Latest & greatest articles for falls

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Top results for falls

221. Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial Full Text available with Trip Pro

Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial Falls occur frequently in older people and strongly affect quality of life. Guidelines recommend multifactorial, targeted fall prevention. We evaluated the effectiveness of a multifactorial intervention in older persons with a high risk of recurrent falls.A randomized controlled trial was conducted from April 3, 2005, to July 21, 2008, at the geriatric outpatient clinic (...) of a university hospital and regional general practices in the Netherlands. Of 2015 persons identified, 217 persons aged 65 years or older were selected to participate. They had a high risk of recurrent falls and no cognitive impairment and had visited the emergency department or their family physician after a fall. The geriatric assessment and intervention were aimed at reduction of fall risk factors. Primary outcome measures were time to first and second falls after randomization. Secondary outcome measures

2010 EvidenceUpdates Controlled trial quality: predicted high

222. Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients Full Text available with Trip Pro

Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatientsCommentary | 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 Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation

2010 Evidence-Based Nursing

223. Review: exercise programmes prevent falls in elderly people

Review: exercise programmes prevent falls in elderly people Review: exercise programmes prevent falls in elderly peopleCommentary | 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 Review: exercise programmes prevent falls in elderly peopleCommentary Article Text Treatment Review: exercise programmes prevent falls in elderly people Commentary Statistics from Altmetric.com QUESTIONS Do exercise programmes prevent falls in elderly people? What

2010 Evidence-Based Nursing

224. Fall prevention guidelines. In: Promoting active living (PAL): best practice guidelines for fall prevention in assisted living.

Fall prevention guidelines. In: Promoting active living (PAL): best practice guidelines for fall prevention in assisted living. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You

2010 British Columbia Injury Research and Prevention Unit & Fraser Health Authority

225. Pragmatic, cluster randomized trial of a policy to introduce low-low beds to hospital wards for the prevention of falls and fall injuries (Abstract)

Pragmatic, cluster randomized trial of a policy to introduce low-low beds to hospital wards for the prevention of falls and fall injuries To evaluate the efficacy of a policy to introduce low-low beds for the prevention of falls and fall injuries on wards that had not previously accessed low-low beds.This was a pragmatic, matched, cluster randomized trial with wards paired according to rate of falls. Intervention and control wards were observed for a 6-month period after implementation (...) of the low-low beds on the intervention wards. Data from a 6-month period before this were also collected and included in analyses to ensure comparability between intervention and control group wards.Public hospitals located in Queensland, Australia.Patients of 18 public hospital wards.Provision of one low-low bed for every 12 on a hospital ward, with written guidance for identifying patients at greatest risk of falls.Falls and fall injuries in the hospital measured using a computerized incident

2010 EvidenceUpdates Controlled trial quality: uncertain

226. Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: a pilot randomized controlled trial (Abstract)

Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: a pilot randomized controlled trial Falls, loss of health-related quality of life and physical capacity, reduced participation in activities of daily living, and increased fear of falling are all potential outcomes for older adults discharged from hospital. A low-cost video based exercise programme may address this.This study was a randomized (...) -related quality of life, participation in activities of daily living, physical capacity and fear of falling.Study participants (n = 53, 19 intervention, 34 control) experienced decreasing health-related quality of life, several falls (72), and lower levels of participation in activities of daily living over the six-month follow-up. The intervention group did not differ significantly from the control group in terms of the outcomes examined, though a non-significant reduction in the rate of falls

2010 EvidenceUpdates Controlled trial quality: uncertain

227. Community-based intervention to optimise falls risk management: a randomised controlled trial Full Text available with Trip Pro

