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National clinical guideline for the prevention of falls in elderly people NATIONAL CLINICAL GUIDELINE FOR THE PREVENTION OF FALLS IN ELDERLY PEOPLE Quick guide National clinical guideline for the prevention of falls in elderly people Published by the Danish Health Authority, April 2018 Consider offering balance training to elderly people who are living at home and are at risk of falling. Weak recommendation The right choice of intensity and quantity of balance training is essential for optimal (...) effect. Training sessions should therefore be scheduled for at least twice a week for several months, and should always be supplemented with daily home exercises and a progressive activity programme. Consider offering balance training to elderly people who are living in institutional care and are at risk of falling. Weak recommendation In order to obtain a real strength increase in the practitioner, strength training should be performed with a relatively high loading level (8-12 RM). In order
The rise and fall of mortality inequality in South Africa in the HIV era 30094319 2018 11 14 2352-8273 5 2018 Aug SSM - population health SSM Popul Health The rise and fall of mortality inequality in South Africa in the HIV era. 239-248 10.1016/j.ssmph.2018.06.007 Post-apartheid South Africa has seen an unprecedented rise and fall of mortality in less than two decades as a result of the HIV/AIDS epidemic and the subsequent rollout of free antiretroviral therapy (ART). Since the incidence
The impact of implementing a fall prevention educational session for communityâ€dwelling physical therapy patients 30338102 2018 11 14 2054-1058 5 4 2018 Oct Nursing open Nurs Open The impact of implementing a fall prevention educational session for community-dwelling physical therapy patients. 567-574 10.1002/nop2.165 The aim of this study was to evaluate the impact of a fall prevention educational session on fall risk knowledge, use of fall prevention interventions and the number of falls (...) in community-dwelling older persons attending physical therapy. This pilot study used a mixed method design consisting of a quantitative pretest-posttest quasi-experimental design followed by a qualitative interview. An educational intervention was given with pre- and posttest questionnaires to determine the outcome measures of: (a) fall risk knowledge; (b) number of participants implementing fall prevention techniques; and (c) the number of falls sustained for 60 days post the educational sessions
A High-yield Fall Risk and Adverse Events Screening Questions From the Stopping Elderly Accidents, Death, and Injuries (STEADI) Guideline for Older Emergency Department Fall Patients 29575248 2018 05 30 1553-2712 2018 Mar 25 Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Acad Emerg Med A High-yield Fall Risk and Adverse Events Screening Questions From the Stopping Elderly Accidents, Death, and Injuries (STEADI) Guideline for Older Emergency (...) Department Fall Patients. 10.1111/acem.13413 The objectives were to examine whether responses to the Stopping Elderly Accidents, Death, and Injuries (STEADI) questions responses predicted adverse events after an older adult emergency department (ED) fall visits and to identify factors associated with such recurrent fall. We conducted a prospective study at two urban, teaching hospitals. We included patients aged ≥ 65 years who presented to the ED for an accidental fall. Data were gathered for fall
Recent opioid use and fall-related injury among older patients with trauma 29685910 2018 05 03 1488-2329 190 16 2018 Apr 23 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Recent opioid use and fall-related injury among older patients with trauma. E500-E506 10.1503/cmaj.171286 Evidence for an association between opioid use and risk of falls or fractures in older adults is inconsistent. We examine the association between recent opioid use (...) and the risk, as well as the clinical outcomes, of fall-related injuries in a large trauma population of older adults. In a retrospective, observational, multicentre cohort study conducted on registry data, we included all patients aged 65 years and older who were admitted (hospital stay > 2 d) for injury in 57 trauma centres in the province of Quebec, Canada, between 2004 and 2014. We looked at opioid prescriptions filled in the 2 weeks preceding the trauma in patients who sustained a fall, compared
