Controlled Study of Multidisciplinary Team Decision-making Intervention to Prevent Falls in the Elderly

Objective: Falls in elderly adults have become a leading cause of injury in the elderly.This study investigated the effect of the combined application of Comprehensive Geriatric Assessment (CGA) and multidisciplinary team decisionmaking intervention in the prevention of elderly falls.Methods: 94 elderly patients admitted to the Department of Geriatrics of the Beijing No.6 Hospital from January 2022 to January 2023 were selected and divided into study groups and comfort groups by the randomized number table.After the inpatient fall risk assessment (Morse scale) was performed on both groups, the comfort group was given the conventional treatment, and the study group was evaluated though Comprehensive Geriatric Assessment (CGA), and multidisciplinary team decision-making interventions were given to the patients for the problems they had.After 6 months of observation, the changes in the incidence of falls and the fall risk scores of the patients in the two groups were compared.Results: At the time of admission, the detection rate of fall risk was similar between the comfort group and study group (p>0.1);through CGA assessment guided multidisciplinary team decision-making intervention for 6 months, the detection rate of fall risk in the study group decreased significantly (p<0.05), and lower than that in comfort group (p<0.05).The incidence of falls in the study group was significantly lower than that of the comfort group at the end of the 6 months (p<0.05). Conclusion: Multidisciplinary team decision-making intervention guided byComprehensive Geriatric Assessment can effectively reduce the risk of falls and the incidence of falls in the elderly.Highlights: In this study, a program of multidisciplinary team decision-making intervention for the prevention of falls in the elderly reduced the recurrence of falls in patients over a 6-month period.We hope to apply this program to more elderly patients and improve the quality of life of the elderly.