Latest & greatest articles for falls

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Top results for falls

141. Fall Risk Assessment Predicts Fall-Related Injury, Hip Fracture, and Head Injury in Older Adults (Full text)

Fall Risk Assessment Predicts Fall-Related Injury, Hip Fracture, and Head Injury in Older Adults To investigate the role of a fall risk assessment, using the Downton Fall Risk Index (DFRI), in predicting fall-related injury, fall-related head injury and hip fracture, and death, in a large cohort of older women and men residing in Sweden.Cross sectional observational study.Sweden.Older adults (mean age 82.4 ± 7.8) who had a fall risk assessment using the DFRI at baseline (N = 128,596 (...) ).Information on all fall-related injuries, all fall-related head injuries and hip fractures, and all-cause mortality was collected from the Swedish Patient Register and Cause of Death Register. The predictive role of DFRI was calculated using Poisson regression models with age, sex, height, weight, and comorbidities as covariates, taking time to outcome or end of study into account.During a median follow-up of 253 days (interquartile range 90-402 days) (>80,000 patient-years), 15,299 participants had

2016 EvidenceUpdates PubMed

142. Falls in the elderly: proven benefits of exercise

Falls in the elderly: proven benefits of exercise Prescrire IN ENGLISH - Spotlight ''Falls in the elderly: proven benefits of exercise'', 1 October 2016 {1} {1} {1} | | > > > Falls in the elderly: proven benefits of exercise Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight Falls in the elderly: proven benefits of exercise Following on from others (...) , a new trial has shown the benefits of exercise in preventing falls with trauma in elderly women. Preventing falls in the elderly relies chiefly on non-drug measures. The combination of vitamin D + calcium possibly reduces the risk of fractures. A comparative clinical trial carried out in Finland sought to evaluate the effectiveness of exercise and vitamin D supplements in preventing falls with trauma. For around two years this trial monitored more than 400 women aged between 70 and 80, living

2016 Prescrire

143. Effects of WiiActive exercises on fear of falling and functional outcomes in community-dwelling older adults: a randomised control trial (Full text)

Effects of WiiActive exercises on fear of falling and functional outcomes in community-dwelling older adults: a randomised control trial the study compares the effects of a Nintendo Wii exercise programme and a standard Gym-based exercise intervention on fear of falling, knee strength, physical function and falls rate in older adults.eighty community-dwelling adults aged 60 years and above with short physical performance battery score of 5-9 points and modified falls efficacy scale (MFES) score (...) of ≤9 points participated in the parallel-group randomised trial. Each intervention arm involved an hour of intervention per week, totalling 12 sessions over 12 weeks. Besides 1-year fall incidence, the participants were evaluated on MFES, knee extensor strength (KES), timed-up-and-go test, gait speed, 6-minute walk test and narrow corridor walk test at weeks 13 and 24.at week 13, between interventions, the effect of MFES changes did not reach statistical significance (difference = -0.07 point, 95

2016 EvidenceUpdates PubMed

144. The association between serum 25-hydroxyvitamin D level and recurrent falls in the elderly population: a cohort study (Full text)

The association between serum 25-hydroxyvitamin D level and recurrent falls in the elderly population: a cohort study Serum vitamin D concentration is a major contributing factor for increasing the risk of fall and fall-related injuries in older adults. However, when prescribed and supplemented for these populations, the outcomes are controversial, and in several cases no improvement has been reported in reducing the risk of recurrent falls. This study aimed to examine the association between (...) serum vitamin D concentration and recurrent falls in Iranian older adults.This cohort study was conducted in the emergency departments of two university hospitals. A cohort of 82 elderly participants aged over 60 and suffered from an unintentional episode of falling was evaluated six months after their first ED visit. A structured, self-administered checklist was developed to obtain the participants' demographic and clinical information. Participants also were asked about any recurrent fall

2016 Electronic physician PubMed

145. Interventions incorporating physical and cognitive elements to reduce falls risk in cognitively impaired older adults: a systematic review. (PubMed)