Syncope, Hypotension, and Falls in the Treatment of Hypertension: Results from the Randomized Clinical Systolic Blood Pressure Intervention Trial 29601076 2018 04 18 1532-5415 66 4 2018 Apr Journal of the American Geriatrics Society J Am Geriatr Soc Syncope, Hypotension, and Falls in the Treatment of Hypertension: Results from the Randomized Clinical Systolic Blood Pressure Intervention Trial. 679-686 10.1111/jgs.15236 To determine predictors of serious adverse events (SAEs) involving syncope (...) , hypotension, and falls, with particular attention to age, in the Systolic Blood Pressure Intervention Trial. Randomized clinical trial. Academic and private practices across the United States (N = 102). Adults aged 50 and older with a systolic blood pressure (SBP) of 130 to 180 mmHg at high risk of cardiovascular disease events, but without diabetes, history of stroke, symptomatic heart failure or ejection fraction less than 35%, dementia, or standing SBP less than 110 mmHg (N = 9,361). Treatment of SBP
Preventing Falls and Reducing Injury from Falls, Fourth Edition Preventing Falls and Reducing Injury from Falls, Fourth Edition | Registered Nurses' Association of Ontario l’Association des infirmières et infirmiers autorisés de l’Ontario Speaking out for nursing. Speaking out for health. » » Preventing Falls and Reducing Injury from Falls, Fourth Edition Project / Initiative: Type of Guideline: Clinical Status: Published Publish Date: 2017 About this Guideline : About this Guideline (...) : Preventing Falls and Reducing Injury from Falls (4th ed.) replaces the RNAO (2011) BPG Prevention of Falls and Fall Injuries in the Older Adult , which was originally published in 2002 and then revised in 2005, 2011 and 2017. Whereas previous editions focused on older adults in hospital and long-term-care settings, the scope of this third edition has been expanded to include in all adults (>18 years) at risk for falls and receiving care from nurses and other health-care providers across the health-care
Falls Prevention in Community-Dwelling Older Adults: Interventions Final Update Summary: Falls Prevention in Community-Dwelling Older Adults: Interventions - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 220.127.116.118 Last Build: 3/6/2018 4:20:40 PM You are here: Final Summary Falls Prevention in Community-Dwelling Older Adults: Interventions Release Date: April 2018 Recommendation Summary Population Recommendation Grade Adults 65 years or older The USPSTF (...) recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. Adults 65 years or older The USPSTF recommends that clinicians selectively offer multifactorial interventions to prevent falls to community-dwelling adults 65 years or older who are at increased risk for falls. Existing evidence indicates that the overall net benefit of routinely offering multifactorial interventions to prevent falls is small. When determining whether
Interventions to Prevent Falls in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Importance: Falls are the most common cause of injury-related morbidity and mortality among older adults. Objective: To systematically review literature on the effectiveness and harms of fall prevention interventions in community-dwelling older adults to inform the US Preventive Services Task Force. Data Sources: MEDLINE, PubMed, Cumulative Index for Nursing (...) and Allied Health Literature, and Cochrane Central Register of Controlled Trials for relevant English-language literature published through August 2016, with ongoing surveillance through February 7, 2018. Study Selection: Randomized clinical trials of interventions to prevent falls in community-dwelling adults 65 years and older. Data Extraction and Synthesis: Independent critical appraisal and data abstraction by 2 reviewers. Random-effects meta-analyses using the method of DerSimonian and Laird. Main
Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement. Importance: Falls are the leading cause of injury-related morbidity and mortality among older adults in the United States. In 2014, 28.7% of community-dwelling adults 65 years or older reported falling, resulting in 29 million falls (37.5% of which needed medical treatment or restricted activity for a day or longer) and an estimated 33 000 deaths in 2015. Objective (...) : To update the 2012 US Preventive Services Task Force (USPSTF) recommendation on the prevention of falls in community-dwelling older adults. Evidence Review: The USPSTF reviewed the evidence on the effectiveness and harms of primary care-relevant interventions to prevent falls and fall-related morbidity and mortality in community-dwelling older adults 65 years or older who are not known to have osteoporosis or vitamin D deficiency. Findings: The USPSTF found adequate evidence that exercise interventions