Community-based intervention to optimise falls risk management: a randomised controlled trial falls are the leading causes of accidental death and fragility fractures in older adults. Interventions that assess and reduce falls risk are underutilised.to evaluate the impact of a multifaceted community-based programme aimed at optimising evidence-based management of patients at risk for fall-related fractures.this was a randomised trial performed from 2003 to 2006.community-based intervention (...) in Ontario, Canada.eligible patients were community-dwelling, aged > or =55 years and identified to be at risk for fall-related fractures. A total of 201 patients were allocated to the intervention group or to usual care.components of the intervention included assessment of falls risk, functional status and home environment, and patient education.primary outcome was the implementation of appropriate falls risk assessment at 6 months. Secondary outcomes included falls and fractures at 6 and 12 months.the

2010 EvidenceUpdates Controlled trial quality: predicted high

228. Exercise Effects on Bone Mineral Density, Falls, Coronary Risk Factors, and Health Care Costs in Older Women: The Randomized Controlled Senior Fitness and Prevention (SEFIP) Study Full Text available with Trip Pro

Exercise Effects on Bone Mineral Density, Falls, Coronary Risk Factors, and Health Care Costs in Older Women: The Randomized Controlled Senior Fitness and Prevention (SEFIP) Study Physical exercise affects many risk factors and diseases and therefore can play a vital role in general disease prevention and treatment of elderly individuals and may reduce costs. We sought to determine whether a single exercise program affects fracture risk (bone mineral density [BMD] and falls), coronary heart (...) with special emphasis on exercise intensity; the controls (n = 123) focused on well-being with a low-intensity, low-frequency program. The main outcome measures were BMD, the number of falls, the Framingham-based 10-year CHD risk, and direct health care costs.For the 227 women who completed the 18-month study, significant exercise effects were observed for BMD of the lumbar spine (mean [95% confidence interval (CI)] percentage of change in BMD [baseline to follow-up] for the exercise group: 1.77% [1.26

2010 EvidenceUpdates Controlled trial quality: predicted high

229. Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons and Recommendations

Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons and Recommendations Summaries of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Preventionof Falls in Older Persons and the 2010 AGS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons Logging In... × Welcome to GeriatricsCareOnline! AGS or ADGAP MEMBER Attention AGS Members! As an AGS Member (...) for the Prevention of Falls PRODUCT DETAILS × PIN Subscriprion Validating... Product Titile : Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons and Recommendations Enter PIN * × PIN Subscriprion Subscription is completed successfully. Click OK button to go to MyLibrary page. Product Type : Guidelines, Recommendations & Position Statements Language : English Publisher : American Geriatrics Society Editors : Panel on Prevention

2010 American Geriatrics Society

230. Effect on falls of providing single lens distance vision glasses to multifocal glasses wearers: VISIBLE randomised controlled trial. Full Text available with Trip Pro

Effect on falls of providing single lens distance vision glasses to multifocal glasses wearers: VISIBLE randomised controlled trial. To determine whether the provision of single lens distance glasses to older wearers of multifocal glasses reduces falls.Parallel randomised controlled trial stratified by recruitment site and source of referral, with 13 months' follow-up and outcome assessors blinded to group allocation.Community recruitment and treatment room assessments in Sydney and Illawarra (...) regions of NSW, Australia.606 regular wearers of multifocal glasses (mean age 80 (SD 7) years). Inclusion criteria included increased risk of falls (fall in previous year or timed up and go test >15 seconds) and outdoor use of multifocal glasses at least three times a week.Provision of single lens distance glasses with recommendations for wearing them for walking and outdoor activities compared with usual care.Number of falls and injuries resulting from falls during follow-up.Single lens glasses were

2010 BMJ Controlled trial quality: predicted high

231. Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. Full Text available with Trip Pro

Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. To evaluate whether a service to prevent falls in the community would help reduce the rate of falls in older people who call an emergency ambulance when they fall but are not taken to hospital.Randomised controlled trial.Community covered by four primary care trusts, England.204 adults aged more than 60 living at home or in residential care who had fallen and called an emergency (...) ambulance but were not taken to hospital.Referral to community fall prevention services or standard medical and social care.The primary outcome was the rate of falls over 12 months, ascertained from monthly diaries. Secondary outcomes were scores on the Barthel index, Nottingham extended activities of daily living scale, and falls efficacy scale at baseline and by postal questionnaire at 12 months. Analysis was by intention to treat.102 people were allocated to each group. 99 (97%) participants

