Latest & greatest articles for falls

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Top results for falls

1. 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: December 2018 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

BMJ Best Practice2019

2. Fall Prevention in Community-Dwelling Older Adults.

Fall Prevention in Community-Dwelling Older Adults. Falls are common among older adults. One in 3 adults aged 65 years or older and 1 in 2 adults aged 80 years or older fall each year. Interventions for prevention have been identified; however, they are often not addressed in primary care practice. Screening all older adults annually for falls can identify who will benefit from further clinical evaluation and management. Falls and the need for care from subsequent injury increase with age

Annals of Internal Medicine2018

3. An economic evaluation of the SUNBEAM programme: a falls-prevention randomized controlled trial in residential aged care

An economic evaluation of the SUNBEAM programme: a falls-prevention randomized controlled trial in residential aged care 30375234 2018 10 30 1477-0873 2018 Oct 30 Clinical rehabilitation Clin Rehabil An economic evaluation of the SUNBEAM programme: a falls-prevention randomized controlled trial in residential aged care. 269215518808051 10.1177/0269215518808051 To estimate the cost-effectiveness of a strength and balance exercise programme (SUNBEAM) which has been shown to be clinically (...) effective in reducing the rate of falls in residents of aged care facilities. An economic evaluation was conducted alongside a pragmatic cluster randomized controlled trial that included 16 residential care facilities and 221 participants. Mean participant age was 86 years, 65% were female and 78% relied on a mobility aide. A cost-effectiveness analysis examined the costs of providing the exercise programme and costs of health service use arising from falls in each arm (intervention and usual care) over

EvidenceUpdates2018

4. Interventions to improve adherence to exercise therapy for falls prevention in community-dwelling older adults: systematic review and meta-analysis

Interventions to improve adherence to exercise therapy for falls prevention in community-dwelling older adults: systematic review and meta-analysis 30358800 2018 10 25 1468-2834 2018 Oct 24 Age and ageing Age Ageing Interventions to improve adherence to exercise therapy for falls prevention in community-dwelling older adults: systematic review and meta-analysis. 10.1093/ageing/afy164 exercise therapy is highly recommended for falls prevention in older adults; however, poor exercise adherence (...) may limit treatment effectiveness. to assess the effectiveness of interventions to improve exercise adherence for community-dwelling adults (aged over 65 years), at risk of falling. eight databases were searched to identify randomised/quasi-randomised trials. The Capability, Opportunity, Motivation model of behaviour (COM-B) was used to categorise the identified adherence interventions. Studies with similar interventions that provided adherence outcome data per group were analysed to establish

EvidenceUpdates2018

5. 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

Swedish Council on Technology Assessement2018

6. Factors associated with the likelihood of fall-related injury among people with lower limb loss

Factors associated with the likelihood of fall-related injury among people with lower limb loss 30417269 2018 12 07 2197-1714 5 1 2018 Nov 12 Injury epidemiology Inj Epidemiol Factors associated with the likelihood of fall-related injury among people with lower limb loss. 42 10.1186/s40621-018-0171-x People with lower limb loss that live in the community fall at a rate that exceeds that of other vulnerable populations such as hospitalized elderly people. Past research in a small single state (...) study has identified factors associated with fall-related injury. The purpose of this study was to use a larger multistate sample of people with lower limb loss living in community settings to evaluate factors associated with fall-related injury in a multivariable model. This retrospective cohort study included community-dwelling people with lower limb loss participating in wellness-walking programs in 6 states within the United States. Fall-related injury was considered injury sustained during

Injury epidemiology2018 Full Text: Link to full Text with Trip Pro

7. Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study

Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study 30247773 2018 10 11 1532-5415 66 10 2018 Oct Journal of the American Geriatrics Society J Am Geriatr Soc Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study. 1963-1971 10.1111/jgs.15519 To evaluate whether risk of fall-related injuries differs between nursing home (NH) residents newly dispensed low-dose trazodone and those newly dispensed (...) benzodiazepines. Retrospective, matched cohort study in linked, population-based administrative data. Matching was based on propensity score ( ± 0.2 standard deviations of the score as a caliper), age ( ± 1 year), sex, frailty status, and history of dementia. The derived propensity score included demographic characteristics, clinical comorbidities, cognitive and functional status, and risk factors for falls. All NHs in Ontario, Canada. Propensity score-matched pairs of residents aged 66 and older who received

EvidenceUpdates2018

8. The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta-analysis

The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta-analysis 30043462 2018 10 17 1365-2648 74 11 2018 Nov Journal of advanced nursing J Adv Nurs The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta-analysis. 2511-2522 10.1111/jan.13814 The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents. Nursing home residents have a high risk (...) of falling. No conclusive evidence exists on the effectiveness of exercise on fall prevention in nursing home residents. Systematic review and meta-analysis of randomized controlled trials. Databases of PubMed, Web of Science, EMBASE, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature and China Biology Medicine were searched from inception to March 2017, with no language limitation. The review was conducted according to the guidelines of the Cochrane