Interventions incorporating physical and cognitive elements to reduce falls risk in cognitively impaired older adults: a systematic review. Cognitive impairment is a risk factor for falls. Older adults with cognitive impairment (such as dementia) have an increased risk of falling compared with age-matched individuals without a cognitive impairment. To reduce falls in this population, interventions could theoretically target and train both physical and cognitive abilities. Combining (...) and addressing cognitive components in falls rehabilitation is a novel and emerging area of healthcare.The objective of this review was to identify the effectiveness of combined cognitive and physical interventions on the risk of falls in cognitively impaired older adults.Older persons who were 65 years or older and identified as having a cognitive impairment either through diagnosis or assessment of global cognition.Multifactorial or multiple interventions where physical and cognitive elements were combined

2016 JBI database of systematic reviews and implementation reports

146. Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial. (PubMed)

Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial. Age-associated motor and cognitive deficits increase the risk of falls, a major cause of morbidity and mortality. Because of the significant ramifications of falls, many interventions have been proposed, but few have aimed to prevent falls via an integrated approach targeting both motor and cognitive function. We aimed to test the hypothesis (...) that an intervention combining treadmill training with non-immersive virtual reality (VR) to target both cognitive aspects of safe ambulation and mobility would lead to fewer falls than would treadmill training alone.We carried out this randomised controlled trial at five clinical centres across five countries (Belgium, Israel, Italy, the Netherlands, and the UK). Adults aged 60-90 years with a high risk of falls based on a history of two or more falls in the 6 months before the study and with varied motor

2016 Lancet

147. QTUG for assessing falls risk and frailty

QTUG for assessing falls risk and frailty Q QTUG for assessing falls risk and fr TUG for assessing falls risk and frailty ailty Medtech innovation briefing Published: 26 July 2016 nice.org.uk/guidance/mib73 pathways Summary Summary The technology technology described in this briefing is the Quantitative Timed Up and Go (QTUG). It uses body-worn sensors and a mobile software app to assess mobility, falls risk and frailty. It is used during the standard Timed Up and Go (TUG) test. The inno (...) innovativ vative aspects e aspects are that QTUG uses proprietary algorithms to give an objective assessment of falls and frailty risk using average values for age and gender and statistical models. QTUG can be used by non-specialists and is wireless and portable. The intended place in ther place in therap apy y for QTUG would be as an alternative to the standard TUG test. QTUG is intended to be used to assess mobility, falls risk or frailty in people needing a mobility assessment, including older

2016 National Institute for Health and Clinical Excellence - Advice

148. Relationship Between Falls and Physical Activity in Healthy Seniors: A Focused Practice Question

Relationship Between Falls and Physical Activity in Healthy Seniors: A Focused Practice Question Relationship Between Falls And Physical Activity In Healthy Seniors A Focused Practice Question Aarti Soni, Research and Policy Analyst Sharon Williams, Supervisor Research, Policy and Planning Team Chronic Disease and Injury Prevention Region of Peel Public Health September 2015 2 Table of Contents 1. ISSUE 3 2. CONTEXT 3 3. LITERATURE REVIEW QUESTION 6 4. LITERATURE SEARCH 6 5. RELEVANCE (...) ASSESSMENT 7 6. RESULTS OF THE SEARCH 7 7. CRITICAL APPRAISAL 8 8. DESCRIPTION OF INCLUDED STUDIES 8 9. SUMMARY OF FINDINGS 9 10. RELEVANCE TO PRACTICE 11 REFERENCES 13 APPENDICES 14 APPENDIX A: Comparison of Falls-Related Data (Peel and Ontario) APPENDIX B: Search Strategy APPENDIX C: Relevance Table APPENDIX D: Data Extraction Tables 3 1. ISSUE This research review seeks to understand the relationship between physical activity and falls in healthy community-dwelling seniors, in order to contribute

2016 Peel Health Library

149. Obamacare's Skyrocketing Premiums? Why the Sky Isn't Falling. (PubMed)

Obamacare's Skyrocketing Premiums? Why the Sky Isn't Falling. 27468056 2016 08 09 2016 07 29 1533-4406 375 3 2016 Jul 21 The New England journal of medicine N. Engl. J. Med. Obamacare's Skyrocketing Premiums? Why the Sky Isn't Falling. 201-3 10.1056/NEJMp1605913 Sommers Benjamin D BD From the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston. eng Journal Article United States N Engl J Med 0255562 0028-4793 AIM IM Health Insurance Exchanges Income Tax

2016 NEJM

150. Neighbourhood social and built environment factors and falls in community-dwelling canadian older adults: A validation study and exploration of structural confounding (Full text)

