Latest & greatest articles for falls

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Top results for falls

81. Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic Cerebral Palsy. (Abstract)

Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic Cerebral Palsy. The aim of this study was to investigate the effects of antigravity treadmill training on gait, balance, and fall risk in children with diplegic cerebral palsy.Thirty children with diplegic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received antigravity treadmill training (20 mins/d, 3 d/wk (...) ) together with traditional physical therapy for 3 successive mos and (2) a control group that received only traditional physical therapy program for the same period. Outcomes included selected gait parameters, postural stability, and fall risk. Outcomes were measured at baseline and after 3 mos of intervention.Children in both groups showed significant improvements in the mean values of all measured variables (P < 0.05), with significantly greater improvements in the experimental group than the control

2017 American journal of physical medicine & rehabilitation Controlled trial quality: uncertain

82. Effectiveness of bedrails in preventing falls among hospitalized older adults: a systematic review. (Abstract)

Effectiveness of bedrails in preventing falls among hospitalized older adults: a systematic review. Falls are a major problem today affecting adults of any age, but the elderly are a population that is more susceptible to falls. Falls are the leading cause of injury or death among older adults. Hospitalized older people are particularly vulnerable to falls. Falls cause direct injuries (minor injuries, severe wounds of the soft tissues and bone fractures) to patients and increased length of stay (...) . The prevention of falls is commonly considered an indicator of the quality of care. Therefore, health institutions and professionals treat the identification and implementation of strategies to prevent or minimize their effects as a high priority. Fall prevention interventions involving physical restraints are still common and considered a primary preventative measure, despite controversy in their use. One of the most frequently used restraint interventions is bedrails. The question of the effectiveness

2017 JBI database of systematic reviews and implementation reports

83. Falling upward with Parkinson’s disease Full Text available with Trip Pro

Falling upward with Parkinson’s disease Falls can injure, even kill. No one with Parkinson's disease (PD) wants to fall by accident. However, the potential nastiness of falls does not preclude a more nuanced understanding of the personal meaning that falls can have. Rather than view falls as a problem to fear and manage solely by preventing and repairing harm, people with PD and those who care for them may recast falls as a mixed blessing. Falls may be a resource, skill, and catalyst (...) for personal growth. We discuss how falls may give rise to opportunities in interrelated domains: capabilities, credo, character, creativity, chronemics, and connectedness. Clinicians could incorporate a positive focus across these domains to help people with PD to 'fall upward' in the sense of flourish.

2017 NPJ Parkinson's disease

84. Do vitamin D supplements reduce falls in older people living in the community?

Do vitamin D supplements reduce falls in older people living in the community? Do vitamin D supplements reduce falls in older people living in the community? – Morsels of Evidence \t\t\t\r\n\t\t\t \t\t\t\r\n\t\t\t Like this: Like Loading... ","author":{"@type":"Person","name":"Michael Tam"},"image":["https:\/\/evidencebasedmedicine.com.au\/wp-content\/uploads\/2017\/08\/mocover.png"]} Toggle search form Toggle navigation Evidence-based medicine for general practitioners Aug 31 2017 Do vitamin D (...) supplements reduce falls in older people living in the community? By in , , , , Journal reference: Bolland MJ, Grey A, Gamble GD, Reid IR. Vitamin D supplementation and falls: a trial sequential meta-analysis. Lancet Diabetes Endocrinol 2014 Jul;2(7):573-80 Link: Published: July 2014 Evidence cookie says… The beneficial effect of vitamin D on falls in otherwise well community-dwelling people is likely to be small, if it exists at all. routine preventive use cannot be justified on the evidence

2017 Morsels of Evidence

85. Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall Full Text available with Trip Pro

Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pediatric fall patients.Data was retrieved from prospectively maintained trauma registry project at level 1 trauma center developed as part of Multicentric Project-Towards Improving Trauma Care Outcomes (TITCO (...) having 50, 50, and 86% of area under the curve on ROCs, and RTS was statistically significant among them.Physiologically based trauma score systems (RTS) are much better predictors of inhospital mortality in comparison to anatomical based scoring systems (ISS and NISS) for unintentional pediatric falls.

2017 Burns & trauma

86. Frailty as a Risk Factor for Falls Among Community Dwelling People: Evidence From a Meta-Analysis. (Abstract)

Frailty as a Risk Factor for Falls Among Community Dwelling People: Evidence From a Meta-Analysis. This study was conducted to investigate the relationships between different frailty stages and the fall incidence rates of community-dwelling older adults. The differences between various frailty indicators regarding assessment accuracy of the fall incidence rates of community-dwelling elders were also analyzed. Finally, the relationship between frailty and recurrent falls was explored.This study (...) comprised a systematic literature review and meta-analysis. Two researchers independently examined and extracted the related literature. The key search terms included frailty, frail, fall, older people, older, geriatric, and senior. The literature sampling period was from January 2001 to December 2016. The quality of each paper was assessed according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The databases of the Cochrane Library, Cumulative

2017 Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing

87. Identifying characteristics and outcomes that are associated with fall-related fatalities: multi-year retrospective summary of fall deaths in older adults from 2005–2012 Full Text available with Trip Pro

