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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.
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A randomized trial of a consultation service to reduce falls in nursing homes. Falls are a major health problem in nursing homes, but no interventions have been shown to prevent falls in nursing home residents.To evaluate an intervention program designed to prevent falls and associated injuries in high-risk nursing home residents.Randomized controlled trial.Seven pairs of middle Tennessee nursing homes with 1 facility in each pair randomly assigned to the intervention. Facilities had 482 (261 (...) control, 221 intervention) residents who qualified for the study because they had high risk of falls and a potential safety problem that could be addressed by the intervention.Comprehensive structured individual assessment with specific safety recommendations that targeted suboptimal practices for environmental and personal safety, wheelchair use, psychotropic drug use, and transferring and ambulation. Facility staff were encouraged to implement the individual recommendations and to improve overall
Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. To assess the effectiveness of a home exercise programme of strength and balance retraining exercises in reducing falls and injuries in elderly women.Randomised controlled trial of an individually tailored programme of physical therapy in the home (exercise group, n = 116) compared with the usual care and an equal number of social visits (control group, n = 117).17 general (...) practices in Dunedin, New Zealand.Women aged 80 years and older living in the community and registered with a general practice in Dunedin.Number of falls and injuries related to falls and time between falls during one year of follow up; changes in muscle strength and balance measures after six months.After one year there were 152 falls in the control group and 88 falls in the exercise group. The mean (SD) rate of falls was lower in the exercise than the control group (0.87 (1.29) v 1.34 (1.93) falls per
Preventing falls and subsequent injury in older people Preventing falls and subsequent injury in older people Preventing falls and subsequent injury in older people NHS Centre for Reviews and Dissemination Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation NHS Centre for Reviews and Dissemination. Preventing falls and subsequent injury (...) in older people. University of York. Effective Health Care 2(4). 1996 Authors' objectives This reviews provides a summary of the research evidence on the prevention of falls and subsequent injury in older people. Authors' conclusions The risk of falls increases with age. Falls in older people often result in injury and death. Such injuries, frequently fractures, are a common and costly cause of hospital admission. There is some evidence to suggest that exercise, such as balance training, is effective
The cost-effectiveness of a multifactorial targeted prevention program for falls among community elderly persons The cost-effectiveness of a multifactorial targeted prevention program for falls among community elderly persons The cost-effectiveness of a multifactorial targeted prevention program for falls among community elderly persons Rizzo J A, Baker D I, McAvay G, Tinetti M E 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. Health technology Prevention programmes:a targeted intervention (TI) versususual care (UC) for the prevention of falls among elderly people in the community. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population Patients older than 69 years who were independently
Drug-related falls in the older adult Drug-related falls in the older adult Drug-related falls in the older adult Hanlon J T, Cutson T, Ruby C M Authors' objectives To review the recent literature (1990 to 1995) on drugs and falls in the older population. Searching MEDLINE was searched from January 1990 to August 1995 using the keywords 'fall', 'drugs' and 'medications'; Current Contents was searched over the same time period. The reference lists from identified articles and recent reviews were (...) in the review). Older people, both hospitalised and in community-dwellings, were included. Outcomes assessed in the review The outcome assessed was drug-related falls. How were decisions on the relevance of primary studies made? One reviewer summarised the studies in a table. Assessment of study quality Validity was assessed by study design, statistical precision, bias, confounding and generalisability. Three reviewers assessed the validity of each paper independently. Consensus was reached by discussion
The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT Trials The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT Trials The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT Trials Province M A, Hadley E C, Hornbrook M C, Lipsitz L A, Miller J P, Mulrow C D, Ory M G, Sattin R W, Tinetti M E, Wolf S L Authors' objectives To determine if short-term exercise reduces falls (...) and fall-related injuries in the elderly. This was to be performed by a pre-planned meta-analysis of the seven Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT) trials. Searching The studies were all part of a collection of eight independent clinical trials, which made up a multicentre study in the USA called Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT). Study selection Study designs of evaluations included in the review All the studies were
A multifactorial intervention to reduce the risk of falling among elderly people living in the community. Since falling is associated with serious morbidity among elderly people, we investigated whether the risk of falling could be reduced by modifying known risk factors.We studied 301 men and women living in the community who were at least 70 years of age and who had at least one of the following risk factors for falling: postural hypotension; use of sedatives; use of at least four (...) of the intervention group fell, as compared with 47 percent of the control group (P = 0.04). The adjusted incidence-rate ratio for falling in the intervention group as compared with the control group was 0.69 (95 percent confidence interval, 0.52 to 0.90). Among the subjects who had a particular risk factor at base line, a smaller percentage of those in the intervention group than of those in the control group still had the risk factor at the time of reassessment, as follows: at least four prescription
A multifactorial intervention to reduce the risk of falling among elderly people living in the community 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.
Fall in blood pressure with modest reduction in dietary salt intake in mild hypertension. Australian National Health and Medical Research Council Dietary Salt Study Management Committee. 111 untreated subjects (mean [SEM] age 58.4 [1.0] years; 93 male, 18 female) with diastolic blood pressure between 90 and 100 mm Hg were seen fortnightly, and after four pre-diet visits they were randomised into a low sodium intake group (53 subjects; diet containing less than 80 mmol sodium/day plus 8 placebo