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1. Elderly fall risk prediction using static posturography. (Full text)

Elderly fall risk prediction using static posturography. Maintaining and controlling postural balance is important for activities of daily living, with poor postural balance being predictive of future falls. This study investigated eyes open and eyes closed standing posturography with elderly adults to identify differences and determine appropriate outcome measure cut-off scores for prospective faller, single-faller, multi-faller, and non-faller classifications. 100 older adults (75.5 ± 6.7 (...) fallers (24), prospective all fallers (42), prospective fallers (22 single, 6 multiple), and prospective non-fallers (47). Non-faller RQ AP range and RQ AP RMS differed from prospective all fallers, fallers, and single fallers. Non-faller eyes closed AP velocity, eyes closed VSM velocity, RQ AP velocity, and RQ VSM velocity differed from multi-fallers. RQ calculations were particularly relevant for elderly fall risk assessments. Cut-off scores from Clinical Cut-off Score, ROC curves, and discriminant

2017 PLoS ONE PubMed

2. Real-Life/Real-Time Elderly Fall Detection with a Triaxial Accelerometer (Full text)

Real-Life/Real-Time Elderly Fall Detection with a Triaxial Accelerometer The consequences of a fall on an elderly person can be reduced if the accident is attended by medical personnel within the first hour. Independent elderly people often stay alone for long periods of time, being in more risk if they suffer a fall. The literature offers several approaches for detecting falls with embedded devices or smartphones using a triaxial accelerometer. Most of these approaches have not been tested

2018 Sensors (Basel, Switzerland) PubMed

3. Blunt cerebrovascular injury in elderly fall patients: are we screening enough? (Full text)

Blunt cerebrovascular injury in elderly fall patients: are we screening enough? Blunt cerebrovascular injuries (BCVI) are generally associated with high-energy injury mechanisms. Less is known regarding lower-energy injuries in elderly patients. We sought to determine the incidence of BCVI and characterize current BCVI screening practices and associated complications in elderly ground-level fall patients (EGLF, ≥ 65 years). We hypothesized that BCVI in EGLF patients would be clinically

2018 World journal of emergency surgery : WJES PubMed

4. History and physical exam predictors of intracranial injury in the elderly fall patient: A prospective multicenter study. (PubMed)

History and physical exam predictors of intracranial injury in the elderly fall patient: A prospective multicenter study. A prior single-center study demonstrated historical and exam features predicting intracranial injury (ICI) in geriatric patients with low-risk falls. We sought to prospectively validate these findings in a multicenter population.This is a prospective observational study of patients ≥65 years presenting after a fall to three EDs. Patients were eligible if they were

2018 American Journal of Emergency Medicine

5. The epidemiology of elderly falls attended by emergency medical services in Victoria, Australia. (PubMed)

The epidemiology of elderly falls attended by emergency medical services in Victoria, Australia. With an increase in the proportion of older people in the community comes an increase in the demand on emergency medical services (EMS) by elderly patients who have fallen.To describe the epidemiology of elderly falls patients attended by EMS in Victoria, Australia and identify predictors of transport and repeat falls.A retrospective review included all elderly (age ≥ 65 years) falls patients (...) attended by EMS between 2010 and 2017. Patient characteristics are described using descriptive statistics. Predictors of transport to hospital and repeat falls were identified using multivariable logistic regression analyses.Between 2010 and 2017 EMS attended 324,060 elderly falls patients, which represents 9.7% of EMS attended workload in Victoria. The median age of patients was 83 years (IQR: 76-88) and 60.2% were female. Comorbidities and medication use were common, while private residence (64.3

2018 Injury

6. Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis (Full text)

Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis Falls are a major threat to older adults worldwide. Although various effective interventions have been developed, their comparative effectiveness remains unreported.A systematic review and network meta-analysis was conducted to determine the most effective interventions to prevent falls in community-dwelling adults aged 60 and over. Combined odds ratio (OR) and 95

2018 International journal of environmental research and public health PubMed

7. Prospective Validation of Modified NEXUS Cervical Spine Injury Criteria in Low-risk Elderly Fall Patients (Full text)

Prospective Validation of Modified NEXUS Cervical Spine Injury Criteria in Low-risk Elderly Fall Patients The National Emergency X-radiography Utilization Study (NEXUS) criteria are used extensively in emergency departments to rule out C-spine injuries (CSI) in the general population. Although the NEXUS validation set included 2,943 elderly patients, multiple case reports and the Canadian C-Spine Rules question the validity of applying NEXUS to geriatric populations. The objective of this study (...) was to validate a modified NEXUS criteria in a low-risk elderly fall population with two changes: a modified definition for distracting injury and the definition of normal mentation.This is a prospective, observational cohort study of geriatric fall patients who presented to a Level I trauma center and were not triaged to the trauma bay. Providers enrolled non-intoxicated patients at baseline mental status with no lateralizing neurologic deficits. They recorded midline neck tenderness, signs of trauma

