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Programmes of multifactorial interventions targeted to the risk profile
of the individual showed favourable effects on falls among elderly
people in community settings in the United States. Little evidence is
yet available about the effects of such interventions among elderly
people in Europe. On p 994 van Haastregt et al describe the outcomes
of a randomised controlled trial. They found that a programme of
multifactorial home visits aimed at reducing falls and impairments in
mobility in elderly people at risk living in the community was not
effective in the Dutch healthcare setting. This may also apply to
comparable settings in other European countries.