Skip to main content
Top
Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 3/2011

01-06-2011 | Commentaar

De effectiviteit van valklinieken in Nederland

Auteurs: Dr. Mariëlle H. Emmelot-Vonk, H. J. J. Verhaar

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 3/2011

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Recent zijn er twee artikelen gepubliceerd, waarbij er gekeken is naar de effectiviteit van een multifactorieel valpreventieprogramma uitgevoerd door valklinieken in Nederland. Beide artikelen laten negatieve resultaten zien. Het is echter de vraag of deze twee studies representatief zijn voor de situatie zoals het er in de meeste valklinieken in Nederland aan toegaat. Twee belangrijke verschillen zitten in de patiëntenselectie en de uitvoer van het valpreventieprogramma. Op een valkliniek is het belangrijk die patiënten te selecteren met het hoogste valrisico (≥2 valincidenten/ jaar en/of ≥4 valrisicofactoren) en om een actieve, directe aanpak van het valprobleem na te streven om de effectiviteit van de valkliniek te optimaliseren.
Literatuur
1.
go back to reference TinettiME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community.N Engl JMed. 1988;319:1701–1707;.CrossRef TinettiME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community.N Engl JMed. 1988;319:1701–1707;.CrossRef
2.
go back to reference Jensen J, Lundin-Olsson L,Nyberg L, Gustafson Y. Fall and injury prevention in older people living in residential care facilities.A cluster randomized trial. Ann Intern Med. 2002;136:733–741;.PubMedCrossRef Jensen J, Lundin-Olsson L,Nyberg L, Gustafson Y. Fall and injury prevention in older people living in residential care facilities.A cluster randomized trial. Ann Intern Med. 2002;136:733–741;.PubMedCrossRef
3.
go back to reference Stel VS, Smit JH, Pluijm SM, Lips P. Consequences of falling in older men and women and risk factors for health service use and functional decline. Age Ageing. 2004;33:58–65;.PubMedCrossRef Stel VS, Smit JH, Pluijm SM, Lips P. Consequences of falling in older men and women and risk factors for health service use and functional decline. Age Ageing. 2004;33:58–65;.PubMedCrossRef
4.
go back to reference TinettiME,Doucette J, Claus E,Marottoli R. Risk factors for serious injury during falls by older persons in the community. JAm Geriatr Soc. 1995;43:1214–1221;. TinettiME,Doucette J, Claus E,Marottoli R. Risk factors for serious injury during falls by older persons in the community. JAm Geriatr Soc. 1995;43:1214–1221;.
5.
go back to reference Vellas BJ,Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ. Fear of falling and restriction of mobility in elderly fallers. Age Ageing. 1997;26:189–193;.PubMedCrossRef Vellas BJ,Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ. Fear of falling and restriction of mobility in elderly fallers. Age Ageing. 1997;26:189–193;.PubMedCrossRef
6.
go back to reference Van Zuiden Communications BV and 2004. CBO richtlijn Preventie van valincidenten bij ouderen. 2011. Van Zuiden Communications BV and 2004. CBO richtlijn Preventie van valincidenten bij ouderen. 2011.
7.
go back to reference GraafmansWC, OomsME,Hofstee HM, Bezemer PD, Bouter LM, Lips P. Falls in the elderly: a prospective study of risk factors and risk profiles. Am J Epidemiol. 1996;143:1129–1136;.PubMedCrossRef GraafmansWC, OomsME,Hofstee HM, Bezemer PD, Bouter LM, Lips P. Falls in the elderly: a prospective study of risk factors and risk profiles. Am J Epidemiol. 1996;143:1129–1136;.PubMedCrossRef
8.
go back to reference Dejaeger E, Geeraerts A, Coussement J,Milisen K. Prevention of accidental falls of the elderly at home: a cost effective intervention? Tijdschr Gerontol Geriatr. 2008;39:164–167;.PubMedCrossRef Dejaeger E, Geeraerts A, Coussement J,Milisen K. Prevention of accidental falls of the elderly at home: a cost effective intervention? Tijdschr Gerontol Geriatr. 2008;39:164–167;.PubMedCrossRef
9.
go back to reference Dejaeger E. Falls in the elderly.A need for a general intervention. Tijdschr Gerontol Geriatr. 2005;36:136–137;.PubMedCrossRef Dejaeger E. Falls in the elderly.A need for a general intervention. Tijdschr Gerontol Geriatr. 2005;36:136–137;.PubMedCrossRef
