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 jon.brassey@tripdatabase.com

Top results for falls

201. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons Full Text available with Trip Pro

Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons The following article is a summary of the American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons (2010). This article provides additional discussion of the guideline process and the differences between the current guideline and the 2001 version and includes the guidelines

2011 EvidenceUpdates

202. Environmental assessment and modification to prevent falls in older people (Abstract)

Environmental assessment and modification to prevent falls in older people To assess the effectiveness of an environmental falls prevention intervention delivered by qualified occupational therapists or unqualified trained assessors.A pilot three-armed randomized controlled trial.Airedale National Health Service Trust catchment, North and West Yorkshire, England.Two hundred thirty-eight community-dwelling adults aged 70 and older with a history of falls in the previous year.Assessment (...) and modification of the home environment of people at greater risk of falls.Fear of falling was the primary outcome measure, and an analysis of covariance was conducted on the area under the curve at 12 months. As a secondary outcome, falls were analysed using negative binomial regression. Quality of life and independence in activities of daily living (ADLs) were also measured.The intervention had no effect on fear of falling (P=.63). The occupational therapy group had significantly fewer falls than controls

2011 EvidenceUpdates Controlled trial quality: predicted high

203. A randomized controlled trial of a multifactorial falls prevention intervention for older fallers presenting to emergency departments Full Text available with Trip Pro

A randomized controlled trial of a multifactorial falls prevention intervention for older fallers presenting to emergency departments To investigate the effect of a referral-based targeted multifactorial falls prevention intervention on the occurrence of recurrent falls and injuries in older people presenting to an emergency department (ED) after a fall and discharged directly home from the ED.Randomized controlled trial. Assessors of outcomes were unaware of group allocation.Seven EDs (...) in metropolitan Melbourne, Australia.Inclusion criteria were community dwelling, aged 60 and older, presenting to an ED after a fall, and discharged directly home. Exclusion criteria were unable to follow simple instructions or walk independently.Targeted referrals to existing community services and health promotion recommendations, based on the falls risk factors found in a baseline assessment.Primary outcome measures were falls and resultant injuries occurring over the 12-month follow-up period. Falls

2011 EvidenceUpdates Controlled trial quality: predicted high

204. The effect of vitamin D on falls: a systematic review and meta-analysis

The effect of vitamin D on falls: a systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2011 DARE.

205. Randomised controlled trial: A music-based multitask exercise programme is a promising intervention for improving gait, balance and fall risk in older adults

Randomised controlled trial: A music-based multitask exercise programme is a promising intervention for improving gait, balance and fall risk in older adults A music-based multitask exercise programme is a promising intervention for improving gait, balance and fall risk in older adults | 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 A music-based multitask exercise programme is a promising intervention for improving gait, balance and fall

2011 Evidence-Based Nursing

206. Preventing falls and harm from falls in older people

Preventing falls and harm from falls in older people Obsolete Falls - Prevention of Falls and Harm from Falls among Older People: 2011-2015 Summary Prevention of Falls and Harm from Falls among Older People: 2011-2015 describes actions that NSW Health will undertake to support the prevention of falls and fall-related harm among older people. Actions will take place in three key domains: health promotion, NSW Health clinical services and NSW Health residential aged care services (multi-purpose (...) services and State Government Residential Aged Care Facilities). The Policy aims to reduce the incidence and severity of falls among older people and reduce the social, psychological and economic impact of falls on individuals, families and the community. NOTE: This Policy also applies to Local Health Networks until Local Health Districts commence on 1 July 2011. Document type Policy Directive Document number PD2011_029 Publication date 30 May 2011 Author branch Centre for Population Health Branch

2011 Clinical Practice Guidelines Portal

207. The Whitehorse NoFalls trial: effects on fall rates and injurious fall rates Full Text available with Trip Pro

The Whitehorse NoFalls trial: effects on fall rates and injurious fall rates the burden of falls and fall-related injuries among older adults is well established. Contention surrounds the effectiveness, and hence value, of multi-component fall prevention interventions delivered in the community.using consensus-based analytic guidelines rather than time-to-first fall as the primary endpoint, the objective was to examine the effectiveness of the Whitehorse NoFalls trial on all falls, falls (...) resulting in injury and falls requiring medical care to be sought.the study was a community-based randomised controlled trial, with 1,090 participants assigned to one of eight groups, these being a combination of one or more of exercise, vision and or home hazard reduction or alternatively assignment to the control group.using negative binomial regression, the incidence of all falls, falls resulting in injury and those requiring medical care in the intervention groups were examined. Falls were reported

2011 EvidenceUpdates Controlled trial quality: uncertain

208. A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls Full Text available with Trip Pro

A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls to determine the clinical effectiveness of a day hospital-delivered multifactorial falls prevention programme, for community-dwelling older people at high risk of future falls identified through a screening process.multicentre randomised controlled trial.eight general practices and three day hospitals based in the East (...) Midlands, UK.three hundred and sixty-four participants, mean age 79 years, with a median of three falls risk factors per person at baseline.a day hospital-delivered multifactorial falls prevention programme, consisting of strength and balance training, a medical review and a home hazards assessment.rate of falls over 12 months of follow-up, recorded using self-completed monthly diaries.one hundred and seventy-two participants in each arm contributed to the primary outcome analysis. The overall falls