EvidenceUpdates2018

9. Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents

Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents 30306541 2018 10 11 1532-5415 2018 Oct 11 Journal of the American Geriatrics Society J Am Geriatr Soc Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents. 10.1111/jgs.15603 To examine the association between central nervous system (CNS) medication dosage burden and risk (...) of serious falls, including hip fractures, in individuals with a history of a recent fall. Nested case-control study. Veterans Health Administration (VHA) Community Living Centers (CLCs). CLC residents aged 65 and older with a history of a fall or hip fracture in the year before a CLC admission between July 1, 2005, and June 30, 2009. Each case (n = 316) was matched to four controls (n = 1264) on age, sex, and length of stay. Outcomes were serious falls identified using International Classification

EvidenceUpdates2018

10. Economic Evaluations of Falls Prevention Programs for Older Adults: A Systematic Review

Economic Evaluations of Falls Prevention Programs for Older Adults: A Systematic Review 30325013 2018 11 14 1532-5415 66 11 2018 Nov Journal of the American Geriatrics Society J Am Geriatr Soc Economic Evaluations of Falls Prevention Programs for Older Adults: A Systematic Review. 2197-2204 10.1111/jgs.15578 To provide a comprehensive overview of economic evaluations of falls prevention programs and to evaluate the methodology and quality of these studies. Systematic review of economic (...) evaluations on falls prevention programs. Studies (N=31) of community-dwelling older adults (n=25), of older adults living in residential care facilities (n=3), and of both populations (n=3) published before May 2017. Adults aged 60 and older. Information on study characteristics and health economics was collected. Study quality was appraised using the 20-item Consensus on Health Economic Criteria. Economic evaluations of falls prevention through exercise (n = 9), home assessment (n = 6), medication

EvidenceUpdates2018

11. Exercise for reducing falls in people living with and beyond cancer.

Exercise for reducing falls in people living with and beyond cancer. BACKGROUND: Current treatment modalities for cancer have been successful in achieving improved survivorship; however, they come with a number of long-term adverse effects. Accidental falls are a common and clinically significant adverse event in people living with and beyond cancer and rates are higher than in the rest of the population. OBJECTIVES: To assess the effects of prescribed or provided exercise for reducing (...) accidental falls, and falls risk factors of strength, flexibility and balance, in people living with and beyond cancer. SEARCH METHODS: We searched the following electronic databases from inception to 10 July 2018, with no restrictions: CENTRAL, MEDLINE, Embase, and seven other databases. We searched clinicaltrials.gov and the World Health Organization International Clinical Trials Registry Platform (ICTRP) for ongoing trials, and reference lists of reviews and retrieved articles for additional studies

Cochrane2018

12. Efficacy of Methylphenidate in the Geriatric Population for Fall Prevention

Efficacy of Methylphenidate in the Geriatric Population for Fall Prevention "Efficacy of Methylphenidate in the Geriatric Population for Fall Preve" by Adam Stapleton < > > > > > Title Author Date of Graduation Summer 8-11-2018 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract || Abstract || Background: Approximately one-third of people aged 65 years and over who are not living in institutions fall at least once a year, with higher rates (...) among those living in institutions. One half of older adults who are hospitalized as a result of a fall survive one year later.The importance of fall prevention in older adults is well researched, with many established community based programs in the United States focusing on exercise and fundamental education for fall reduction. However, new options for prevention are being explored. Executive function and gait, both related to falls, may be improved by methylphenidate, providing a promising option

Pacific University EBM Capstone Project2018

13. Relationship Between Physiological and Perceived Fall Risk in People With Multiple Sclerosis: Implications for Assessment and Management

Relationship Between Physiological and Perceived Fall Risk in People With Multiple Sclerosis: Implications for Assessment and Management 29698641 2018 09 29 1532-821X 99 10 2018 Oct Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Relationship Between Physiological and Perceived Fall Risk in People With Multiple Sclerosis: Implications for Assessment and Management. 2022-2029 S0003-9993(18)30238-7 10.1016/j.apmr.2018.03.019 This study evaluated the relationship between (...) physiological and perceived fall risk in people with multiple sclerosis (MS). Secondary analysis of data from prospective cohort studies undertaken in Australia, the United Kingdom, and the United States. Community. Ambulatory people with MS (N=416) (age 51.5±12.0 years; 73% female; 62% relapsing-remitting MS; 13.7±9.9 years disease duration). Not applicable. All participants completed measures of physiological (Physiological Profile Assessment [PPA]) and perceived (Falls Efficacy Scale-international [FESi

EvidenceUpdates2018

14. Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial

Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial 30208396 2018 10 04 2168-6114 178 10 2018 Oct 01 JAMA internal medicine JAMA Intern Med Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial. 1301-1310 10.1001/jamainternmed.2018.3915 (...) Falls in older adults are a serious public health problem associated with irreversible health consequences and responsible for a substantial economic burden on health care systems. However, identifying optimal choices from among evidence-based fall prevention interventions is challenging as few comparative data for effectiveness are available. To determine the effectiveness of a therapeutically tailored tai ji quan intervention, Tai Ji Quan: Moving for Better Balance (TJQMBB), developed

