Latest & greatest articles for falls

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Top results for falls

261. The effectiveness of Tai Chi as a fall prevention intervention for older adults: a systematic review

The effectiveness of Tai Chi as a fall prevention intervention for older adults: a systematic review The effectiveness of Tai Chi as a fall prevention intervention for older adults: a systematic review The effectiveness of Tai Chi as a fall prevention intervention for older adults: a systematic review Gregory H, Watson MC CRD summary The review concluded that Tai Chi for older adults may be beneficial in reducing fall occurrences, but only in a more robust older population. Restricted reporting (...) of study results coupled with the possibility that the review was subject to language and publication biases mean the authors' conclusions should be interpreted with a degree of caution. Authors' objectives To assess the effectiveness of Tai Chi for preventing falls in older adults. Searching MEDLINE, EMBASE, CINAHL, SPORTDiscus, AMED, Web of Knowledge, British Nursing Index, and Cochrane Central Register of Controlled Trials were searched from inception (latest date not provided); search terms were

2009 DARE.

262. Exercise interventions to reduce fall-related fractures and their risk factors in individuals with low bone density: a systematic review of randomized controlled trials

Exercise interventions to reduce fall-related fractures and their risk factors in individuals with low bone density: a systematic review of randomized controlled trials 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.

2009 DARE.

263. Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials

Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials 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.

2009 DARE.

264. What works better for community-dwelling older people at risk to fall? A meta-analysis of multifactorial versus physical exercise-alone interventions

What works better for community-dwelling older people at risk to fall? A meta-analysis of multifactorial versus physical exercise-alone interventions 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.

2009 DARE.

265. Review: exercise interventions reduce falls in elderly people living in the community

Review: exercise interventions reduce falls in elderly people living in the community Review: exercise interventions reduce falls in elderly people living in the community | 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 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 interventions reduce falls in elderly people living in the community Article Text Therapeutics Review: exercise interventions reduce falls in elderly people living in the community Statistics from

2009 Evidence-Based Medicine

266. Review: several interventions reduce fear of falling in older people living in the community Full Text available with Trip Pro

Review: several interventions reduce fear of falling in older people living in the community Review: several interventions reduce fear of falling in older people living in the communityCommentary | 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: several interventions reduce fear of falling in older people living in the communityCommentary Article Text Treatment Review: several interventions reduce fear of falling in older people living

2009 Evidence-Based Nursing

267. Pregnancy outcomes following hospitalisation for a fall in Washington State from 1987 to 2004 Full Text available with Trip Pro

Pregnancy outcomes following hospitalisation for a fall in Washington State from 1987 to 2004 To evaluate the risk of adverse maternal and perinatal outcomes among pregnant women hospitalised following falls.A population-based retrospective cohort study.Washington State, USA.Pregnant women with a fetal death or live birth certificate linked to the hospitalisation discharge data from 1987 to 2004.Pregnant women who experienced a fall (n = 693) were identified by the presence of an International (...) Classification of Disease-9th Edition external causation code of E880 through E888 and were compared with a randomly chosen group of pregnant women (n = 2079) not experiencing a fall hospitalisation during pregnancy. Poisson regression analysis was used to estimate adjusted relative risks (RR) and 95% CI for associations between falls and pregnancy outcomes.Preterm labour and delivery, placental abruption, fetal distress, and fetal hypoxia.This study found an incidence rate of 48.9 pregnant fall

2009 EvidenceUpdates

268. Cost-effectiveness analysis of screening for risk of in-hospital falls using physiotherapist clinical judgement Full Text available with Trip Pro

Cost-effectiveness analysis of screening for risk of in-hospital falls using physiotherapist clinical judgement Cost-effectiveness analysis of screening for risk of in-hospital falls using physiotherapist clinical judgement Cost-effectiveness analysis of screening for risk of in-hospital falls using physiotherapist clinical judgement Haines T, Kuys SS, Morrison G, Clarke J, Bew P 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 This study examined the cost-effectiveness of the clinical judgement of a physiotherapist in preventing falls in a geriatric rehabilitation hospital ward. The authors concluded that preventing falls with a targeted fall prevention programme, based on initial screening by a physiotherapist, was a cost

2009 NHS Economic Evaluation Database.

269. Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90. Full Text available with Trip Pro

Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90. To describe the incidence and extent of lying on the floor for a long time after being unable to get up from a fall among people aged over 90; to explore their use of call alarm systems in these circumstances.1 year follow-up of participants in a prospective cohort study of ageing, using fall calendars, phone calls, and visits.Participants' usual place of residence (own (...) homes or care homes), mostly in Cambridge.90 women and 20 men aged over 90 (n=110), surviving participants of the Cambridge City over-75s Cohort, a population based sample.Inability to get up without help, lying on floor for a long time after falling, associated factors; availability and use of call alarm systems; participants' views on using call alarms to summon help if needed after falling.In one year's intensive follow-up, 54% (144/265) of fall reports described the participant as being found

