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)
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, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on falls or other clinical topics then use Trip today.
This page lists the very latest high quality evidence on falls and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.
What is Trip?
Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.
Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.
As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.
For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via firstname.lastname@example.org
Reducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis 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 = 3,290, from eight countries, mean age 77) comprising 12 interventions met inclusion criteria. We found home hazard modification interventions delivered to those with a previous falls history (1 study
Temporal prediction of in-hospital falls using tensor factorisation 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.
Cognitive behavioural therapy for fear of falling and balance among older people: a systematic review and meta-analysis 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 and balance were identified through searches of six electronic databases, concurrent registered clinical trials, forward citation and reference lists of three previous systematic reviews.a total of six trials involving 1,626
The ability of clinical balance measures to identify falls risk in multiple sclerosis: a systematic review and meta-analysis To determine the ability of clinical measures of balance to distinguish fallers from non-fallers and to determine their predictive validity in identifying those at risk of falls.AMED, CINAHL, Medline, Scopus, PubMed Central and Google Scholar. First search: July 2015. Final search: October 2017.Inclusion criteria were studies of adults with a definite multiple sclerosis (...) diagnosis, a clinical balance assessment and method of falls recording. Data were extracted independently by two reviewers. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 scale and the modified Newcastle-Ottawa Quality Assessment Scale. Statistical analysis was conducted for the cross-sectional studies using Review Manager 5. The mean difference with 95% confidence interval in balance outcomes between fallers and non-fallers was used as the mode of analysis.We
Frailty Versus Stopping Elderly Accidents, Deaths and Injuries Initiative Fall Risk Score: Ability to Predict Future Falls 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 and ascertained using NHATS subsequent rounds (2012-2015). We compared the ability of frailty to predict future falls with that of STEADI score, adjusting for age, race, sex, education, comorbidities, hearing and vision impairment, and disability.Of the 7,392
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 (...) .2017.19205 PMC6093855 NIHMS976836 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
Why is cervical screening coverage falling in the UK and what has primary care done to increase uptake of cervical screening? Knowledge & Library Services (KLS) Evidence Briefing Why is cervical screening coverage falling in the UK and what has primary care done to increase uptake of cervical screening? Nicola Pearce-Smith 11 th January 2018 Why is cervical screening coverage falling in the UK and what has primary care done to increase uptake of cervical screening? KLS Evidence Briefing 11 th (...) This briefing draws upon a literature search of the sources Medline, Embase, Health Management Information Consortium (HMIC), Cumulative Index to Nursing and Allied Health Literature (CINAHL), NHS Evidence search and Turning Research into Practice (TRIP) database from January 2011 to January 2018. Search strategies are available on request. 69 highly relevant citations (mainly from the UK) were used to produce this evidence briefing Why is cervical screening coverage falling in the UK and what has primary
Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines Last updated: March 19, 2018 Project Number: RB1202-000 Product Line (...) : Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of falls prevention mats to reduce injuries in healthcare settings? What are the evidence-based guidelines regarding the use of falls prevention mats in health care settings? Key Message One non-randomized study was identified regarding the clinical effectiveness of falls prevention mats to reduce injuries in healthcare settings. No evidence-based guidelines regarding
Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity Issues: Clinical Effectiveness and Guidelines Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity Issues: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity Issues: Clinical Effectiveness and Guidelines Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity (...) Issues: Clinical Effectiveness and Guidelines Last updated: October 18, 2018 Project Number: RA0974-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What is the comparative clinical effectiveness of falls prevention strategies compared with usual care for the prevention of falls in patients with acquired brain injury or stroke? What are the evidence-based guidelines regarding falls prevention strategies for the prevention of falls