Identifying characteristics and outcomes that are associated with fall-related fatalities: multi-year retrospective summary of fall deaths in older adults from 2005–2012 Fall-related deaths continue to be the leading cause of accidental deaths in the older adult (65+ year) population. However, many fall-related fatalities are unspecified and little is known about the fall characteristics and personal demographics at the time of the fall. Therefore, this report describes the characteristics (...) , circumstances and injuries of falls that resulted in older adult deaths in one U.S. County and explores the variables associated with fatal injuries from falls.This is a continued retrospective analysis of 841older adults whose underlying cause of death was due to a fall over an 8-year period (2005-2012). Demographics and logistic regression of fall characteristics and injuries were analyzed.Falls that led to death most often occurred when walking in one's own home. Most of the residents in this study were

2017 Injury epidemiology

88. Incidence and prevalence of falls in adults with intellectual disability living in the community: a systematic review protocol. Full Text available with Trip Pro

Incidence and prevalence of falls in adults with intellectual disability living in the community: a systematic review protocol. The objective of this review is to synthesize the best available evidence to determine the incidence and prevalence of falls in adults with intellectual disability living in the community.

2017 JBI database of systematic reviews and implementation reports

89. Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention

Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention Rapid Synthesis Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 2 (...) relevance. Acknowledgments The authors wish to thank Shane Natalwalla for help with data extraction. We would also like to thank Bonny Jung and Maureen Markle-Reid for their insightful comments and suggestions. Citation Waddell K, Wilson MG. Rapid synthesis: Examining the impact of interprofessional training and patient engagement on falls prevention. Hamilton: McMaster Health Forum, 30 April 2017. Product registration numbers ISSN 2292-7999 (online) Examining the Impact of Interprofessional Training

2017 McMaster Health Forum

90. Older adult falls prevention behaviors 60 days post-discharge from an urban emergency department after treatment for a fall Full Text available with Trip Pro

Older adult falls prevention behaviors 60 days post-discharge from an urban emergency department after treatment for a fall Falls are a common and debilitating health problem for older adults. Older adults are often treated and discharged home by emergency department (ED)-based providers with the hope they will receive falls prevention resources and referrals from their primary care provider. This descriptive study investigated falls prevention activities, including interactions with primary (...) care providers, among community-dwelling older adults who were discharged home after presenting to an ED with a fall-related injury.We enrolled English speaking patients, aged ≥ 65 years, who presented to the ED of an urban level one trauma center with a fall or fall related injury and discharged home. During subjects' initial visits to the ED, we screened and enrolled patients, gathered patient demographics and provided them with a flyer for a Matter of Balance course. Sixty-days post enrollment

2017 Injury epidemiology

91. A home program of strength training, movement strategy training and education did not prevent falls in people with Parkinson`s disease: a randomised trial Full Text available with Trip Pro

A home program of strength training, movement strategy training and education did not prevent falls in people with Parkinson`s disease: a randomised trial For people with idiopathic Parkinson's disease, does a 6-week, comprehensive, home exercise program reduce falls and disability and improve health-related quality of life? Is the program cost-effective?Randomised, controlled trial with concealed allocation and assessor blinding.One hundred and thirty-three community-dwelling adults (...) with Parkinson's disease.The experimental group completed a 6-week home program comprising progressive resistance strength training, movement strategy training and falls education. The control group completed 6 weeks of non-specific life skills training. Participants in both groups received weekly therapist-guided sessions for 6 consecutive weeks and a weekly self-directed home program.The primary outcome was the rate of falls, documented for the 12-month period immediately after therapy. Secondary outcomes

2017 EvidenceUpdates

92. Paramedic Assessment of Older Adults After Falls, Including Community Care Referral Pathway: Cluster Randomized Trial Full Text available with Trip Pro

Paramedic Assessment of Older Adults After Falls, Including Community Care Referral Pathway: Cluster Randomized Trial We aim to determine clinical and cost-effectiveness of a paramedic protocol for the care of older people who fall.We undertook a cluster randomized trial in 3 UK ambulance services between March 2011 and June 2012. We included patients aged 65 years or older after an emergency call for a fall, attended by paramedics based at trial stations. Intervention paramedics could refer (...) the patient to a community-based falls service instead of transporting the patient to the emergency department. Control paramedics provided care as usual. The primary outcome was subsequent emergency contacts or death.One hundred five paramedics based at 14 intervention stations attended 3,073 eligible patients; 110 paramedics based at 11 control stations attended 2,841 eligible patients. We analyzed primary outcomes for 2,391 intervention and 2,264 control patients. One third of patients made further

2017 EvidenceUpdates

93. Fall Risk Score at the Time of Discharge Predicts Readmission Following Total Joint Arthroplasty (Abstract)

Fall Risk Score at the Time of Discharge Predicts Readmission Following Total Joint Arthroplasty Readmission among Medicare recipients is a leading driver of healthcare expenditure. To date, most predictive tools are too coarse for direct clinical application. Our objective in this study is to determine if a pre-existing tool to identify patients at increased risk for inpatient falls, the Hendrich Fall Risk Score, could be used to accurately identify Medicare patients at increased risk (...) for readmission following arthroplasty, regardless of whether the readmission was due to a fall.This study is a retrospective cohort study. We identified 2437 Medicare patients who underwent a primary elective total joint arthroplasty (TJA) of the hip or knee for osteoarthritis between 2011 and 2014. The Hendrich Fall Risk score was recorded for each patient preoperatively and postoperatively. Our main outcome measure was hospital readmission within 30 days of discharge.Of 2437 eligible TJA recipients