Neighbourhood social and built environment factors and falls in community-dwelling canadian older adults: A validation study and exploration of structural confounding Older persons are vulnerable to the ill effects of their social and built environment due to age-related limitations in mobility and bio-psychological vulnerability. Falls are common in older adults and result from complex interactions between individual, social, and contextual determinants. We addressed two methodological issues (...) , socioeconomic status, and the built environment and stratified tabular analyses to explore structural confounding. The scales all demonstrated good psychometric and ecometric properties. There was an evidence of the existence of structural confounding in this sample of Canadian older adults as some combinations of strata for the three neighbourhood measures had no population. This limits causal inference in studying relationships between neighbourhood factors and falls and should be taken into account

2016 SSM - population health PubMed

151. Implementing exercise programs to prevent falls: systematic descriptive review (Full text)

Implementing exercise programs to prevent falls: systematic descriptive review The United States Preventive Services Task Force recommends exercise to prevent falls in community-dwelling adults aged ≥ 65 years at increased fall risk. However, little is known about how best to implement exercise programs in routine care when a patient's need for exercise is identified within the healthcare system.Using a qualitative approach, we reviewed the literature to determine how exercise programs (...) to prevent falls are implemented from the vantage point of a health care setting. We synthesized descriptive information about each program with data on program features and implementation difficulties and facilitators.We found that programs sponsored by primary care providers (PCPs) or specialists may help with recruitment into exercise programs. PCPs have the opportunity to identify people at risk and promote participation since most older adults regularly visit, and inquire about exercise from

2016 Injury epidemiology PubMed

152. Comparison of Frailty Phenotypes for Prediction of Mortality, Incident Falls, and Hip Fracture in Older Women (Full text)

Comparison of Frailty Phenotypes for Prediction of Mortality, Incident Falls, and Hip Fracture in Older Women To compare the ability of the commonly used Women's Health Initiative (WHI) and Cardiovascular Health Study (CHS) frailty phenotypes to predict falls, hip fracture, and death in WHI Clinical Trial participants aged 65 and older.Longitudinal cohort study.WHI Clinical Trial.Participants with data for WHI and CHS frailty phenotypes (N = 3,558).Frailty was operationally defined in the CHS (...) compared for models containing alternative instruments.Approximately 5% of participants were frail based on the CHS or WHI phenotype. The WHI frailty phenotype was associated with higher rates of falls (hazard ratio (HR) = 1.48, P = .003), hip fracture (HR = 1.87, P = .04), and death (HR = 2.32, P < .001). Comparable HRs in CHS-phenotype frail women were 1.32 (P = .04), 1.08 (P = .83), and 1.91 (P < .001), respectively. Harrell C-statistics revealed marked but insignificant differences in predicting

2016 EvidenceUpdates PubMed

153. Impact of falling on social participation and social support trajectories in a middle-aged and elderly European sample (Full text)

Impact of falling on social participation and social support trajectories in a middle-aged and elderly European sample Whereas falls are frequent and traumatic events for the elderly, their long-term consequences in terms of the social lives of older fallers are understudied. This study aimed to identify the impact of falling on the trajectories of social participation and social support of older people in Europe. Our sample consisted of 16,583 people aged 50-95 years from 10 European countries (...) who responded to the waves 1, 2 and 4 of the Survey of Health Ageing and Retirement in Europe. The impact of falling on the trajectories of social participation and social support was examined using generalised estimating equation (GEE) models. The effect of the interactions between falling and frailty and between falling and social support on social participation was assessed. Falls were negatively associated with social participation (OR=0.73, p<0.001) and positively associated with social

2016 SSM - population health PubMed

154. Prevalence of falls among community-dwelling elderly and its associated factors: A cross-sectional study in Perak, Malaysia (Full text)

Prevalence of falls among community-dwelling elderly and its associated factors: A cross-sectional study in Perak, Malaysia Fall is a major cause of injuries and can increase the risk of early mortality among elderly. The objective of this study was to determine the prevalence of falls among community-dwelling elderly in rural Malaysia and its associated factors.Data were obtained from a cross-sectional survey in five randomly selected districts in the state of Perak, Malaysia. A total of 250 (...) households were randomly selected. A total of 811 individuals aged 60 years or more were recruited and interviewed using a structured questionnaire. Information about socio-demographic, history of falls in the past 1 year, medical history, drug history and physical activity level were enquired.The prevalence of falls in the past 1 year among community-dwelling elderly was reported to be 4.07%. Indigenous elderly (Adjusted odd ratio, AOR = 6.06, 95% CI = 1.10-33.55, p = 0.039) and living alone (AOR = 2.60

