Preventing and managing indoor falls with home-based technologies in mild and moderate Alzheimer's disease patients: pilot study in a community dwelling

Dement Geriatr Cogn Disord. 2013;36(3-4):251-61. doi: 10.1159/000351863. Epub 2013 Aug 15.

Abstract

Background: Alzheimer's disease (AD) is known to increase the risk of falls. We aim to determine the effectiveness of home-based technologies coupled with teleassistance service (HBTec-TS) in older people with AD.

Methods: A study of falls and the HBTec-TS system (with a light path combined with a teleassistance service) was conducted in the community. The 96 subjects, drawn from a random population of frail elderly people registered as receiving an allocation for lost autonomy from the county, were aged 65 or more and had mild-to-moderate AD with 1 year of follow-up; 49 were in the intervention group and 47 in the control group.

Results: A total of 16 (32.7%) elderly people fell in the group with HBTec-TS versus 30 (63.8%) in the group without HBTec-TS. The use of HBTec-TS was significantly associated with a reduction in the number of indoor falls among elderly people with mild-to-moderate AD (OR = 0.37, 95% CI = 0.15-0.88, p = 0.0245).

Conclusion: The use of the HBTec-TS significantly reduced the incidence of primary indoor falling needing GP intervention or attendance at an emergency room among elderly people with AD and mild-to-moderate dementia.

MeSH terms

  • Accidental Falls / prevention & control*
  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / complications*
  • Female
  • Follow-Up Studies
  • Frail Elderly
  • Home Care Services
  • Humans
  • Incidence
  • Logistic Models
  • Male
  • Physicians
  • Pilot Projects
  • Prospective Studies
  • Sample Size
  • Social Work
  • Technology
  • Telecommunications
  • Treatment Outcome