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
Interventions to Prevent Falls in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Falls are the most common cause of injury-related morbidity and mortality among older adults.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.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.Randomized clinical trials of interventions to prevent falls in community-dwelling adults 65 years and older.Independent critical appraisal and data abstraction by 2 reviewers. Random-effects meta-analyses using the method of DerSimonian and Laird.Number of falls (number of unexpected events in which a person comes to rest
Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement. 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.To update the 2012 US (...) Preventive Services Task Force (USPSTF) recommendation on the prevention of falls in community-dwelling older adults.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.The USPSTF found adequate evidence that exercise interventions have a moderate benefit in preventing falls in older
Intracranial Bleeding in Seniors Who Fall Intracranial Bleeding in Seniors Who Fall - CanadiEM Intracranial Bleeding in Seniors Who Fall In , by Kerstin de Wit April 13, 2018 Intracranial bleeding in seniors who fall – a growing problem with no research evidence. The Falls Consortium researchers would like to capture the variation in approach to emergency department senior patients who present after a fall. Please take 5 minutes to complete our . Clinical Case: This morning, I reviewed Mr (...) . Barker in the emergency department. He had a fall at home. He thinks he fell last night, and his daughter found him on the floor of his bedroom this morning. He can’t tell me much about why he fell, but he remembers not being able to get himself up off the floor. He was incontinent of urine overnight. Currently, he is disoriented and has a bruise on the left temple. He looks frail, with a few bruises on his arms and legs. He is under-weight and his clothes are dirty. Mr. Barker has type 2 diabetes
Pediatric falls ages 0â€“4: understanding demographics, mechanisms, and injury severities 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 categories of demographic variables, injury mechanisms, and emergency department (ED) disposition using Kruskal-Wallis ANOVA and the Mann Whitney U test. The relationships between demographic variables
Characterization of children hospitalized with traumatic brain injuries after building falls 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), an administrative database from pediatric hospitals. We identified children < 15 years old, hospitalized between 2009 and 2014, with an associated TBI-related diagnosis due to a fall as determined
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 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
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 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
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
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
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
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
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