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Bays Moneo, Ana Beatriz

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https://academica-e.unavarra.es/handle/2454/48685

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Bays Moneo

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Ana Beatriz

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Ciencias de la Salud

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0000-0002-8341-0405

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810061

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Author: Cidoncha Moreno, María Ángeles ×

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    PublicationOpen Access
    The relation between functional performance, falls and previous falls among participants in the Otago programme: a secondary data analysis
    (MDPI, 2021) Company Sancho, María Consuelo; Alonso Poncelas, Emma; Rich Ruiz, Manuel; Cidoncha Moreno, María Ángeles; Gonzalez Pisano, Ana; Abad Corpa, Eva; Otago Project Working Group; Bays Moneo, Ana Beatriz; Ciencias de la Salud; Osasun Zientziak
    Fall prevention is a key priority in healthcare policies. Multicomponent exercises reduce the risk of falls. The purpose of this study is to describe the relationship between functional performance and falls after following the Otago multicomponent exercise programme and previous falls. A prospective multi-centre intervention study was performed on 498 patients aged over 65 in primary care, with or without a history of previous falls. Sociodemographic, anthropometric and functionality data were collected. The primary outcome was the occurrence of falls; functional performance was measured using the Tinetti, Short Physical Performance Battery and Timed Up and Go tests. Among the patients, 29.7% referred to previous falls. There was a statistically significant (p < 0.001) increase in falls at 6 months (10.1%) and at 12 months (7.6%) among participants with previous falls in the baseline assessment compared to those without. In addition, the existence of previous falls could be considered a risk factor at 6 and 12 months (OR =2.37, p = 0.002, and OR = 1.76, p = 0.046, respectively). With regard to balance and gait, differences between the groups were observed at 6 months in the Tinetti score (p < 0.001) and in the baseline assessment Timed Up and Go score (p < 0.044). Multicomponent exercises improve the fall rate, balance and gait in older people, although this improvement is less in people with previous falls. Earlier intervention and tailoring of exercises in patients with previous falls could help improve outcomes.
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    PublicationOpen Access
    Cost-effectiveness of an exercise programme that provided group or individual training to reduce the fall risk in healthy community-dwelling people aged 65-80: a secondary data analysis
    (MDPI, 2021) Aranda Reneo, Isaac; Albornos Muñoz, Laura; Rich Ruiz, Manuel; Cidoncha Moreno, María Ángeles; Pastor López, Ángeles; Moreno Casbas, María Teresa; Otago Project Working Group; Bays Moneo, Ana Beatriz; Ciencias de la Salud; Osasun Zientziak
    Research has demonstrated that some exercise programs are effective for reducing fall rates in community-dwelling older people; however, the literature is limited in providing clear recommendations of individual or group training as a result of economic evaluation. The objective of this study was to assess the cost-effectiveness of the Otago Exercise Program (OEP) for reducing the fall risk in healthy, non-institutionalized older people. An economic evaluation of a multicenter, blinded, randomized, non-inferiority clinical trial was performed on 498 patients aged over 65 in primary care. Participants were randomly allocated to the treatment or control arms, and group or individual training. The program was delivered in primary healthcare settings and comprised five initial sessions, ongoing encouragement and support to exercise at home, and a reinforcement session after six months. Our hypothesis was that the patients who received the intervention would achieve better health outcomes and therefore need lower healthcare resources during the follow-up, thus, lower healthcare costs. The primary outcome was the incremental cost-effectiveness ratio, which used the timed up and go test results as an effective measure for preventing falls. The secondary outcomes included differently validated tools that assessed the fall risk. The cost per patient was USD 51.28 lower for the group than the individual sessions in the control group, and the fall risk was 10% lower when exercises had a group delivery. The OEP program delivered in a group manner was superior to the individual method. We observed slight differences in the incremental cost estimations when using different tools to assess the risk of fall, but all of them indicated the dominance of the intervention group. The OEP group sessions were more cost-effective than the individual sessions, and the fall risk was 10% lower.