2016 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia PubMed

155. Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines

Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Published on: January 22, 2016 Project Number: RA0826-000 Product Line: Research Type (...) : Devices and Systems Report Type: Reference List Result type: Report Question What is the effectiveness of risk assessment tools to assess risk of falling in ambulatory adults who may be at risk for falls in the community setting? What is the clinical effectiveness of strategies to prevent falls in ambulatory adults at risk of falls in the community setting? What are the evidence-based guidelines for preventing falls in ambulatory adults at risk of falls in the community setting? Key Message Eleven

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

156. Social support and older adult falls (Full text)

Social support and older adult falls Social support has been shown to be associated with various positive health outcomes among older adults but has not been previously examined in relation to falls, which are a serious health concern among older adults.This study (n = 1000) uses multivariable logistic regression to evaluate the relationship between social contact and perceived availability of social support and falls among older adults. When adjusting for demographic and other covariates (...) neither relationship was significant.This study does not find evidence to suggest that social support could be a prevention measure for falls. Future research on this topic should focus on careful definition and precise measurement of the social support construct.

2016 Injury epidemiology PubMed

157. Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines

Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Published on: January (...) 15, 2016 Project Number: RB0950-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the comparative effectiveness of fall prevention strategies, versus fall risk assessments alone or fall risk assessments and fall prevention strategies for adult patients? What is the cost-effectiveness of fall prevention strategies for adult patients? What are the evidence-based guidelines regarding the use of fall prevention strategies

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

158. Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag dolls. (PubMed)

Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag dolls. It is undisputed for more than 200 years that the use of a parachute prevents major trauma when falling from a great height. Nevertheless up to date no prospective randomised controlled trial has proven the superiority in preventing trauma when falling from a great height instead of a free fall. The aim of this prospective randomised controlled trial was to prove (...) the effectiveness of a parachute when falling from great height.In this prospective randomised-controlled trial a commercially acquirable rag doll was prepared for the purposes of the study design as in accordance to the Declaration of Helsinki, the participation of human beings in this trial was impossible. Twenty-five falls were performed with a parachute compatible to the height and weight of the doll. In the control group, another 25 falls were realised without a parachute. The main outcome measures were

2016 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

159. Falling Together - Empathetic Care for the Dying. (PubMed)

Falling Together - Empathetic Care for the Dying. 26759931 2016 02 24 2016 02 11 1533-4406 374 6 2016 Feb 11 The New England journal of medicine N. Engl. J. Med. Falling Together--Empathetic Care for the Dying. 587-90 10.1056/NEJMms1516444 Rosenbaum Lisa L eng Journal Article 2016 01 13 United States N Engl J Med 0255562 0028-4793 AIM IM Empathy Female Humans Male Physician-Patient Relations Physicians psychology Terminal Care psychology Terminally Ill psychology 2016 1 14 6 0 2016 1 14 6 0

2016 NEJM

160. [EPIDEMIOLOGY OF FALLS IN THE NON-INSTITUTIONALIZED SPANISH ELDERLY POPULATION, SYSTEMATIC REVIEW 2014]. (PubMed)

[EPIDEMIOLOGY OF FALLS IN THE NON-INSTITUTIONALIZED SPANISH ELDERLY POPULATION, SYSTEMATIC REVIEW 2014]. OBJECTIVE To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the consequences of the falls in the geriatric spanish population aged 65 years and over who lives institutionalized in our country.Systematic review of the epidemiological observational studies (...) in Spain, with recording of falls, with temporary retrospective and published as scientific articles between the years 2003 and 2014 included. The articles search took place in July 2014, with the limit of language and publication year, in the electronic databases PubMed, Dialnet, RedALyC, SciELO, Enfispo and Google Scholar.The percentage of people who suffered falls depending on the publication year. The frequency of falls recorded varied from 14.9 % to 66.2 %. The mean intake of daily drugs

2016 Revista de enfermería (Barcelona, Spain)