10.
go back to reference Emmelot-VonkMH. Prevention of falls in the elderly--a key role for the falls clinic. Tijdschr Gerontol Geriatr. 2005;36:161–167;.PubMedCrossRef Emmelot-VonkMH. Prevention of falls in the elderly--a key role for the falls clinic. Tijdschr Gerontol Geriatr. 2005;36:161–167;.PubMedCrossRef
11.
go back to reference HendriksMR, BleijlevensMH, van Haastregt JC et al. Lack of effectiveness of amultidisciplinary fall-prevention program in elderly people at risk: a randomized, controlled trial. JAm Geriatr Soc. 2008;56:1390–1397;.CrossRef HendriksMR, BleijlevensMH, van Haastregt JC et al. Lack of effectiveness of amultidisciplinary fall-prevention program in elderly people at risk: a randomized, controlled trial. JAm Geriatr Soc. 2008;56:1390–1397;.CrossRef
12.
go back to reference BleijlevensMH, HendriksMR, van Haastregt JC et al. Process factors explaining the ineffectiveness of amultidisciplinary fall prevention programme: a process evaluation. BMC Public Health. 2008;8:332.PubMedCrossRef BleijlevensMH, HendriksMR, van Haastregt JC et al. Process factors explaining the ineffectiveness of amultidisciplinary fall prevention programme: a process evaluation. BMC Public Health. 2008;8:332.PubMedCrossRef
13.
go back to reference de Vries OJ, Peeters GM, Elders PJ et al.Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial.Arch Intern Med. 2010;170:1110–1117;.PubMedCrossRef de Vries OJ, Peeters GM, Elders PJ et al.Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial.Arch Intern Med. 2010;170:1110–1117;.PubMedCrossRef
14.
go back to reference Gillespie LD, RobertsonMC, GillespieWJ et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009;CD007146. Gillespie LD, RobertsonMC, GillespieWJ et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009;CD007146.
15.
go back to reference Chang JT,Morton SC, Rubenstein LZ et al. Interventions for the prevention of falls in older adults: systematic review andmeta-analysis of randomised clinical trials. BMJ. 2004;328:680.PubMedCrossRef Chang JT,Morton SC, Rubenstein LZ et al. Interventions for the prevention of falls in older adults: systematic review andmeta-analysis of randomised clinical trials. BMJ. 2004;328:680.PubMedCrossRef
16.
go back to reference Gates S, Fisher JD, CookeMW, Carter YH, Lamb SE.Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ. 2008;336:130–133;.PubMedCrossRef Gates S, Fisher JD, CookeMW, Carter YH, Lamb SE.Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ. 2008;336:130–133;.PubMedCrossRef
17.
go back to reference TinettiME.Multifactorial fall-prevention strategies: time to retreat or advance. J AmGeriatr Soc. 2008;56:1563–1565;.CrossRef TinettiME.Multifactorial fall-prevention strategies: time to retreat or advance. J AmGeriatr Soc. 2008;56:1563–1565;.CrossRef
18.
go back to reference Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. JAm Geriatr Soc. 2011;59:148–157; Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. JAm Geriatr Soc. 2011;59:148–157;
1.
go back to reference HendriksMR, BleijlevensMH, van Haastregt JC, Crebolder HF, Diederiks JP, Evers SM,MulderWJ, Kempen GI, van Rossum E, Ruijgrok JM et al: Lack of effectiveness of amultidisciplinary fall-prevention program in elderly people at risk: a randomized, controlled trial. JAm Geriatr Soc 2008, 56(8):1390–1397;.CrossRef HendriksMR, BleijlevensMH, van Haastregt JC, Crebolder HF, Diederiks JP, Evers SM,MulderWJ, Kempen GI, van Rossum E, Ruijgrok JM et al: Lack of effectiveness of amultidisciplinary fall-prevention program in elderly people at risk: a randomized, controlled trial. JAm Geriatr Soc 2008, 56(8):1390–1397;.CrossRef
2.
go back to reference HendriksMR, van Haastregt JC, Diederiks JP, Evers SM, Crebolder HF, van Eijk JT: Effectiveness and cost-effectiveness of amultidisciplinary intervention programme to prevent new falls and functional decline among elderly persons at risk: design of a replicated randomised controlled trial [ISRCTN64716113]. BMC Public Health 2005, 5:6.PubMedCrossRef HendriksMR, van Haastregt JC, Diederiks JP, Evers SM, Crebolder HF, van Eijk JT: Effectiveness and cost-effectiveness of amultidisciplinary intervention programme to prevent new falls and functional decline among elderly persons at risk: design of a replicated randomised controlled trial [ISRCTN64716113]. BMC Public Health 2005, 5:6.PubMedCrossRef