2010 BMJ Controlled trial quality: predicted high

232. Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial. Full Text available with Trip Pro

Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial. Improving vitamin D status may be an important modifiable risk factor to reduce falls and fractures; however, adherence to daily supplementation is typically poor.To determine whether a single annual dose of 500,000 IU of cholecalciferol administered orally to older women in autumn or winter would improve adherence and reduce the risk of falls and fracture.A double-blind, placebo-controlled (...) D group was 1.26 (95% CI, 1.00-1.59; P = .047) vs the placebo group (rates per 100 person-years, 4.9 vitamin D vs 3.9 placebo). A temporal pattern was observed in a post hoc analysis of falls. The incidence RR of falling in the vitamin D group vs the placebo group was 1.31 in the first 3 months after dosing and 1.13 during the following 9 months (test for homogeneity; P = .02). In the substudy, the median baseline serum 25-hydroxycholecalciferol was 49 nmol/L. Less than 3% of the substudy

2010 JAMA Controlled trial quality: predicted high

233. Strength and Balance Programs for Elderly Falls

Strength and Balance Programs for Elderly Falls Strength and Balance Programs for Elderly Falls – TheNNTTheNNT Strength and Balance Training Programs for Preventing Falls in the Elderly 11 for prevented fall In summary, for at-risk elderly community dwellers who used balance and strength training: Benefits in NNT 91% saw no benefit 9% were helped by preventing a fall over a 1 year period 1 in 11 at-risk elderly were helped (avoid suffering a fall over a one year period) Harms in NNT 0% were (...) harmed None were harmed View As: NNT % Source: Efficacy Endpoints: Fall prevention Harm Endpoints: None known Narrative: As we experience the grey tsunami that is the evolving demographic of our era, the number of fragile elderly who suffer falls and who subsequently experience a downward spiral in their health is also rising. A great deal of research activity has been invested in fall prevention both for identifying high risk individuals and in developing both simple and complex interventions

2010 theNNT

234. Effects of a Multicomponent Cognitive Behavioral Group Intervention on Fear of Falling and Activity Avoidance in Community-Dwelling Older Adults: Results of a Randomized Controlled Trial Full Text available with Trip Pro

Effects of a Multicomponent Cognitive Behavioral Group Intervention on Fear of Falling and Activity Avoidance in Community-Dwelling Older Adults: Results of a Randomized Controlled Trial To evaluate the effects of a multicomponent cognitive behavioral intervention on fear of falling and activity avoidance in older adults.Randomized controlled trial.Community-dwelling adults in the Netherlands.Five hundred forty adults aged 70 and older who reported fear of falling and fear-induced activity (...) avoidance (280 intervention, 260 control).A multicomponent cognitive behavioral group intervention consisting of eight weekly sessions and a booster session. The sessions were aimed at instilling adaptive and realistic views on falls, reducing fall risk, and increasing activity and safe behavior.Data on fear of falling, activity avoidance, concerns about falling, perceived control over falling, and daily activity were collected at baseline and at 2, 8, and 14 months.At 2 months, there were significant

2010 EvidenceUpdates Controlled trial quality: uncertain

235. Primary care - relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. preventive services task force Full Text available with Trip Pro

Primary care - relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. preventive services task force Primary care - relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. preventive services task force Primary care - relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. preventive services task force Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R (...) CRD summary This review found that exercise or physical therapy interventions and vitamin D supplementation reduced the risk of falling among community-dwelling older adults, but it was unclear whether multifactorial management interventions were effective. Overall the review was well conducted, the authors' conclusions follow from the evidence presented and their recommendations for further research appear appropriate. Authors' objectives To assess the effectiveness and safety of interventions