2016 Western Journal of Emergency Medicine PubMed

8. Serious conditions for ED elderly fall patients: a secondary analysis of the Basel Non-Specific Complaints study. (PubMed)

Serious conditions for ED elderly fall patients: a secondary analysis of the Basel Non-Specific Complaints study. Falls among older adults are a public health problem and are multifactorial. We sought to determine whether falls predict more serious conditions in older adult patients presenting to the emergency department (ED) with a "nonspecific complaint" (NSC). A secondary objective was to examine what factors predicted serious conditions among older adult patients with a fall.This study (...) found that 310 (60%) of elderly fall patients vs 349 (59%) of nonfall patients had a 30-day serious condition (P=.74). In multiple logistic regression analysis, falls did not predict serious conditions or 30-day mortality among all NSC patients. Among fall patients, male sex, diuretic use, and generalized weakness predicted serious conditions.Fall patients share many features with nonfall NSC patient. However, falls did not increase the risk of serious conditions. Falls in the elderly could

2016 American Journal of Emergency Medicine

9. Effect on falls among elderly persons after training elderly care staff

Effect on falls among elderly persons after training elderly care staff Effect on falls among elderly persons after training elderly care staff We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Effect on falls among elderly persons after training elderly care staff Share: Reading time approx. 4 minutes In general, every person aged 65 years or older (...) , experience at least one fall per year. Falls are common reasons for injuries, and even death. Fall prevention among elderly persons is important due to reasons such as reduced functioning, individual suffering and societal costs. Staff training is one, frequently used, intervention. Question Does staff training in fall prevention, medication or nutrition effect falls among elderly persons? Tables with identified studies Table 1. Systematic reviews Included studies Population Outcome Balzer et al 2012 [1

2019 Swedish Council on Technology Assessement

10. Evaluation of the DETECT'CHUTE CLINIBED Smart Carpet for Elderly People Fall Detection

Evaluation of the DETECT'CHUTE CLINIBED Smart Carpet for Elderly People Fall Detection Evaluation of the DETECT'CHUTE CLINIBED Smart Carpet for Elderly People Fall Detection - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Evaluation of the DETECT'CHUTE CLINIBED Smart Carpet for Elderly People Fall Detection (CLINIBED) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03455894 Recruitment Status : Terminated (deficient inclusion) First Posted : March 7, 2018 Last Update Posted : November 21, 2018

2018 Clinical Trials

11. Strength and Balance Programs for Elderly Falls

Strength and Balance Programs for Elderly Falls Strength and Balance Programs for Elderly Falls – TheNNTTheNNT Strength and Balance Training Programs for Preventing Falls in the Elderly 11 for prevented fall In summary, for at-risk elderly community dwellers who used balance and strength training: Benefits in NNT 91% saw no benefit 9% were helped by preventing a fall over a 1 year period 1 in 11 at-risk elderly were helped (avoid suffering a fall over a one year period) Harms in NNT 0% were (...) harmed None were harmed View As: NNT % Source: Efficacy Endpoints: Fall prevention Harm Endpoints: None known Narrative: As we experience the grey tsunami that is the evolving demographic of our era, the number of fragile elderly who suffer falls and who subsequently experience a downward spiral in their health is also rising. A great deal of research activity has been invested in fall prevention both for identifying high risk individuals and in developing both simple and complex interventions

2010 theNNT

12. Elderly fall patients triaged to the trauma bay: age, injury patterns, and mortality risk. (PubMed)

Elderly fall patients triaged to the trauma bay: age, injury patterns, and mortality risk. Falls in the elderly are a significant cause of morbidity and mortality. We sought to better categorize this patient population and describe factors contributing to their falls.This is a retrospective review of geriatric patients presenting to a level 1 community trauma center. We queried our trauma database for all patients 65 years and older presenting with fall and triaged to the trauma bay from 2008 (...) in very elderly patients (P = 0.06).Prevention measures to limit morbidity and mortality in elderly fall patients should be aimed at the home setting, where most severe injuries occur. Very elderly patients may be at increased risk for intracranial fall-related injuries.Copyright © 2015 Elsevier Inc. All rights reserved.

