Latest & greatest articles for falls

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Top results for falls

181. Falls in Older Adults?Risk Factors and Strategies for Prevention

Falls in Older Adults?Risk Factors and Strategies for Prevention Falls in Older Adults—Risk Factors and Strategies for Prevention – Clinical Correlations Search Falls in Older Adults—Risk Factors and Strategies for Prevention October 15, 2014 10 min read By Joseph Plaksin Peer Reviewed Falls are a major health problem for older adults. Various reviews and meta-analyses have estimated that 30% of people over age 65 [4,6,8,10,11,13,14,19,21,22,23] and 50% of people over age 85 [14] who live (...) in the community will fall at least once. The prevalence of falls is even higher in long-term care facilities, occurring in more than 50% of people over age 65 [3,10,23]. Fall-related injuries occur in 10-40% of falls and can range from minor bruises or lacerations to wrist or hip fractures [3,6,10,11,14,22,23]. Falls are the main risk factor for fractures and are even more important than decreased bone mineral density or osteoporosis, as indicated by the fact that 80% of low trauma fractures occur in people

2014 Clinical Correlations

182. Stratification of risk for hospital admissions for injury related to fall: cohort study. (Full text)

Stratification of risk for hospital admissions for injury related to fall: cohort study. To determine whether the ability to stratify an individual patient's hazard for falling could facilitate development of focused interventions aimed at reducing these adverse outcomes.Clinical and sociodemographic data from electronic health records were utilized to derive multiple logistic regression models of hospital readmissions for injuries related to falls. Drugs used at admission were summarized based (...) (2.6%) were evaluated in the emergency department or admitted to hospital for a fall within 30 days of discharge, 1635 (6.3%) within 180 days of discharge, 2360 (9.1%) within one year, and 3465 (13.4%) within two years. Older age, female sex, white or African-American race, public insurance, greater number of drugs taken on discharge, and score for burden of adverse effects were each independently associated with hazard for fall. For drug burden, presence of a drug with a frequency of adverse

2014 BMJ PubMed

183. Home modifications to reduce injuries from falls in the Home Injury Prevention Intervention (HIPI) study: a cluster-randomised controlled trial. (PubMed)

Home modifications to reduce injuries from falls in the Home Injury Prevention Intervention (HIPI) study: a cluster-randomised controlled trial. Despite the considerable injury burden attributable to falls at home among the general population, few effective safety interventions have been identified. We tested the safety benefits of home modifications, including handrails for outside steps and internal stairs, grab rails for bathrooms, outside lighting, edging for outside steps, and slip (...) modifications (control group). Household members in the treatment group could not be masked to their assigned status because modifications were made to their homes. The primary outcome was the rate of falls at home per person per year that needed medical treatment, which we derived from administrative data for insurance claims. Coders who were unaware of the random allocation analysed text descriptions of injuries and coded injuries as all falls and injuries most likely to be affected by the home

2014 Lancet

184. Task-specific balance training improves self-assessed function in community-dwelling older adults with balance deficits and fear of falling: a randomized controlled trial (Full text)

Task-specific balance training improves self-assessed function in community-dwelling older adults with balance deficits and fear of falling: a randomized controlled trial To evaluate the effects of a 12-week balance training programme on self-assessed function and disability in healthy community-dwelling older adults with self-perceived balance deficits and fear of falling.A prospective, randomized controlled trial.Stockholm County, Sweden.A total of 59 community-dwelling older adults (42 women (...) extremity function (p = 0.025) compared with the control group. The study showed no improvement in overall disability or upper extremity function.This group balance training programme improves self-assessed function in community-dwelling older adults with balance deficits and fear of falling.© The Author(s) 2014.