2011 EvidenceUpdates Controlled trial quality: predicted high

209. Fall and balance outcomes after an intervention to promote leg strength, balance, and walking in people with diabetic peripheral neuropathy: ``feet first`` randomized controlled trial Full Text available with Trip Pro

Fall and balance outcomes after an intervention to promote leg strength, balance, and walking in people with diabetic peripheral neuropathy: ``feet first`` randomized controlled trial Weight-bearing exercise has been discouraged for people with diabetes mellitus and peripheral neuropathy (DM+PN). However, people with diabetes mellitus and insensate feet have an increased risk of falling. Lower-extremity exercise and balance training reduce fall risk in some older adults. It is unknown whether (...) those with neuropathy experience similar benefits.As part of a study of the effects of weight-bearing exercise on foot ulceration in people with DM+PN, the effects of a lower-extremity exercise and walking intervention on balance, lower-extremity strength (force-generating capacity), and fall incidence were determined. Design The study was an observer-masked, 12-month randomized controlled trial.Part 1 of the intervention took place in physical therapy offices, and part 2 took place

2011 EvidenceUpdates Controlled trial quality: uncertain

210. Cost-effectiveness of a day hospital falls prevention programme for screened community-dwelling older people at high risk of falls Full Text available with Trip Pro

Cost-effectiveness of a day hospital falls prevention programme for screened community-dwelling older people at high risk of falls multifactorial falls prevention programmes for older people have been proved to reduce falls. However, evidence of their cost-effectiveness is mixed.economic evaluation alongside pragmatic randomised controlled trial.randomised trial of 364 people aged ≥70, living in the community, recruited via GP and identified as high risk of falling. Both arms received a falls (...) prevention information leaflet. The intervention arm were also offered a (day hospital) multidisciplinary falls prevention programme, including physiotherapy, occupational therapy, nurse, medical review and referral to other specialists.self-reported falls, as collected in 12 monthly diaries. Levels of health resource use associated with the falls prevention programme, screening (both attributed to intervention arm only) and other health-care contacts were monitored. Mean NHS costs and falls per person

2011 EvidenceUpdates Controlled trial quality: uncertain

211. Systematic review with meta-analysis: The Otago strength and balance exercise programme lowers the risk of death and falls in the older people at 12 months

Systematic review with meta-analysis: The Otago strength and balance exercise programme lowers the risk of death and falls in the older people at 12 months The Otago strength and balance exercise programme lowers the risk of death and falls in the older people at 12 months | 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 The Otago strength and balance exercise programme lowers the risk of death and falls in the older people at 12 months

2011 Evidence-Based Nursing

212. Cross-sectional study: Mental status deficits are identified in 34% of patients who fall while in hospital

Cross-sectional study: Mental status deficits are identified in 34% of patients who fall while in hospital Mental status deficits are identified in 34% of patients who fall while in hospital | 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 Mental status deficits are identified in 34% of patients who fall while in hospital Article Text Adult nursing Cross-sectional study Mental status deficits are identified in 34% of patients who fall

2011 Evidence-Based Nursing

213. Exercise and Sports Science Australia position statement on exercise and falls prevention in older people

Exercise and Sports Science Australia position statement on exercise and falls prevention in older people Please cite this article in press as: Tiedemann A, et al. Exercise and Sports Science Australia Position Statement on exercise and falls prevention in older people. J Sci Med Sport (2011), doi:10.1016/j.jsams.2011.04.001 ARTICLE IN PRESS JSAMS-601; No. of Pages 7 Available online at www.sciencedirect.com Journal of Science and Medicine in Sport xxx (2011) xxx–xxx Position statement Exercise (...) and Sports Science Australia Position Statement on exercise and falls prevention in older people Anne Tiedemann a,b,* , Catherine Sherrington a,b , Jacqueline C.T. Close b,c , Stephen R. Lord b a Musculoskeletal Division, The George Institute for Global Health, University of Sydney, Australia b Falls and Balance Research Group, Neuroscience Research Australia, University of New South Wales, Australia c Prince of Wales Hospital Clinical School, University of New South Wales, Australia Received 16 December

2011 Clinical Practice Guidelines Portal

214. Systematic review: Vitamin D reduces the risk of falls in older adults compared with calcium or placebo

Systematic review: Vitamin D reduces the risk of falls in older adults compared with calcium or placebo Vitamin D reduces the risk of falls in older adults compared with calcium or placebo | 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 Vitamin D reduces the risk of falls in older adults compared with calcium or placebo Article Text Care of the older person Systematic review Vitamin D reduces the risk of falls in older adults compared with calcium

2011 Evidence-Based Nursing

215. Effectiveness and implementation aspects of interventions for preventing falls in elderly people in long-term care facilities: a systematic review of RCTs

Effectiveness and implementation aspects of interventions for preventing falls in elderly people in long-term care facilities: a systematic review of RCTs Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2011 DARE.

