJECTIVES To evaluate the effectiveness of a multifactorial intervention to reduce the use of physical restraints in residents of nursing homes. DESIGN Cluster-randomized controlled trial. SETTING Forty-five nursing homes in Germany. PARTICIPANTS Three hundred thirty-three residents who were being restrained at the start of the intervention. (More)
At present, observational studies and expert opinion are the best evidence for the use of physical restraints. Large regional and national disparities are described in acute and long-term care. Epidemiological data demonstrate a prevalence of 3-5% body-fixed or near body restraint devices. The hip fracture rate in Germany are approximately 50 per 1000(More)
The introduction of the German mandatory long-term care insurance in 1995 has led to major changes in the delivery of medical services in nursing homes. This is a result of the assessment process, the demographic changes, modified access to facilities and the changing socioeconomic resources of informal caregivers. The fusion of the health care and(More)
OBJECTIVES Hip fractures are one of the most costly consequences of falls in the elderly. Despite their increased risk of falls and fractures, nursing home residents are often neglected in service utilization and costing studies. The purpose of this study was to determine service use, initial and long-term direct costs of incident femoral fractures in(More)
OBJECTIVES To evaluate the effect of a statewide dissemination of a modified evidence-based fall prevention program on incidence of femoral fractures in nursing homes. DESIGN Observational study of a staged implementation of a successful fall prevention program. SETTING One thousand three hundred fifty-nine nursing homes in two federal states in the(More)
The purpose of this study was to analyze the cost-effectiveness of a multifactorial fall prevention program in nursing home residents. Given a willingness-to-pay (WTP) of 50,000 EUR per year free of femoral fracture, the probability that the intervention is cost-effective is 83 %. Despite their increased risk of falls and fractures, nursing home residents(More)
Potential predictors of availability and use of hip protectors were studied in residents of 48 nursing homes. The likelihood of being offered a hip protector was reduced in men, in residents with very low or very high care needs, in residents with migration background, and in recipients of welfare aid. The purpose of this study is to analyze potential(More)
To examine the impact of a fall prevention programme over a 12 month follow-up period after the introduction of a RCT and to describe possible differences between incidence density rate of falls associated with caregiver time during weekends and ordinary working days. Prospective observational study, duration 12 months. Six community nursing homes, Germany.(More)