2014 EvidenceUpdates PubMed

185. The Stroke Assessment of Fall Risk (SAFR): predictive validity in inpatient stroke rehabilitation (Full text)

The Stroke Assessment of Fall Risk (SAFR): predictive validity in inpatient stroke rehabilitation To evaluate relative accuracy of a newly developed Stroke Assessment of Fall Risk (SAFR) for classifying fallers and non-fallers, compared with a health system fall risk screening tool, the Fall Harm Risk Screen.Prospective quality improvement study conducted at an inpatient stroke rehabilitation unit at a large urban university hospital.Patients admitted for inpatient stroke rehabilitation (N (...) = 419) with imaging or clinical evidence of ischemic or hemorrhagic stroke, between 1 August 2009 and 31 July 2010.Not applicable.Sensitivity, specificity, and area under the curve for Receiver Operating Characteristic Curves of both scales' classifications, based on fall risk score completed upon admission to inpatient stroke rehabilitation.A total of 68 (16%) participants fell at least once. The SAFR was significantly more accurate than the Fall Harm Risk Screen (p < 0.001), with area under

2014 EvidenceUpdates PubMed

186. Fall prevention strategies for adults in outpatient programs: clinical evidence and guidelines

Fall prevention strategies for adults in outpatient programs: clinical evidence and guidelines Fall prevention strategies for adults in outpatient programs: clinical evidence and guidelines Fall prevention strategies for adults in outpatient programs: 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 strategies for adults in outpatient programs: clinical evidence and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary of Abstracts. 2014 Authors' conclusions Three non-randomized studies were identified regarding fall prevention strategies for adults in outpatient programs. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Accident Prevention; Accidental Fallss; Outpatients Language Published

2014 Health Technology Assessment (HTA) Database.

187. Fall risk assessment in adult patients: comparative evidence and guidelines

Fall risk assessment in adult patients: comparative evidence and guidelines Fall risk assessment in adult patients: comparative evidence and guidelines Fall risk assessment in adult patients: comparative 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 risk assessment in adult patients: comparative (...) evidence and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Reference List. 2014 Authors' conclusions Six systematic reviews or meta-analyses, 15 non-randomized studies, and five evidence-based guidelines were identified regarding fall risk assessment scales for use in adult patients in acute inpatient care, long-term care, or community settings. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Accidental Fallss; Risk

2014 Health Technology Assessment (HTA) Database.

188. Oral nutrition intake for the prevention of falls in older adults: clinical effectiveness and guidelines

Oral nutrition intake for the prevention of falls in older adults: clinical effectiveness and guidelines Oral nutrition intake for the prevention of falls in older adults: clinical effectiveness and guidelines Oral nutrition intake for the prevention of falls in older adults: clinical effectiveness 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. Oral nutrition intake for the prevention of falls in older adults: clinical effectiveness and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Reference List. 2014 Authors' conclusions One health technology assessment, 12 systematic reviews, seven randomized controlled trials, 15 non-randomized studies and seven guidelines were identified regarding oral nutrition intake for the prevention of falls in older adults

2014 Health Technology Assessment (HTA) Database.

189. Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults (Full text)

Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults a fall occurs when an individual experiences a loss of balance from which they are unable to recover. Assessment of balance recovery ability in older adults may therefore help to identify individuals at risk of falls. The purpose of this 12-month prospective study was to assess whether the ability to recover from a forward loss of balance with a single step across a range (...) of lean magnitudes was predictive of falls.two hundred and one community-dwelling older adults, aged 65-90 years, underwent baseline testing of sensori-motor function and balance recovery ability followed by 12-month prospective falls evaluation. Balance recovery ability was defined by whether participants required either single or multiple steps to recover from forward loss of balance from three lean magnitudes, as well as the maximum lean magnitude participants could recover from with a single

2014 EvidenceUpdates PubMed

190. Fall Prevention Strategies for Adults in Outpatient Programs

Fall Prevention Strategies for Adults in Outpatient Programs TITLE: Fall Prevention Strategies for Adults in Outpatient Programs: Clinical Evidence and Guidelines DATE: 5 May 2014 RESEARCH QUESTIONS 1. What is the clinical evidence regarding fall prevention strategies for adults in outpatient programs? 2. What are the evidence-based guidelines regarding fall prevention strategies for adults in outpatient programs? KEY MESSAGE Three non-randomized studies were identified regarding fall (...) -randomized studies were identified regarding fall prevention strategies for adults in outpatient programs. No relevant health technology assessments, systematic reviews, meta- analyses, randomized controlled trials, or evidence-based guidelines were identified. Additional references of potential interest are provided in the appendix. OVERALL SUMMARY OF FINDINGS Two non-randomized studies were identified examining the use of Tai Chi for fall prevention in patients with type 2 diabetes 1 and chronic stroke