Pediatric falls ages 0â€“4: understanding demographics, mechanisms, and injury severities 29637431 2018 11 14 2197-1714 5 Suppl 1 2018 Apr 10 Injury epidemiology Inj Epidemiol Pediatric falls ages 0-4: understanding demographics, mechanisms, and injury severities. 7 10.1186/s40621-018-0147-x Pediatric unintentional falls are the leading cause of injury-related emergency visits for children < 5 years old. The purpose of this study was to identify population characteristics, injury mechanisms (...) , and injury severities and patterns among children < 5 years to better inform age-appropriate falls prevention strategies. This retrospective database study used trauma registry data from the lead pediatric trauma system in Georgia. Data were analyzed for all patients < 5 years with an international classification of disease, 9th revision, clinical modification (ICD-9 CM) external cause of injury code (E-code) for unintentional falls between 1/1/2013 and 12/31/2015. Age (months) was compared across
Characterization of children hospitalized with traumatic brain injuries after building falls 29637457 2018 11 14 2197-1714 5 Suppl 1 2018 Apr 10 Injury epidemiology Inj Epidemiol Characterization of children hospitalized with traumatic brain injuries after building falls. 15 10.1186/s40621-018-0141-3 Unintentional falls cause a substantial proportion of pediatric traumatic brain injury (TBI), with building falls carrying particularly high risk for morbidity and mortality. The cohort of children (...) sustaining building fall-related TBI has not been well-examined. We sought to characterize children hospitalized with building fall-related TBIs and evaluate if specific factors distinguished these children from children hospitalized with TBI due to other fall mechanisms. We secondarily assessed if TBI severity among children injured due to a building fall varied between children from urban versus non-urban areas. This was a secondary analysis of the Pediatric Health Information System (PHIS
Mortality From Falls in Dutch Adults 80 Years and Older, 2000-2016 29614170 2018 04 18 2018 11 14 1538-3598 319 13 2018 04 03 JAMA JAMA Mortality From Falls in Dutch Adults 80 Years and Older, 2000-2016. 1380-1382 10.1001/jama.2018.1444 Hartholt Klaas A KA Department of Surgery-Traumatology, Reinier de Graaf Groep, Delft, the Netherlands. van Beeck Ed F EF Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. van der Cammen Tischa J M TJM (...) Faculty of Industrial Design Engineering, Delft University of Technology, Delft, the Netherlands. eng Journal Article United States JAMA 7501160 0098-7484 AIM IM Accidental Falls mortality Aged, 80 and over Female Humans Male Mortality trends Netherlands epidemiology Risk Factors 2018 4 4 6 0 2018 4 4 6 0 2018 4 19 6 0 ppublish 29614170 2677435 10.1001/jama.2018.1444 PMC5933376 J Am Geriatr Soc. 2014 Mar;62(3):470-5 24617970 JAMA. 2010 Jan 20;303(3):258-66 20085954 Am J Public Health. 2012 May;102
Reducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis 29584895 2018 03 27 1468-2834 2018 Mar 23 Age and ageing Age Ageing Reducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis. 10.1093/ageing/afy043 older adults are known to have increased falls rates and functional decline following hospital discharge, with substantial economic healthcare costs. This systematic review aimed to synthesise (...) the evidence for effective falls prevention interventions in older adults recently discharged from hospital. literature searches of six databases of quantitative studies conducted from 1990 to June 2017, reporting falls outcomes of falls prevention interventions for community-dwelling older adults discharged from hospital were included. Study quality was assessed using a standardised JBI critical appraisal tool (MAStARI) and data pooled using Rev-Man Review Manager®. sixteen studies (total sample size N