EvidenceUpdates2018

15. Discriminative ability and clinical utility of the Timed Up and Go (TUG) in identifying falls risk in people with multiple sclerosis: a prospective cohort study

Discriminative ability and clinical utility of the Timed Up and Go (TUG) in identifying falls risk in people with multiple sclerosis: a prospective cohort study 30103642 2018 08 14 1477-0873 2018 Aug 14 Clinical rehabilitation Clin Rehabil Discriminative ability and clinical utility of the Timed Up and Go (TUG) in identifying falls risk in people with multiple sclerosis: a prospective cohort study. 269215518793481 10.1177/0269215518793481 To investigate discriminative ability and clinical (...) recorded falls. Mean age was 52.6 (SD 10.7) and 66 were female. Majority of the participants had progressive MS (72) and 73 used a walking aid; 56 participants recorded 791 falls. The area under the receiver operating characteristic curve values for Timed Up and Go and Timed Up and Go-Cognitive in distinguishing fallers (person with ⩾1 fall) from non-fallers are 0.60 and 0.57, respectively, and in distinguishing multiple fallers (⩾2 falls) the values are 0.46 and 0.43. A Timed Up and Go score of ⩾9

EvidenceUpdates2018

16. Interventions for preventing falls in older people in care facilities and hospitals.

Interventions for preventing falls in older people in care facilities and hospitals. BACKGROUND: Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. OBJECTIVES: To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals. SEARCH METHODS: We searched the Cochrane Bone, Joint (...) and Muscle Trauma Group Specialised Register (August 2017); Cochrane Central Register of Controlled Trials (2017, Issue 8); and MEDLINE, Embase, CINAHL and trial registers to August 2017. SELECTION CRITERIA: Randomised controlled trials of interventions for preventing falls in older people in residential or nursing care facilities, or hospitals. DATA COLLECTION AND ANALYSIS: One review author screened abstracts; two review authors screened full-text articles for inclusion. Two review authors

Cochrane2018 Full Text: Link to full Text with Trip Pro

17. Differentiating cognitive or motor dimensions associated with the perception of fall-related self-efficacy in Parkinson’s disease

Differentiating cognitive or motor dimensions associated with the perception of fall-related self-efficacy in Parkinson’s disease 30155514 2018 11 14 2373-8057 4 2018 NPJ Parkinson's disease NPJ Parkinsons Dis Differentiating cognitive or motor dimensions associated with the perception of fall-related self-efficacy in Parkinson's disease. 26 10.1038/s41531-018-0059-z In Parkinson's disease (PD), concurrent declines in cognitive and motor domain function can severely limit an individual's (...) ability to conduct daily tasks. Current diagnostic methods, however, lack precision in differentiating domain-specific contributions of cognitive or motor impairments based on a patients' clinical manifestation. Fear of falling (FOF) is a common clinical manifestation among the elderly, in which both cognitive and motor impairments can lead to significant barriers to a patients' physical and social activities. The present study evaluated whether a set of analytical and machine-learning approaches

NPJ Parkinson's disease2018 Full Text: Link to full Text with Trip Pro

18. Falls

Falls Top results for falls - Trip Database or use your Google+ account Liberating the literature My query is: English Français Deutsch Čeština Español Magyar Svenska ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search (...) button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for falls The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance

Trip Latest and Greatest2018

19. Multifactorial and multiple component interventions for preventing falls in older people living in the community.

Multifactorial and multiple component interventions for preventing falls in older people living in the community. BACKGROUND: Falls and fall-related injuries are common, particularly in those aged over 65, with around one-third of older people living in the community falling at least once a year. Falls prevention interventions may comprise single component interventions (e.g. exercise), or involve combinations of two or more different types of intervention (e.g. exercise and medication review (...) ). Their delivery can broadly be divided into two main groups: 1) multifactorial interventions where component interventions differ based on individual assessment of risk; or 2) multiple component interventions where the same component interventions are provided to all people. OBJECTIVES: To assess the effects (benefits and harms) of multifactorial interventions and multiple component interventions for preventing falls in older people living in the community. SEARCH METHODS: We searched the Cochrane Bone, Joint

Cochrane2018

20. Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis

Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis 29737198 2018 05 08 1477-0873 2018 May 01 Clinical rehabilitation Clin Rehabil Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis. 269215518773442 10.1177/0269215518773442 To evaluate the effect of Tai Chi on balance and reducing falls incidence in neurological disorders. AMED, Embase, Web of Science (...) , SCOPUS, EBSCO and Medline from inception until February 2018. Randomized controlled trials of Tai Chi compared with active or no treatment control, measuring balance with the Berg Balance Scale or the Timed Up and Go Test and number of falls in neurological disorders were included. Methodological quality was assessed using PEDro and quality of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system. A total of 10 studies involving 720 participants were

EvidenceUpdates2018