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161. The cost of fall related presentations to the ED: a prospective, in-person, patient-tracking analysis of health resource utilization. (Abstract)

are a major source of mortality, morbidity, and disability. Previous Canadian cost estimates of seniors' falls were based upon administrative data that has been shown to underestimate the incidence of falls. Our objective was to use a labor-intensive, direct observation patient-tracking method to accurately estimate the total cost of falls among seniors who presented to a major urban Emergency Department (ED) in Canada.We prospectively collected data from seniors (>70 years) presenting to the Vancouver (...) = 33) and lacerations (n = 11). The mean cost of a fall causing ED presentation was $11,408 (SD: $19,655). Thirty-eight fallers had injuries requiring hospital admission with an average total cost of $29,363 (SD: $22,661). Hip fractures cost $39,507 (SD: $17,932). Among the 62 individuals not admitted to the hospital, the average cost of their ED visit was $674 (SD: $429).Among the growing population of Canadian seniors, falls have substantial costs. With the cost of a fall-related hospitalization

2012 Osteoporosis International

162. Fall related injuries: a retrospective medical review study in North India. (Abstract)

percent of the fall related presentations were in males. More than one third (36%) of the fall related presentations occurred in those aged 0-14 years old. Falls from building or structures (35%, 499) were the leading cause for all ages except for those older than 60 years, where same level falls due to slipping, tripping and stumbling (40%, 57) were predominant. Half of all the falls resulted in head injury. Nearly 10% of patients presenting for fall related injury died.Fall related injuries

2012 Injury

163. Geriatric Hypotensive Syndromes Are Not Explained by Cardiovascular Autonomic Dysfunction Alone. Full Text available with Trip Pro

autonomic dysfunction and investigated state-of-the-art cardiovascular autonomic function indices in a group of geriatric falls or syncope patients.In a cross-sectional study of 203 consecutive eligible falls clinic patients, we compared heart rate variability (HRV), blood pressure variability (BPV), and baroreflex sensitivity (BRS) as potential autonomic function determinants of the three different hypotensive syndromes.OH, PPH, and CSH were diagnosed in 53%, 57%, and 50% of the patients, respectively

2012 Biological Sciences and Medical Sciences

164. Medication-related falls in the elderly: causative factors and preventive strategies. (Abstract)

Medication-related falls in the elderly: causative factors and preventive strategies. People are living to older age. Falls constitute a leading cause of injuries, hospitalization and deaths among the elderly. Older people fall more often for a variety of reasons: alterations in physiology and physical functioning, and the use (and misuse) of medications needed to manage their multiple conditions. Pharmacological factors that place the elderly at greater risk of drug-related side effects

2012 Drugs & Aging

166. The Utility of GlycoMark 1,5 Anhydroglucitol as a Marker for Glycemic Control

reabsorption is 99.9% and is competitively inhibited by excessive excretion of urinary glucose. Therefore, in diabetes with hyperglycemia and glucosuria, the serum levels of 1,5 AG fall and are inversely proportional to the degree of hyperglycemia. This is because the high levels of glucose block reabsorption of 1,5-AG in the proximal tubule, causing increased urinary excretion and hence decreased 1,5-AG levels in the serum. In the 1980s, Yoshioka et al. demonstrated its utility in monitoring glycemic

2009 Clinical Correlations

167. Approach to the Patient With a Sleep or Wakefulness Disorder

phobias. Sleep maintenance insomnia suggests major depression, central or obstructive sleep apnea, periodic limb movement disorder, or aging. Falling asleep early and awakening early suggest advanced sleep phase syndrome. Clinicians should suspect obstructive sleep apnea in patients with significant snoring, frequent awakenings, and other risk factors. The STOP-BANG score can help predict risk of obstructive sleep apnea (see table ). Table STOP-BANG Risk Score for Obstructive Sleep Apnea Item

2013 Merck Manual (19th Edition)

168. Spinal Trauma

million persons per year. The most common causes of spinal cord injuries are Motor vehicle crashes (48%) Falls (16%) The remainder of spinal cord injuries are attributed to assault (12%), sports (10%), and work-related accidents. About 80% of patients are male. In the elderly, falls are the most common cause. Osteoporotic bones and degenerative joint disease may increase the risk of cord injury at lower impact velocities due to angulations formed by the degenerated joints, osteophytes impinging

2013 Merck Manual (19th Edition)

169. Falls in the Elderly

Falls in the Elderly Falls in the Elderly - Geriatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC Test your knowledge Quality of Life in the Elderly Which of the following

2013 Merck Manual (19th Edition)

170. Gulf Long-Term Follow-Up Study

Volunteers: No Criteria INCLUSION CRITERIA: We anticipate screening as many as 90,000 individuals in order to recruit approximately 55,000 volunteers primarily from the four most affected Gulf States* (LA, MS, AL, and FL) into the cohort, which will include a randomly sampled Active Follow-up Sub-cohort of approximately 24,000 individuals nested within it. Eligibility criteria for the cohort include: 21 years of age or older Fall into one of two oil-related exposure categories: Potentially exposed