Multi-system balance training reduces injurious fall risk in Parkinson's disease - A randomized trial. Previous studies have shown that balance training could reduce falls in people with Parkinson disease. However, it remains unclear whether exercise can reduce injurious falls. The objective of present study was to determine whether multisystem balance training could reduce injurious falls and modify targeted fall risk factors in Parkinson disease nonfallers and single fallers. Participants (...) were randomly assigned to an 8-wk balance group (experimental, n = 41) or an upper limbs group (control, n = 43). Outcomes examined at posttraining and 12-mo follow-up were: (1) injurious fall risk (ratio of noninjurious fallers to injurious fallers); (2) two potential fall risk factors based on Balance Evaluation Systems Test scores and dual-task timed-up-and-go times. At posttraining, results indicated that there were no injurious falls, and fewer experimental participants were found in high fall
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
Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling 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 and functional measures, including balance, strength, visual or spatial deficits, disability, physical activity level, executive function, functional independence, and falls risk, were analyzed to determine factors significantly predicting falls and mobility levels after 12 months.Those assessed as being at high falls risk
Improving Decisions About Transport to the Emergency Department for Assisted Living Residents Who Fall. Residents of assisted living facilities who fall may not be seriously ill or injured, but policies often require immediate transport to an emergency department regardless of the patient's condition.To determine whether unnecessary transport can be avoided.Prospective cohort study.One large county with a single system of emergency medical services.Convenience sample of residents in 22 assisted (...) living facilities served by 1 group of primary care physicians.Paramedics providing emergency medical services followed a protocol that included consulting with a physician by telephone.The number of transports after a fall and the number of time-sensitive conditions in nontransported patients.Of the 1473 eligible residents, 953 consented to participate in the study (mean age, 86 years; 76% female) and 359 had 840 falls in 43 months. The protocol recommended nontransport after 553 falls. Eleven
Does pride really come before a fall? Longitudinal analysis of older English adults. To test whether high levels of reported pride are associated with subsequent falls.Secondary analysis of the English Longitudinal Study of Ageing (ELSA) dataset.Multi-wave longitudinal sample of non-institutionalised older English adults.ELSA cohort of 6415 participants at wave 5 (baseline, 2010/11), of whom 4964 were available for follow-up at wave 7 (follow-up, 2014/15).Self reported pride at baseline (low (...) /moderate/high) and whether the participant had reported having fallen during the two years before follow-up.The findings did not support the contention that "pride comes before a fall." Unadjusted estimates indicate that the odds of reported falls were significantly lower for people with high pride levels compared with those who had low pride (odds ratio 0.69, 95% confidence interval 0.58 to 0.81, P<0.001). This association remained after adjustment for age, sex, household wealth, and history of falls
Effectiveness of patient-centered interventions on falls in the acute care setting compared to usual care: a systematic review. Unintentional falls during hospitalization remain a concern for healthcare institutions globally despite implementation of various improvement strategies. Although the incidence of falls has been of heightened focus for many years and numerous studies have been done evaluating different approaches for fall prevention, fall rates remain high in acute care settings (...) . Patient fall risk scales tend to address only particular intrinsic and extrinsic factors but do not adequately assess a patient's current fall risk status, subsequently warranting more patient-centered risk assessments and interventions.To evaluate the effectiveness of patient-centered interventions on falls in the acute care setting.All adult patients admitted to medical or surgical acute care units for any condition or illness.Patient-centered intervention strategies to reduce falls compared
Comparisons of Interventions for Preventing Falls in Older Adults: A Systematic Review and Meta-analysis. Falls result in substantial burden for patients and health care systems, and given the aging of the population worldwide, the incidence of falls continues to rise.To assess the potential effectiveness of interventions for preventing falls.MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Ageline databases from inception until April 2017. Reference lists of included (...) studies were scanned.Randomized clinical trials (RCTs) of fall-prevention interventions for participants aged 65 years and older.Pairs of reviewers independently screened the studies, abstracted data, and appraised risk of bias. Pairwise meta-analysis and network meta-analysis were conducted.Injurious falls and fall-related hospitalizations.A total of 283 RCTs (159 910 participants; mean age, 78.1 years; 74% women) were included after screening of 10 650 titles and abstracts and 1210 full-text