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

191. Hip protectors: can they help break your fall and not your hip?

Hip protectors: can they help break your fall and not your hip? Hip protectors: can they help break your fall and not your hip? - Evidently Cochrane Search and hit Go By April 17, 2014 // My Mum is a faller and always has been. One of my earliest memories is of walking with her when she suddenly sprawled onto the pavement. I was horrified, but the only injuries were to her tights, her dignity and my belief that she was invulnerable. Years later, a fall headlong into deep sand on a lovely Tuscan (...) beach left her unable to get up until a bemused holidaymaker, gazing after our retreating backs as we trooped ahead with our beach paraphernalia, came to her rescue. The first we knew of it was when she caught us up, covered in sand and helpless with laughter. Her most recent fall, in her mid-seventies, resulted in a broken hip. How about wearing hip protectors? Copyright: www.agingcare.com With falls more likely and the chance of injury higher, would it be a smart move for my Mum, and other older

2014 Evidently Cochrane

192. Oral Nutrition Intake for the Prevention of Falls in Older Adults

Oral Nutrition Intake for the Prevention of Falls in Older Adults Title: Oral Nutrition Intake for the Prevention of Falls in Older Adults: Clinical Effectiveness and Guidelines DATE: 31 March 2014 RESEARCH QUESTION 1. What is the clinical effectiveness of oral nutritional intake (Vitamins D or B12, protein, or hydration) for the prevention of falls in adults over 65 years of age? 2. What is the clinical evidence regarding the association between malnutrition and falls in adults over 65 years (...) of age? 3. What are the evidence-based guidelines regarding the use of oral nutritional intake (Vitamins D or B12, protein, or hydration), or management of malnutrition for the prevention of falls in adults over 65 years of age? KEY MESSAGE One health technology assessment, 12 systematic reviews, seven randomized controlled trials, 15 non-randomized studies and seven guidelines were identified regarding oral nutrition intake for the prevention of falls in older adults. METHODS A limited literature

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

193. Fall Risk Assessment in Adult Patients

Fall Risk Assessment in Adult Patients TITLE: Fall Risk Assessment in Adult Patients: Comparative Evidence and Guidelines DATE: 27 February 2014 RESEARCH QUESTIONS 1. What is the comparative effectiveness of validated fall risk assessment scales for use in adult patients in acute care, inpatient settings? 2. What is the comparative effectiveness of validated fall risk assessment scales for use in adult patients in long-term care settings? 3. What is the comparative effectiveness of validated (...) fall risk assessment scales for use in adult patients in community care settings? 4. What are the evidence-based guidelines regarding the use of validated fall risk assessment scales for the use in adult patients in acute care, inpatient, long-term care, and community settings? KEY MESSAGE Six systematic reviews or meta-analyses, 15 non-randomized studies, and five evidence-based guidelines were identified regarding fall risk assessment scales for use in adult patients in acute inpatient care, long

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

194. Circumstances and outcomes of falls among high risk community-dwelling older adults. (Full text)

Circumstances and outcomes of falls among high risk community-dwelling older adults. For older adults, falls threaten their health, independence, and quality of life. Knowing the circumstances surrounding falls is essential for understanding how behavioral and environmental factors interact in fall events. It is also important for developing and implementing interventions that are effective and acceptable to older adults. This study investigated the circumstances and injury outcomes of falls (...) among community-dwelling older adults at high risk for falls.In this secondary analysis, we examined the circumstances and outcomes of falls experienced by 328 participants in the Dane County (Wisconsin) Safety Assessment for Elders (SAFE) Research Study. SAFE was a randomized controlled trial of a community-based multifactorial falls intervention for older adults at high risk for falls, conducted from October 2002 to December 2007. Participants were community-dwelling adults aged ≥65 years who

2014 Injury epidemiology PubMed

195. Exercises for falls prevention

Exercises for falls prevention RACGP - Exercises for falls prevention Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship Fellowship International graduates (...) Media Releases 2013 Media Releases 2012 Media Releases Search Exercises for falls prevention Exercises for falls prevention Introduction About 30% of people in the community over age 65 years fall annually, and this increases with age and around 10% of falls in those over age 65 years result in a fracture. Intervention Multiple-component exercise programs with a focus on balance retraining and muscle strengthening. Indication Adults over age 60 years living in the community who are at risk of falls