2015 American Journal of Emergency Medicine

13. Is there a role for neck manipulation in elderly falls prevention? – An overview (Full text)

Is there a role for neck manipulation in elderly falls prevention? – An overview Many risk factors exist for falls in the elderly. Dizziness is an important risk factor for such falls. Spinal pain has also been identified as a risk factor for these falls. In this overview of the literature, we examine studies, including trials, of neck manipulation for neck pain, unsteadiness and falls risk relevant to the elderly. We also examine two related, but not mutually exclusive, mechanisms through

2015 The Journal of the Canadian Chiropractic Association PubMed

14. Assessment of falls in the elderly

Assessment of falls in the elderly Assessment of falls in the elderly - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of falls in the elderly Last reviewed: February 2019 Last updated: January 2019 Summary Falls are often multifactorial in origin. Deandrea S. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010 Sep;21(5):658-68. http (...) ://www.ncbi.nlm.nih.gov/pubmed/20585256?tool=bestpractice.com The presence of the following factors is associated with greater probability of future falls, Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin North Am. 2006 Sep;90(5):807-24. http://www.ncbi.nlm.nih.gov/pubmed/16962843?tool=bestpractice.com McInnes L, Gibbons E, Chandler-Oatts J. Clinical practice guideline for the assessment and prevention of falls in older people. Worldviews Evid Based Nurs

2019 BMJ Best Practice

15. Characteristics of elderly fall patients with baseline mental status: high-risk features for intracranial injury. (PubMed)

Characteristics of elderly fall patients with baseline mental status: high-risk features for intracranial injury. Falls are a major cause of morbidity in the elderly.We describe the low-acuity elderly fall population and study which historical and clinical features predict traumatic intracranial injuries (ICIs).This is a prospective observational study of patients at least 65 years old presenting with fall to a tertiary care facility. Patients were eligible if they were at baseline mental

2014 American Journal of Emergency Medicine

17. Assessment of falls in the elderly

Assessment of falls in the elderly Assessment of falls in the elderly - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of falls in the elderly Last reviewed: February 2019 Last updated: January 2019 Summary Falls are often multifactorial in origin. Deandrea S. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010 Sep;21(5):658-68. http (...) ://www.ncbi.nlm.nih.gov/pubmed/20585256?tool=bestpractice.com The presence of the following factors is associated with greater probability of future falls, Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin North Am. 2006 Sep;90(5):807-24. http://www.ncbi.nlm.nih.gov/pubmed/16962843?tool=bestpractice.com McInnes L, Gibbons E, Chandler-Oatts J. Clinical practice guideline for the assessment and prevention of falls in older people. Worldviews Evid Based Nurs

2018 BMJ Best Practice

18. Factors affect stability of intertrochanteric fractures when elderly patients fall (Full text)

Factors affect stability of intertrochanteric fractures when elderly patients fall Factors affecting the stability of intertrochanteric fractures when elderly patients fall are few to be reported. In this retrospective study, possible factors were investigated.Two hundred and twenty-three consecutive elderly patients (≥65 years) with intertrochanteric fractures due to low energy injuries were studied. Patient age, gender, body mass index (BMI), body weight and height were compared between (...) with unstable fractures (22.7 vs 21.4, p = 0.01) in univariate analysis, but without a difference in multivariate analysis (p = 0.07).Stability of intertrochanteric fractures may be not associated with gender, age, body weight and height or BMI when elderly patients fall. Bone mineral density or impact direction may be other possible contributing factors but requires further proofs.Copyright © 2016 Chang Gung University. Published by Elsevier B.V. All rights reserved.

2016 Biomedical journal PubMed

19. A Randomized Controlled Trial of Screening, Risk Modification and Physical Therapy to Prevent Falls among the Elderly Recently Discharged from the Emergency Department to the Community: the Steps to Avoid Falls in the Elderly Study. (PubMed)

A Randomized Controlled Trial of Screening, Risk Modification and Physical Therapy to Prevent Falls among the Elderly Recently Discharged from the Emergency Department to the Community: the Steps to Avoid Falls in the Elderly Study. To evaluate the effectiveness of a multifactorial, tailored program of physical therapy to reduce the occurrence of falls among a heterogeneous group of high-risk elderly Singaporeans recently discharged from the emergency department (ED).Randomized controlled

2017 Archives of physical medicine and rehabilitation

20. Cost benefit considerations of preventing elderly falls through environmental modifications to homes in Hana, Maui

Cost benefit considerations of preventing elderly falls through environmental modifications to homes in Hana, Maui Cost benefit considerations of preventing elderly falls through environmental modifications to homes in Hana, Maui Cost benefit considerations of preventing elderly falls through environmental modifications to homes in Hana, Maui Ling C, Henderson S, Henderson R, Henderson M, Pedro T, Pang L Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The objective was to examine the clinical and economic impact of a programme of home environment improvements to prevent falls in the elderly. The authors concluded that the implementation of the home modifications programme reduced both the rate of falls and the fall-related medical

2008 NHS Economic Evaluation Database.

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