2010 DARE.

236. Modelling the population-level impact of Tai-Chi on falls and fall-related injury among community-dwelling older people Full Text available with Trip Pro

Modelling the population-level impact of Tai-Chi on falls and fall-related injury among community-dwelling older people Modelling the population-level impact of Tai-Chi on falls and fall-related injury among community-dwelling older people Modelling the population-level impact of Tai-Chi on falls and fall-related injury among community-dwelling older people Day L, Finch CF, Harrison JE, Hoareau E, Segal L, Ullah S Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The objective was to assess the impact of Tai Chi on fall rates and fall-related injuries among older people in the community. The authors concluded that substantial investment and high population uptake of Tai Chi were required for it to have a large effect on falls

2010 NHS Economic Evaluation Database.

237. Randomised controlled trial: Administration of annual oral high-dose vitamin D to community-dwelling older women in autumn and winter months increases risk of falls and fractures

Randomised controlled trial: Administration of annual oral high-dose vitamin D to community-dwelling older women in autumn and winter months increases risk of falls and fractures Administration of annual oral high-dose vitamin D to community-dwelling older women in autumn and winter months increases risk of falls and fractures | BMJ Evidence-Based Medicine 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 (...) -dwelling older women in autumn and winter months increases risk of falls and fractures Article Text Therapeutics Randomised controlled trial Administration of annual oral high-dose vitamin D to community-dwelling older women in autumn and winter months increases risk of falls and fractures Jacques P Brown Statistics from Altmetric.com Commentary on: Sanders KM , Stuart AL , Williamson EJ , et al . Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial

2010 Evidence-Based Medicine

238. Vision improvement and reduction in falls after expedited cataract surgery: systematic review and metaanalysis

Vision improvement and reduction in falls after expedited cataract surgery: systematic review and metaanalysis 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.

2010 DARE.

239. Prospective cohort: Low specificity and high false-positive rates limit the usefulness of the STRATIFY tool and clinical judgement in predicting falls in older patients in an acute hospital setting

Prospective cohort: Low specificity and high false-positive rates limit the usefulness of the STRATIFY tool and clinical judgement in predicting falls in older patients in an acute hospital setting Low specificity and high false-positive rates limit the usefulness of the STRATIFY tool and clinical judgement in predicting falls in older patients in an acute hospital setting | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can (...) and high false-positive rates limit the usefulness of the STRATIFY tool and clinical judgement in predicting falls in older patients in an acute hospital setting Article Text Prognosis Prospective cohort Low specificity and high false-positive rates limit the usefulness of the STRATIFY tool and clinical judgement in predicting falls in older patients in an acute hospital setting Frances Healey Correspondence to Frances Healey National Patient Safety Agency, 4–8 Maple Street, London W1T 5HD, UK

2010 Evidence-Based Nursing

240. Fall prevention in acute care hospitals: a randomized trial. Full Text available with Trip Pro

Fall prevention in acute care hospitals: a randomized trial. Falls cause injury and death for persons of all ages, but risk of falls increases markedly with age. Hospitalization further increases risk, yet no evidence exists to support short-stay hospital-based fall prevention strategies to reduce patient falls.To investigate whether a fall prevention tool kit (FPTK) using health information technology (HIT) decreases patient falls in hospitals.Cluster randomized study conducted January 1, 2009 (...) , through June 30, 2009, comparing patient fall rates in 4 urban US hospitals in units that received usual care (4 units and 5104 patients) or the intervention (4 units and 5160 patients).The FPTK integrated existing communication and workflow patterns into the HIT application. Based on a valid fall risk assessment scale completed by a nurse, the FPTK software tailored fall prevention interventions to address patients' specific determinants of fall risk. The FPTK produced bed posters composed of brief

2010 JAMA Controlled trial quality: predicted high