3.
go back to reference Gillespie LD, RobertsonMC, GillespieWJ, Lamb SE, Gates S, Cumming RG, Rowe BH: Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009(2):CD007146.PubMed Gillespie LD, RobertsonMC, GillespieWJ, Lamb SE, Gates S, Cumming RG, Rowe BH: Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009(2):CD007146.PubMed
4.
go back to reference BleijlevensMH, HendriksMR, van Haastregt JC, van Rossum E, Kempen GI, Diederiks JP, Crebolder HF, van Eijk JT: Process factors explaining the ineffectiveness of amultidisciplinary fall prevention programme: a process evaluation. BMC Public Health 2008, 8(1):332.PubMedCrossRef BleijlevensMH, HendriksMR, van Haastregt JC, van Rossum E, Kempen GI, Diederiks JP, Crebolder HF, van Eijk JT: Process factors explaining the ineffectiveness of amultidisciplinary fall prevention programme: a process evaluation. BMC Public Health 2008, 8(1):332.PubMedCrossRef
5.
go back to reference Chang JT,Morton SC, Rubenstein LZ, Mojica WA,Maglione M, SuttorpMJ, Roth EA, Shekelle PG: Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. Bmj 2004, 328(7441):680.PubMedCrossRef Chang JT,Morton SC, Rubenstein LZ, Mojica WA,Maglione M, SuttorpMJ, Roth EA, Shekelle PG: Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. Bmj 2004, 328(7441):680.PubMedCrossRef
6.
go back to reference Gates S, Lamb SE, Fisher JD, CookeMW, Carter YH:Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. Bmj 2008, 336(7636):130–133;.PubMedCrossRef Gates S, Lamb SE, Fisher JD, CookeMW, Carter YH:Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. Bmj 2008, 336(7636):130–133;.PubMedCrossRef
7.
go back to reference TinettiME, Kumar C: The patient who falls: ″It's always a trade-off″. JAMA 2010, 303(3):258– 266.PubMedCrossRef TinettiME, Kumar C: The patient who falls: ″It's always a trade-off″. JAMA 2010, 303(3):258– 266.PubMedCrossRef
1.
go back to reference de Vries OJ, Peeters GM, Elders PJ et al.Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial.Arch Intern Med 2010; 170(13):1110–1117;.PubMedCrossRef de Vries OJ, Peeters GM, Elders PJ et al.Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial.Arch Intern Med 2010; 170(13):1110–1117;.PubMedCrossRef
2.
go back to reference Peeters GM, de Vries OJ, Elders PJ, PluijmSM, Bouter LM, Lips P. Prevention of fall incidents in patients with a high risk of falling: design of a randomised controlled trial with an economic evaluation of the effect of multidisciplinary transmural care. BMC Geriatr 2007; 7:15.PubMedCrossRef Peeters GM, de Vries OJ, Elders PJ, PluijmSM, Bouter LM, Lips P. Prevention of fall incidents in patients with a high risk of falling: design of a randomised controlled trial with an economic evaluation of the effect of multidisciplinary transmural care. BMC Geriatr 2007; 7:15.PubMedCrossRef
3.
go back to reference Gillespie LD, RobertsonMC, GillespieWJ et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009;(2):CD007146.PubMed Gillespie LD, RobertsonMC, GillespieWJ et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009;(2):CD007146.PubMed
4.
go back to reference Gates S, Fisher JD, CookeMW, Carter YH, Lamb SE.Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ 2008; 336(7636):130–133;.PubMedCrossRef Gates S, Fisher JD, CookeMW, Carter YH, Lamb SE.Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ 2008; 336(7636):130–133;.PubMedCrossRef
Metagegevens
Titel
De effectiviteit van valklinieken in Nederland
Auteurs
Dr. Mariëlle H. Emmelot-Vonk
H. J. J. Verhaar
Publicatiedatum
01-06-2011
Uitgeverij
Springer-Verlag
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 3/2011
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/s12439-011-0021-6

Andere artikelen Uitgave 3/2011

Tijdschrift voor Gerontologie en Geriatrie 3/2011 Naar de uitgave

Proefschriften in discussie

Proefschriften in discussie

Signalementen

Signalementen

Boekbespreking

Boekbespreking