2014 Handbook of Non-Drug interventions (HANDI)

196. Falls - risk assessment

Falls - risk assessment Falls - risk assessment - NICE CKS Clinical Knowledge Summaries Share Falls - risk assessment: Summary A fall is defined as an unintentional/unexpected loss of balance resulting in coming to rest on the floor, the ground, or an object below knee level. For the purpose of this CKS topic: A simple fall is defined as one occurring as a result of a chronic impairment of cognition, vision, balance, or mobility. A simple fall is distinguished from a collapse which occurs (...) as a result of an acute medical problem such as an acute arrhythmia, transient ischaemic attack, or vertigo. Falls are common in older people and can result in considerable morbidity. The risk of falling is multifactorial, and prevention is usually based on assessing multiple risk factors. Fractures are a common complication of falls. About 5% of falls in older people who live in the community result in a fracture or hospitalization. Between 10% and 25% of falls in nursing homes and hospitals result

2014 NICE Clinical Knowledge Summaries

197. ED Prevention of Geriatric Falls

ED Prevention of Geriatric Falls Emergency Medicine > Journal Club > Archive > November 2014 Toggle navigation November 2014 ED Prevention of Geriatric Falls Vignette Mrs. C., an 86-year old female, presents to your academic emergency department (ED) via ambulance after an accidental fall at home. She is a recent widower and lives alone, but she reports that she has two adult “children” that live nearby and check on her every day either in-person or by telephone. About 12-hours prior to ED (...) presentation today she was walking to the bathroom from her bedroom when she tripped over something and fell onto her left side. She notes left wrist and left hip pain, but denies loss of consciousness, headache, chest pain, dyspnea, abdominal pain, or focal weakness. She was unable to lift herself off the floor last night and was found by one of her grandchildren in the morning. EMS reports a well-kept home without any obvious cause for her fall. Her vitals are BP 160/85, P 60, RR 16, T 37.4°C, and her

2014 Washington University Emergency Medicine Journal Club

198. Fall Prevention for Seniors in Institutional Healthcare Settings

Fall Prevention for Seniors in Institutional Healthcare Settings Fall Prevention for Seniors in Institutional Healthcare Settings | Newfoundland & Labrador Centre for Applied Health Research | Memorial University of Newfoundland Search: Search Jump to Log in Login Fall Prevention for Seniors in Institutional Healthcare Settings The Research Question: “What interventions are most effective in preventing falls and fall-related fractures among older adults in institutional healthcare settings (...) ?” Background In the fall of 2012, Newfoundland and Labrador’s Department of Health and Community Services (DHCS) and its four Regional Health Authorities (RHAs) formally asked the Contextualized Health Research Synthesis Program (CHRSP) to identify and evaluate the best available research-based evidence on fall prevention for older adults in institutional healthcare settings, such as hospitals and residential care facilities. Though this research topic was initially suggested by authorities at Western

2014 Newfoundland and Labrador Centre for Health Information

199. Systematic review and meta-analysis: Exercise-based fall prevention programmes decrease fall-related injuries

Systematic review and meta-analysis: Exercise-based fall prevention programmes decrease fall-related injuries Exercise-based fall prevention programmes decrease fall-related injuries | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Exercise-based fall prevention programmes decrease fall-related injuries Article Text Care of the older person Systematic review and meta-analysis Exercise-based fall prevention programmes decrease fall-related

2014 Evidence-Based Nursing

200. Belsomra (suvorexant) - To treat difficulty in falling and staying asleep (insomnia)

Belsomra (suvorexant) - To treat difficulty in falling and staying asleep (insomnia) Drug Approval Package: Brand Name (Generic Name) NDA # Drug Approval Package U.S. Food & Drug Administration Search FDA Drug Approval Package - Belsomra (suvorexant, MK-4305) Oral Tablets Company: Merck & Co., Inc. Application No.: 204569 Approval Date: 8/13/2014 Persons with disabilities having problems accessing the PDF files below may call (301) 796-3634 for assistance. (PDF) (PDF) (PDF) (PDF) (PDF) (PDF

2014 FDA - Drug Approval Package