2011 Clinical Trials

171. Trial To Evaluate the Efficacy of Intravenous Iron in Older Adults With Unexplained Anemia

States, 60637 United States, Maryland Johns Hopkins University Geriatrics Center Baltimore, Maryland, United States, 21224 United States, Ohio Case Western Reserve University Medical Center Cleveland, Ohio, United States, 44106 United States, Virginia Institute For Advanced Studies in Aging Falls Church, Virginia, United States, 22042 Sponsors and Collaborators Duke University National Institute on Aging (NIA) Investigators Layout table for investigator information Principal Investigator: Elizabeth

2011 Clinical Trials

172. Multifactorial fall prevention for pairs of frail community-dwelling older fallers and their informal caregivers: a dead end for complex interventions in the frailest fallers. (Abstract)

between groups.Although we meticulously developed this pairwise multifactorial fall prevention program, it was not effective in reducing the fall rate or fear of falling and was not feasible for caregivers, as compared with regular geriatric care. Future research initiatives should be aimed at how to implement the evidence-based principles of geriatric fall prevention for all frail fallers rather than developing more complex interventions for the frailest.Copyright © 2011 American Medical Directors

2011 Journal of the American Medical Directors Association Controlled trial quality: uncertain

173. Active Lifestyle All Your Life-an Intervention Programme for Preventing Fall Injuries

research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 65 Years and older (Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: 65 or older Fall injury in the form of radius fracture or other minor documented fall injury, or one or more fall incidents reported in the last six months (reported to a district nurse in the 75-year discussion) Exclusion Criteria: Cognitive

2011 Clinical Trials

174. Incidence and Descriptive Epidemiologic Features of Traumatic Brain Injury in King County, Washington. (Abstract)

ages. Falls were the main mechanism of injury, especially among preschool-aged children, whereas being struck by or against an object and motor vehicle-related trauma were important contributors for older children. Approximately 97% of TBI cases were mild, although moderate/severe TBI incidence increased with age.TBIs led to many emergency department visits involving children, but a large majority of the cases were clinically mild. Incidence rates for King County were well below recent national

2011 Pediatrics

175. Elderly care

careproviders in the life of an elderly. In fact, the majority of caregivers for the elderly are often members of their own family, most often a daughter or a granddaughter. Family and friends can provide a home (i.e. have elderly relatives live with them), help with money and meet social needs by visiting, taking them out on trips, etc. One of the major causes of elderly falls is hyponatremia, an electrolyte disturbance when the level of sodium in a person's serum drops below 135 mEq/L. Hyponatremia

2012 Wikipedia

176. Efficacy of Arch Insoles in the Dynamic Postural Control for the Elderly

: December 2010 Keywords provided by Taipei Medical University WanFang Hospital: the elders falling loss balance

2010 Clinical Trials

177. A Pilot Study of the Wii Fit as a Low-Cost Virtual Reality System to Evaluate Balance Ability in Older Adults

Last Update Posted : January 24, 2013 Sponsor: Atlanta VA Medical Center Collaborator: Emory University Information provided by (Responsible Party): Theodore Johnson II, M.D., M.P.H., Atlanta VA Medical Center Study Details Study Description Go to Brief Summary: Accidental falls in older adults are highly prevalent and a major source of morbidity. Over 30% of people aged 65 or older fall each year with about half of these cases being recurrent. Falls may result in head trauma, bone fractures (...) are highly prevalent and a major source of morbidity. Over 30% of people aged 65 or older fall each year with about half of these cases being recurrent. Falls may result in head trauma, bone fractures, and even death and are leading cause of both nonfatal and fatal injuries in older adults. Falls are also costly. An estimate $20 billion dollars annually has been spent on hip fractures associated with falls; this amount is projected to rise in the next decade. Risk factors for falls in the elderly

2010 Clinical Trials

178. Exercising With Computers in Later Life

. This risk increases with advancing age. Falls have significant consequences for both the individual and the population as a whole. Falls risk increases with age due to increased body sway, a reduction in reaction times, deterioration in the efficiency of the walking pattern and diminished balance. People who fall should be referred for multidisciplinary falls assessment. Locally, patients are assessed by the multidisciplinary team and, if appropriate, attend falls group. This group consists of a 12 week

2010 Clinical Trials

179. Postural control while dressing on two surfaces in the elderly Full Text available with Trip Pro

Postural control while dressing on two surfaces in the elderly Falling is a worldwide problem faced by the elderly, and it has serious consequences. The elderly falls in the bathroom very often, and this raises the concern of the connection between the high incidence of falls in the bathroom and postural control of putting on shorts. Because little is known about postural control while putting on shorts of any age group, this study investigated the effects of age and surface on postural control

2010 Age

180. Effects of Feldenkrais exercises on balance, mobility, balance confidence, and gait performance in community-dwelling adults age 65 and older. Full Text available with Trip Pro

Effects of Feldenkrais exercises on balance, mobility, balance confidence, and gait performance in community-dwelling adults age 65 and older. Falls and fall-related injuries are a major public health concern, a financial challenge for health care providers, and critical issues for older adults. Poor balance and limited mobility are major risk factors for falls.The purpose of this study was to examine effects of Feldenkrais exercises in improving balance, mobility, and balance confidence

2010 Journal of Alternative and Complementary Medicine Controlled trial quality: uncertain

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