Temporal prediction of in-hospital falls using tensor factorisation 29670759 2018 11 14 2055-642X 4 2 2018 Apr BMJ innovations BMJ Innov Temporal prediction of in-hospital falls using tensor factorisation. 75-83 10.1136/bmjinnov-2017-000221 In-hospital fall incidence is a critical indicator of healthcare outcome. Predictive models for fall incidents could facilitate optimal resource planning and allocation for healthcare providers. In this paper, we proposed a tensor factorisation-based (...) framework to capture the latent features for fall incidents prediction over time. Experiments with real-world data from local hospitals in Hong Kong demonstrated that the proposed method could predict the fall incidents reasonably well (with an area under the curve score around 0.9). As compared with the baseline time series models, the proposed tensor based models were able to successfully identify high-risk locations without records of fall incidents during the past few months. Wang Haolin H Chongqing
Frailty Versus Stopping Elderly Accidents, Deaths and Injuries Initiative Fall Risk Score: Ability to Predict Future Falls 29427525 2018 03 13 1532-5415 66 3 2018 Mar Journal of the American Geriatrics Society J Am Geriatr Soc Frailty Versus Stopping Elderly Accidents, Deaths and Injuries Initiative Fall Risk Score: Ability to Predict Future Falls. 577-583 10.1111/jgs.15275 To compare the ability of frailty status to predict fall risk with that of community fall risk screening tools. Analysis (...) of cross-sectional and longitudinal data from NHATS. National Health and Aging Trend Study (NHATS) 2011-2015. Individuals aged 65 and older (N = 7,392). Fall risk was defined according to the Stopping Elderly Accidents, Deaths and Injuries (STEADI) initiative. Frailty was defined as exhaustion, weight loss, low activity, slow gait speed, and weak grip strength. Robust was defined as meeting 0 criteria, prefrailty as 1 or 2 criteria, and frailty as 3 or more criteria. Falls were self-reported
Cognitive behavioural therapy for fear of falling and balance among older people: a systematic review and meta-analysis 29471428 2018 02 22 1468-2834 2018 Feb 20 Age and ageing Age Ageing Cognitive behavioural therapy for fear of falling and balance among older people: a systematic review and meta-analysis. 10.1093/ageing/afy010 fear of falling is prevalent among older people and associated with various health outcomes. A growing number of studies have examined the effects of interventions (...) designed to reduce the fear of falling and improve balance among older people, yet our current understanding is restricted to physiological interventions. Psychological interventions such as cognitive behavioural therapy (CBT) have not been reviewed and meta-analysed. to perform a systematic review and meta-analysis evaluating the effects of CBT on reducing fear of falling and enhancing balance in community-dwelling older people. randomised controlled trials (RCTs) addressing fear of falling
The Rise and Fall of Mandatory Cardiac Bundled Payments 29327034 2018 01 31 2018 11 13 1538-3598 319 4 2018 01 23 JAMA JAMA The Rise and Fall of Mandatory Cardiac Bundled Payments. 335-336 10.1001/jama.2017.19205 Wadhera Rishi K RK Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, Massachusetts. Richard and Susan Smith Center for Outcomes Research in Cardiology, Division of Cardiology, Beth Israel Deaconess Medical and Harvard Medical School, Boston (...) NHLBI NIH HHS United States Historical Article Journal Article Research Support, N.I.H., Extramural United States JAMA 7501160 0098-7484 AIM IM Health Care Financ Rev. 1997 Fall;19(1):41-57 10180001 Ann Surg. 2007 Oct;246(4):613-21; discussion 621-3 17893498 Fed Regist. 2017 Dec 01;82(230):57066-104 29232073 JAMA. 2018 Jan 9;319(2):191-193 29318267 Centers for Medicare and Medicaid Services (U.S.) Coronary Artery Bypass economics Health Expenditures History, 20th Century History, 21st Century
Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling 28647551 2017 12 12 2017 12 12 1532-821X 98 12 2017 Dec Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling. 2433-2441 S0003-9993(17)30408-2 10.1016/j.apmr.2017.05.018 To identify factors predicting falls (...) and limited mobility in people with stroke at 12 months after returning home from rehabilitation. Observational cohort study with 12-month follow-up. Community. People with stroke (N=144) and increased falls risk discharged home from rehabilitation. Not applicable. Falls were measured using monthly calendars completed by participants, and mobility was assessed using gait speed over 5m (high mobility: >0.8m/s vs low mobility: ≤0.8m/s). Both measures were assessed at 12 months postdischarge. Demographics