Arch Intern Med
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Randomized Controlled Trial
Effect of music-based multitask training on gait, balance, and fall risk in elderly people: a randomized controlled trial.
Falls occur mainly while walking or performing concurrent tasks. We determined whether a music-based multitask exercise program improves gait and balance and reduces fall risk in elderly individuals. ⋯ In community-dwelling older people at increased risk of falling, a 6-month music-based multitask exercise program improved gait under dual-task condition, improved balance, and reduced both the rate of falls and the risk of falling. Trial Registration clinicaltrials.gov Identifier: NCT01107288.
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Randomized Controlled Trial
Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.
Falls are a common adverse event during hospitalization of older adults, and few interventions have been shown to prevent them. ⋯ Multimedia patient education with trained health professional follow-up reduced falls among patients with intact cognitive function admitted to a range of hospital wards. Trial Registration anzctr.org.au Identifier: ACTRN12608000015347.
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The aim of this study was to determine the appropriateness of antibiotic initiation, selection, and duration of therapy among patients in nursing homes with results of a urinalysis showing urinary tract infection. ⋯ Opportunities exist to improve provider practice related to the appropriate treatment of urinary tract infections in the nursing home.
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Randomized Controlled Trial Multicenter Study
The effect of guided care teams on the use of health services: results from a cluster-randomized controlled trial.
The effect of interdisciplinary primary care teams on the use of health services by patients with multiple chronic conditions is uncertain. This study aimed to measure the effect of guided care teams on multimorbid older patients' use of health services. ⋯ Guided care reduces the use of home health care but has little effect on the use of other health services in the short run. Its positive effect on Kaiser-Permanente patients' use of skilled nursing facilities and other health services is intriguing. Trial Registration clinicaltrials.gov Identifier: NCT00121940.