2017 EvidenceUpdates

94. Effectiveness of falls prevention interventions for older adults newly discharged from hospital: a systematic review protocol. (Abstract)

Effectiveness of falls prevention interventions for older adults newly discharged from hospital: a systematic review protocol. The objective of this review is to synthesize the best available evidence on the effectiveness of falls prevention interventions provided just prior or immediately after discharge from hospital on falls rates and falls injuries among older adults living in the community in the first 6 months after discharge from hospital.

2017 JBI database of systematic reviews and implementation reports

95. The effect of complex falls prevention interventions on falls in residential aged care settings: a systematic review protocol. Full Text available with Trip Pro

The effect of complex falls prevention interventions on falls in residential aged care settings: a systematic review protocol. The objective of this review is to synthesize the best available evidence on the effectiveness of complex falls prevention interventions on fall reductions in the residential aged care population, implemented at two or more of the following levels: organization, facility or resident.Specifically the review question is: What is the effect of complex falls prevention (...) interventions on falls in residential aged care settings?

2017 JBI database of systematic reviews and implementation reports

96. Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients (Abstract)

Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients To evaluate the accuracy of the inpatient fall risk screening tool and to identify the most critical fall risk factors in inpatients.Variations exist in several screening tools applied in acute care hospitals for examining risk factors for falls and identifying high-risk inpatients.Secondary data analysis.A subset of inpatient data for the period from June 2011-June 2014 (...) was extracted from the nursing information system and adverse event reporting system of an 818-bed teaching medical centre in Taipei. Data were analysed using descriptive statistics, receiver operating characteristic curve analysis and logistic regression analysis.During the study period, 205 fallers and 37,232 nonfallers were identified. The results revealed that the inpatient fall risk screening tool (cut-off point of ≥3) had a low sensitivity level (60%), satisfactory specificity (87%), a positive

2017 EvidenceUpdates

97. Historical Perspective on the Rise and Fall and Rise of Antibiotics and Human Weight Gain. (Abstract)

Historical Perspective on the Rise and Fall and Rise of Antibiotics and Human Weight Gain. In recent medical and popular literature, audiences have been asked to consider whether antibiotics have contributed to the rising obesity epidemic. Prominent magazines have stated that weight may be adversely affected by antibiotics that destroy existing microbiomes and replace them with less helpful ones. However, there is a long history of efforts to investigate the relationship between antibiotics

2017 Annals of Internal Medicine

98. Effectiveness of patient-centered interventions on falls in the acute care setting: a quantitative systematic review protocol. (Abstract)

Effectiveness of patient-centered interventions on falls in the acute care setting: a quantitative systematic review protocol. The quantitative objective of this review is to identify the effectiveness of patient-centered interventions on fall rates in adult patients in the acute care setting.

2017 JBI database of systematic reviews and implementation reports

99. Reducing falls in residential care

Reducing falls in residential care Reducing falls in residential care 1 Reducing falls in residential care Citation Garrubba M, Melder A, Joseph C. 2017. Reducing falls in residential care: Systematic Review. Centre for Clinical Effectiveness, Monash Innovation and Quality, Monash Health, Melbourne, Australia. Background The Deputy Director of Nursing / Operations – Residential Services, Kingston Centre and Satellites on behalf of a falls prevention task force have requested a review (...) of the literature focusing on the investigation of any falls prevention management strategies that could be implemented to assist Monash Health in reducing the rate of falls and falls with injury across the older aged population. Question 1. What is the effectiveness of interventions designed to reduce falls by older people in residential care settings? 2. What is the effectiveness of strategies to implement falls prevention programs/initiatives/interventions? Methods A systematic search of papers in English

2017 Monash Health Evidence Reviews

100. Accuracy of validated falls risk assessment tools and clinical judgement

Accuracy of validated falls risk assessment tools and clinical judgement Accuracy of validated falls risk assessment tools and clinical judgement Page 1 Accuracy of validated falls risk assessment tools and clinical judgement Citation Yap G. and Melder A. Accuracy of validated falls risk assessment tools and clinical judgement: Rapid Review. Centre for Clinical Effectiveness, Monash Innovation and Quality, Monash Health, Melbourne, Australia. Abstract Background The Executive Director (...) judgement. 2) To identify the best validated risk assessment tools (or alternative) that accurately assesses and predict falls in hospital inpatients. Methodology A search for synthesised evidence published in English from 2012 to present was conducted in Ovid MEDLINE® and CINAHL Plus (Table 5 and Table 6) and documents were screened according to inclusion criteria and exclusion criteria listed in Table 2. A brief assessment was made on the quality of the evidence included in the report based

2017 Monash Health Evidence Reviews