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Latest & greatest articles for falls
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Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
A pragmatic study of the predictive values of the Morse falls score inpatient falls are an important safety challenge, with around half causing physical injuries that compromise the recovery of older, frailer patients. Falls risk scores are in widespread use, but validation studies of their predictive values are few.to assess the predictive values of the Morse falls score (MFS) in an acute general hospital.age, admitting speciality, MFS, and any falls in the subsequent 7 days were collected (...) or specificity fell below 70% in each of these groups. Other subgroups did not demonstrate significantly better accuracy than chance, but may have been affected by type II error.using MFS ≥25 cannot be clinically justified, while using MFS ≥55 would be contingent on an effective intervention that was ethically acceptable to withhold from the patients with an MFS < 55, despite >40% of falls occurring in that group. Given similar limitations of alternative falls risk scores, hospitals should consider directly
Falls prevention interventions for community-dwelling older persons with cognitive impairment: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Hospital Fall Prevention: A Systematic Review of Implementation, Components, Adherence, and Effectiveness To systematically document the implementation, components, comparators, adherence, and effectiveness of published fall prevention approaches in U.S. acute care hospitals.Systematic review. Studies were identified through existing reviews, searching five electronic databases, screening reference lists, and contacting topic experts for studies published through August 2011.U.S. acute care (...) hospitals.Studies reporting in-hospital falls for intervention groups and concurrent (e.g., controlled trials) or historic comparators (e.g., before-after studies).Fall prevention interventions.Incidence rate ratios (IRR, ratio of fall rate postintervention or treatment group to the fall rate preintervention or control group) and ratings of study details.Fifty-nine studies met inclusion criteria. Implementation strategies were sparsely documented (17% not at all) and included staff education, establishing
Fall prevention in community-dwelling older adults. Which types of interventions reduce falls in older people living in the community?Fall-prevention exercise programs, usually including muscle strengthening and balance retraining, were associated with lower fall rates in community-dwelling older people whether or not individuals were selected on the basis of fall risk. Home safety interventions, vitamin D supplementation in people with lower vitamin D levels, and individually targeted (...) multifactorial interventions were associated with fewer falls in community-dwelling people with risk factors for falling.
Inpatient fall prevention programs as a patient safety strategy: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
[Falls in patients living in health care facilities (short- and long-term care)] Chute chez les patients hébergés dans les établissements de santé (soins de courte et de longue durée) [Falls in patients living in health care facilities (short- and long-term care)] Chute chez les patients hébergés dans les établissements de santé (soins de courte et de longue durée) [Falls in patients living in health care facilities (short- and long-term care)] Morarescu E Record Status This is a bibliographic (...) record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Morarescu E. Chute chez les patients hébergés dans les établissements de santé (soins de courte et de longue durée). [Falls in patients living in health care facilities (short- and long-term care)] Quebec: Institut national d'excellence en sante et en services sociaux (INESSS). 2013 Authors' conclusions A review of the scientific
Exploring the system-wide costs of falls in older people in Torbay Exploring the system-wide costs of falls in older people in Torbay | The King's Fund Main navigation Health and care services Leadership, systems and organisations Patients, people and society Policy, finance and performance Search term Apply Exploring the system-wide costs of falls in older people in Torbay This content relates to the following topics: Share this content Related details Authors Publication details ISBN 978 1 (...) 909029 15 6 Pages 12 One in three people aged over 65, and half of those aged over 80, fall at least once a year. Falls cost the NHS more than £2 billion per year. With the number of people aged 65 and over predicted to increase by 2 million by 2021, these costs are set to rise further. One way to help design better services with more integrated treatment and rehabilitation for falls patients is to look more closely at where the costs of treating patients are incurred across health, community
Interventions for preventing falls in older people in care facilities and hospitals. 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.To assess the effectiveness of interventions designed to reduce falls by older people in care facilities and hospitals.We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (March 2012); The Cochrane Library (...) 2012, Issue 3; MEDLINE, EMBASE, and CINAHL (all to March 2012); ongoing trial registers (to August 2012), and reference lists of articles.Randomised controlled trials of interventions to reduce falls in older people in residential or nursing care facilities or hospitals.Two review authors independently assessed risk of bias and extracted data. We used a rate ratio (RaR) and 95% confidence interval (CI) to compare the rate of falls (e.g. falls per person year) between intervention and control groups
Can falls be predicted with gait analytical and posturographic measurement systems? A prospective follow-up study in a nursing home population To validate previously proposed findings and to develop an objective, feasible and efficient bifactorial (risk factors: gait impairment and balance disorders) fall risk assessment.Prospective follow-up study Setting: Nursing homes (Halle/Saale, Germany).One hundred and forty-six nursing home residents (aged 62-101 years) were recruited.Gait data were (...) collected using a mobile inertial sensor-based system (RehaWatch). Postural regulation data were measured with the Interactive Balance System. Falls were recorded in standardized protocols over a follow-up period of 12 months.Gait parameters (e.g. spatial-temporal parameters), posturographic parameters (e.g. postural subsystems), number of falls.Seventeen (12%) of the participants had more than two falls per year. The predictive validity of the previously selected posturographic parameters
Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. Falls in elderly people are a major health burden, especially in the long-term care environment. Yet little objective evidence is available for how and why falls occur in this population. We aimed to provide such evidence by analysing real-life falls in long-term care captured on video.We did this observational study between April 20, 2007, and June 23, 2010, in two long-term care (...) facilities in British Columbia, Canada. Digital video cameras were installed in common areas (dining rooms, lounges, hallways). When a fall occurred, facility staff completed an incident report and contacted our teams so that we could collect video footage. A team reviewed each fall video with a validated questionnaire that probed the cause of imbalance and activity at the time of falling. We then tested whether differences existed in the proportion of participants falling due to the various causes
Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation (...) of the quality of this assessment has been made for the HTA database. Citation CADTH. Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2012 Authors' conclusions No evidence on fall prevention for adult outpatients in mental health and substance use programs was identified. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Accidental Falls
The toddler who is falling off the growth chart Growth monitoring is an essential part of paediatric health care, from birth through adolescence. Growth and nutritional problems often occur between 18 months and three years of age. Health care professionals involved in the care of children need to follow growth closely in this period, be able to evaluate a toddler whose growth seems to be faltering, and know when and how to intervene. Key Words: Appetite; Growth; Nutritional intervention
Falling down and following up 22959392 2012 10 03 2018 11 13 1474-547X 380 9845 2012 Sep 08 Lancet (London, England) Lancet Falling down and following up. 948 10.1016/S0140-6736(12)60645-X Wang Charles C University of North Carolina Project China, Guangzhou, China. Cai Wei-Ping WP Tucker Joseph D JD Li Ling-Hua LH Hu Feng-Yu FY eng K01 TW008200 TW FIC NIH HHS United States R13 AI102515 AI NIAID NIH HHS United States Case Reports Journal Article Research Support, N.I.H., Extramural Research (...) Support, Non-U.S. Gov't England Lancet 2985213R 0140-6736 AIM IM AIDS-Related Opportunistic Infections complications diagnosis Accidental Falls Adult Fever microbiology Humans Male Mycoses complications diagnosis Penicillium Syncope microbiology 2012 9 11 6 0 2012 9 11 6 0 2012 10 4 6 0 ppublish 22959392 S0140-6736(12)60645-X 10.1016/S0140-6736(12)60645-X PMC3635476 NIHMS459720 Lancet. 1994 Jul 9;344(8915):110-3 7912350 Zhonghua Yi Xue Za Zhi (Taipei). 1995 Feb;55(2):127-36 7750052 PLoS Med. 2011 Jul
Prevention of Falls in Community-Dwelling Older Adults: U.S. Preventive Services Task Force Recommendation Statement. Update of the 1996 U.S. Preventive Services Task Force (USPSTF) recommendation statement on counseling to prevent household and recreational injuries, including falls.The USPSTF reviewed new evidence on the effectiveness and harms of primary care-relevant interventions to prevent falls in community-dwelling older adults. The interventions were grouped into 5 main categories (...) : multifactorial clinical assessment (with or without direct intervention), clinical management (with or without screening), clinical education or behavioral counseling, home hazard modification, and exercise or physical therapy.The USPSTF recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (Grade B recommendation)The USPSTF does not recommend automatically performing an in-depth
Effectiveness of intervention programs in preventing falls: a systematic review of recent 10 years and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Intensive Glycemic Control Is Not Associated With Fractures or Falls in the ACCORD Randomized Trial Older adults with type 2 diabetes are at high risk of fractures and falls, but the effect of glycemic control on these outcomes is unknown. To determine the effect of intensive versus standard glycemic control, we assessed fractures and falls as outcomes in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) randomized trial.ACCORD participants were randomized to intensive or standard (...) glycemia strategies, with an achieved median A1C of 6.4 and 7.5%, respectively. In the ACCORD BONE ancillary study, fractures were assessed at 54 of the 77 ACCORD clinical sites that included 7,287 of the 10,251 ACCORD participants. At annual visits, 6,782 participants were asked about falls in the previous year.During an average follow-up of 3.8 (SD 1.3) years, 198 of 3,655 participants in the intensive glycemia and 189 of 3,632 participants in the standard glycemia group experienced at least one
Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial To determine the long-term effects of three strength and balance exercise interventions on physical performance, fall-related psychological outcomes, and falls in older people.A single-blinded, four-group, randomized controlled trial.Community, Germany.Community-dwelling adults aged 70 to 90 who had (...) fallen in the past 6 months or reported fear of falling.After baseline assessment, 280 participants were randomly assigned to the control group (CG; no intervention; n = 80) or one of three strength and balance exercise interventions (the strength and balance group (SBG; strength and balance only; n = 63), the fitness group (FG; strength and balance plus endurance training; n = 64), or the multifaceted group (MG; strength and balance plus fall risk education; n = 73). The interventions consisted
Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: a randomised trial What is the effect of a balance training protocol with the Biodex Balance System in institutionalised older people with fear of falling?Randomised controlled trial with concealed allocation and assessor blinding.Forty older people who lived in a nursing home and had fear of falling.The experimental group completed a 12-week balance training protocol (...) based on balancing/rebalancing training with the Biodex Balance System, with two sessions per week. During the training period, participants in both groups received the same multidisciplinary care (such as physiotherapy, occupational therapy and nursing) that they usually received in the nursing home.The primary outcome was fear of falling (Falls Efficacy Scale International questionnaire). Secondary outcomes were dynamic balance (Fall Risk Test) and isometric strength (torque of knee flexor