2008 BMJ

270. Effect of a fall in malaria transmission on morbidity and mortality in Kilifi, Kenya. Full Text available with Trip Pro

Effect of a fall in malaria transmission on morbidity and mortality in Kilifi, Kenya. As efforts to control malaria are expanded across the world, understanding the role of transmission intensity in determining the burden of clinical malaria is crucial to the prediction and measurement of the effectiveness of interventions to reduce transmission. Furthermore, studies comparing several endemic sites led to speculation that as transmission decreases morbidity and mortality caused by severe

2008 Lancet

271. Lack of Effectiveness of a Multidisciplinary Fall-Prevention Program in Elderly People at Risk: A Randomized, Controlled Trial (Abstract)

Lack of Effectiveness of a Multidisciplinary Fall-Prevention Program in Elderly People at Risk: A Randomized, Controlled Trial To assess whether a pragmatic multidisciplinary fall-prevention program was more effective than usual care in preventing new falls and functional decline in elderly people.A two-group, randomized, controlled trial with 12 months of follow-up.University hospital and home-based intervention, the Netherlands.Three hundred thirty-three community-dwelling Dutch people aged (...) 65 and over who were seen in an emergency department after a fall.Participants in the intervention group underwent a detailed medical and occupational-therapy assessment to evaluate and address risk factors for recurrent falls, followed by recommendations and referral if indicated. People in the control group received usual care.Number of people sustaining a fall (fall calendar) and daily functioning (Frenchay Activity Index).Results showed no statistically significantly favorable effects

2008 EvidenceUpdates Controlled trial quality: uncertain

272. Review: evidence from single studies shows that very few fall risk assessment tools can predict falls in elderly people

Review: evidence from single studies shows that very few fall risk assessment tools can predict falls in elderly people Review: evidence from single studies shows that very few fall risk assessment tools can predict falls in elderly people | 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: evidence from single studies shows that very few fall risk assessment tools can predict falls in elderly people Article Text Clinical prediction

2008 Evidence-Based Nursing

273. Effect of dissemination of evidence in reducing injuries from falls. Full Text available with Trip Pro

Effect of dissemination of evidence in reducing injuries from falls. Falling is a common and morbid condition among elderly persons. Effective strategies to prevent falls have been identified but are underutilized.Using a nonrandomized design, we compared rates of injuries from falls in a region of Connecticut where clinicians had been exposed to interventions to change clinical practice (intervention region) and in a region where clinicians had not been exposed to such interventions (usual (...) -care region). The interventions encouraged primary care clinicians and staff members involved in home care, outpatient rehabilitation, and senior centers to adopt effective risk assessments and strategies for the prevention of falls (e.g., medication reduction and balance and gait training). The outcomes were rates of serious fall-related injuries (hip and other fractures, head injuries, and joint dislocations) and fall-related use of medical services per 1000 person-years among persons who were 70

2008 NEJM

274. Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staff`s global judgement and fall history in evaluating fall risk in residential care facilities Full Text available with Trip Pro

Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staff`s global judgement and fall history in evaluating fall risk in residential care facilities to evaluate and compare the prognostic validity relative to falls of the Timed Up-and-Go test (TUG), a modified Get-Up-and-Go test (GUG-m), staff's judgement of global rating of fall risk (GLORF) and fall history among frail older people.cohort study, 6-month prospective follow-up for falls.183 frail persons living (...) in residential care facilities in Sweden, mean age 84 years, 73% women.the occurrence of falls during the follow-up period were compared to the following assessments at baseline: the TUG at normal speed; the GUG-m, a rating of fall risk scored from 1 (no risk) to 5 (very high risk); the GLORF, staff's rating of fall risk as 'high' or 'low'; a history of falls in the previous 6 months. These assessment tools were evaluated using sensitivity, specificity and positive and negative likelihood ratios (LR

2008 EvidenceUpdates

275. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people Full Text available with Trip Pro

The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people numerous tests have been suggested as fall risk indicators. However, the validity of these assessments has not been demonstrated in large representative samples of community-dwelling older people.the objective of this study was to examine the comparative ability and clinical utility of eight mobility tests for predicting multiple falls in older community-dwelling people.design (...) --prospective cohort study; subjects--362 subjects aged 74-98 years; measurements--the sit-to-stand test with one and five repetitions, the pick-up-weight test, the half-turn test, the alternate-step test (AST), the six-metre-walk test (SMWT) and stair ascent and descent tasks. Falls were monitored for 1 year with fall calendars.in the 12-month follow-up period, 80 subjects (22.1%) suffered two or more falls. Multiple fallers performed significantly worse than non-multiple fallers in the sit-to-stand test