216. Effectiveness of a multifaceted podiatry intervention to prevent falls in community dwelling older people with disabling foot pain: randomised controlled trial. Full Text available with Trip Pro

Effectiveness of a multifaceted podiatry intervention to prevent falls in community dwelling older people with disabling foot pain: randomised controlled trial. To determine the effectiveness of a multifaceted podiatry intervention in preventing falls in community dwelling older people with disabling foot pain.Parallel group randomised controlled trial.University health sciences clinic in Melbourne, Australia.305 community dwelling men and women (mean age 74 (SD 6) years) with disabling foot (...) pain and an increased risk of falling. 153 were allocated to a multifaceted podiatry intervention and 152 to routine podiatry care, with 12 months' follow-up.Multifaceted podiatry intervention consisting of foot orthoses, advice on footwear, subsidy for footwear ($A100 voucher; £65; €74), a home based programme of foot and ankle exercises, a falls prevention education booklet, and routine podiatry care for 12 months. The control group received routine podiatry care for 12 months.Proportion

2011 BMJ Controlled trial quality: predicted high

217. Effects of a central cholinesterase inhibitor on reducing falls in Parkinson disease Full Text available with Trip Pro

Effects of a central cholinesterase inhibitor on reducing falls in Parkinson disease To investigate if a central cholinesterase inhibitor will reduce falling frequency in subjects with Parkinson disease (PD) with advanced postural instability.Falling due to postural instability is a significant problem in advancing PD, and is minimally impacted by dopaminergic therapy. Anticholinergic medications increase falling in the elderly. Further, CNS cholinergic neuron loss occurs in PD. We hypothesized (...) that acetylcholine augmentation may reduce frequent falling in subjects with PD.We enrolled 23 subjects with PD who reported falling or nearly falling more than 2 times per week. In a randomized, placebo-controlled, crossover design, subjects were given 6 weeks of donepezil or placebo with a 3-week washout between phases. The primary outcomes were daily falls and near falls reported on postcards. Secondary outcomes included scores on the Activities of Balance Confidence Scale, Berg Balance Scale, Clinical Global

2010 EvidenceUpdates Controlled trial quality: uncertain

218. Predictors of future falls in Parkinson disease Full Text available with Trip Pro

Predictors of future falls in Parkinson disease Falls are a major health and injury problem for people with Parkinson disease (PD). Despite the severe consequences of falls, a major unresolved issue is the identification of factors that predict the risk of falls in individual patients with PD. The primary aim of this study was to prospectively determine an optimal combination of functional and disease-specific tests to predict falls in individuals with PD.A total of 101 people with early-stage (...) PD undertook a battery of neurologic and functional tests in their optimally medicated state. The tests included Tinetti, Berg, Timed Up and Go, Functional Reach, and the Physiological Profile Assessment of Falls Risk; the latter assessment includes physiologic tests of visual function, proprioception, strength, cutaneous sensitivity, reaction time, and postural sway. Falls were recorded prospectively over 6 months.Forty-eight percent of participants reported a fall and 24% more than 1 fall

2010 EvidenceUpdates

219. Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study. Full Text available with Trip Pro

Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study. To gain an understanding of elderly people's fear of falling by exploring the prevalence and determinants of perceived and physiological fall risk and to understand the role of disparities in perceived and physiological risk in the cause of falls.Prospective cohort study.Community sample drawn from eastern Sydney, Australia.500 men and women aged 70-90 years.Baseline assessment (...) of medical, physiological, and neuropsychological measures, with physiological fall risk estimated with the physiological profile assessment, and perceived fall risk estimated with the falls efficacy scale international. Participants were followed up monthly for falls over one year.Multivariate logistic regression analyses showed that perceived and physiological fall risk were both independent predictors of future falls. Classification tree analysis was used to split the sample into four groups (vigorous

2010 BMJ

220. Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls (Abstract)

Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls To compare the adherence to and effectiveness of Tai Chi exercise program through a live, interactive, telecommunication-based exercise (Tele-ex) with that of a similar program through a community center-based exercise (Comm-ex) and a home video-based exercise (Home-ex) among community-dwelling elders who are at risk for falls.Three groups randomized (...) controlled trial with pretests and posttests.Exercise programs were community-based, and the outcome measures were laboratory-based.Adults (N=64) age 65+ years with positive fall history in the previous year and/or significant fear of falling.A 24-form, Yang-style Tai Chi for 15 weeks, 3 hours a week.Exercise compliance, number of falls, fear of falling (Activities-specific Balance Confidence [ABC] score), self-perceived health (Medical Outcomes Study 36-Item Short Form Health Survey [SF-36]), Timed Up

2010 EvidenceUpdates Controlled trial quality: uncertain