2008 EvidenceUpdates

276. Fall risk-assessment tools compared with clinical judgment: an evaluation in a rehabilitation ward Full Text available with Trip Pro

Fall risk-assessment tools compared with clinical judgment: an evaluation in a rehabilitation ward to compare the use of two falls risk-identification tools (Downton and STRATIFY) with clinical judgment (based upon the observation of wandering behaviour) in predicting falls of medically stable patients in a rehabilitation ward for older people.in a prospective observational study, with blinded end-point evaluation, 200 patients admitted to a geriatric rehabilitation hospital had a STRATIFY (...) and Downton Fall Risk assessment and were observed for wandering behaviour.wandering had a predictive accuracy of 78%. A total of 157/200 were identified correctly compared to 100/200 using the Downton score (P < 0.0001 95%, CI 0.18-0.42), or 93/200 using STRATIFY (P < 0.0001; 95% CI 0.15-0.37). The Downton and STRATIFY tools demonstrated predictive accuracies of 50% and 46.5%, respectively, with no statistical significance between the two (P = 0.55; 95% CI 0.77-1.71). Sensitivity for predicting falls

2008 EvidenceUpdates

277. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women Full Text available with Trip Pro

Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women Frailty, as defined by the index derived from the Cardiovascular Health Study (CHS index), predicts risk of adverse outcomes in older adults. Use of this index, however, is impractical in clinical practice.We conducted a prospective cohort study in 6701 women 69 years or older to compare the predictive validity of a simple frailty index with the components of weight loss, inability to rise (...) from a chair 5 times without using arms, and reduced energy level (Study of Osteoporotic Fractures [SOF index]) with that of the CHS index with the components of unintentional weight loss, poor grip strength, reduced energy level, slow walking speed, and low level of physical activity. Women were classified as robust, of intermediate status, or frail using each index. Falls were reported every 4 months for 1 year. Disability (> or =1 new impairment in performing instrumental activities of daily

2008 EvidenceUpdates

278. Vitamin d supplementation to prevent falls in the elderly: evidence and practical considerations. (Abstract)

Vitamin d supplementation to prevent falls in the elderly: evidence and practical considerations. Pharmacists in both ambulatory and institutional settings are often in a position to help optimize the drug regimens of patients who are experiencing falls. Supplementation with vitamin D is an important emerging therapy for the prevention of falls. Numerous investigators have recently studied or reviewed the association between vitamin D supplementation and decreased risk of falls in elderly (...) patients, yet little of this information is available in the pharmacy literature. A MEDLINE search was conducted to collect relevant articles about the role of vitamin D in preventing falls among elderly patients; recently published meta-analyses and randomized controlled trials were identified and reviewed. The studies indicated a statistically significant positive relationship between vitamin D supplementation with either cholecalciferol 700 IU/day or greater or ergocalciferol 800 IU/day or greater

2008 EvidenceUpdates

279. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons Full Text available with Trip Pro

Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons fear of falling (FOF) is a major health problem among the elderly living in communities, present in older people who have fallen but also in older people who have never experienced a fall. The aims of this study were 4-fold: first, to study methods to measure FOF; second, to study the prevalence of FOF among fallers and non-fallers; third, to identify factors related to FOF; and last (...) , to investigate the relationship between FOF and possible consequences among community-dwelling older persons.several databases were systematically searched, and selected articles were cross-checked for other relevant publications.a systematic review identified 28 relevant studies among the community-dwelling elderly. Due to the many different kinds of measurements used, the reported prevalence of FOF varied between 3 and 85%. The main risk factors for developing FOF are at least one fall, being female

2008 EvidenceUpdates

280. Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital. Full Text available with Trip Pro

Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital. To determine the efficacy of a targeted multifactorial falls prevention programme in elderly care wards with relatively short lengths of stay.Cluster randomised trial.24 elderly care wards in 12 hospitals in Sydney, Australia.3999 patients, mean age 79 years, with a median hospital stay of seven days.A nurse and physiotherapist each worked for 25 hours a week for three months (...) in all intervention wards. They provided a targeted multifactorial intervention that included a risk assessment of falls, staff and patient education, drug review, modification of bedside and ward environments, an exercise programme, and alarms for selected patients.Falls during hospital stay.Intervention and control wards were similar at baseline for previous rates of falls and individual patient characteristics. Overall, 381 falls occurred during the study. No difference was found in fall rates

2008 BMJ Controlled trial quality: uncertain