Latest & greatest articles for falls

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Top results for falls

21. Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: a randomised controlled trial Full Text available with Trip Pro

Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: a randomised controlled trial falls have serious consequences for quality of life (QOL) and contribute substantially to the global burden of disease. Home care is an important arena to address falls prevention and QOL, but this vulnerable group of older adults is underrepresented in health research. This study explores the effects of a falls prevention exercise programme on health (...) -related quality of life (HRQOL), physical function and falls self-efficacy in older fallers receiving home care.the study design is a parallel-group randomised controlled trial. The intervention group performed a falls prevention programme based on the Otago Exercise Programme (OEP). The control group received usual care. 155 participants were recruited from primary health care in six Norwegian municipalities. Local physiotherapists supervised the programme. The primary outcome, HRQOL, was measured

2019 EvidenceUpdates

22. A combined physical activity and fall prevention intervention improved mobility-related goal attainment but not physical activity in older adults: a randomised trial Full Text available with Trip Pro

A combined physical activity and fall prevention intervention improved mobility-related goal attainment but not physical activity in older adults: a randomised trial In people aged ≥ 60 years, does a combined physical activity and fall prevention intervention affect physical activity and mobility-related goal attainment? Does the combined intervention also improve fall rates, daily steps, the proportion of people meeting the physical activity guidelines, quality of life, mood, fear of falling (...) , and mobility limitation?Randomised trial with concealed allocation, intention-to-treat analysis and assessor blinding.One hundred and thirty-one people living in the community and aged ≥ 60 years.The experimental group received one physiotherapist visit, fortnightly telephone-based health coaching, a pedometer, tailored fall prevention advice, and a fall prevention brochure. The control group received the same fall prevention brochure.Primary outcomes were mobility goal attainment (Goal Attainment Scale

2019 EvidenceUpdates

23. Assessment of falls in the elderly

Assessment of falls in the elderly Assessment of falls in the elderly - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of falls in the elderly Last reviewed: February 2019 Last updated: January 2019 Summary Falls are often multifactorial in origin. Deandrea S. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010 Sep;21(5):658-68. http (...) ://www.ncbi.nlm.nih.gov/pubmed/20585256?tool=bestpractice.com The presence of the following factors is associated with greater probability of future falls, Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin North Am. 2006 Sep;90(5):807-24. http://www.ncbi.nlm.nih.gov/pubmed/16962843?tool=bestpractice.com McInnes L, Gibbons E, Chandler-Oatts J. Clinical practice guideline for the assessment and prevention of falls in older people. Worldviews Evid Based Nurs

2019 BMJ Best Practice

24. Effect of a Multistrain Probiotic on Cognitive Function and Risk of Falls in Patients With Cirrhosis: A Randomized Trial. Full Text available with Trip Pro

Effect of a Multistrain Probiotic on Cognitive Function and Risk of Falls in Patients With Cirrhosis: A Randomized Trial. Probiotics can modulate gut microbiota, intestinal permeability, and immune response and could therefore improve cognitive dysfunction and help avoid potential consequences, such as falls, in patients with cirrhosis. The aim of this study was to evaluate the effect of a multistrain probiotic on cognitive function, risk of falls, and inflammatory response in patients (...) with cirrhosis. Consecutive outpatients with cirrhosis and cognitive dysfunction (defined by a Psychometric Hepatic Encephalopathy Score [PHES] < -4) and/or falls in the previous year were randomized to receive either a sachet of a high-concentration multistrain probiotic containing 450 billion bacteria twice daily for 12 weeks or placebo. We evaluated the changes in cognitive function (PHES); risk of falls (Timed Up and Go [TUG] test, gait speed, and incidence of falls); systemic inflammatory response

2019 Hepatology communications Controlled trial quality: uncertain

25. Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study. Full Text available with Trip Pro

Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study. This paper describes a protocol for determining the incidence of serious fall injuries for Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE), a large, multicenter pragmatic clinical trial with limited resources for event adjudication. We describe how administrative data (from participating health systems and Medicare claims) can be used (...) to confirm participant-reported events, with more time- and resource-intensive full-text medical record data used only on an "as-needed" basis.STRIDE is a pragmatic cluster-randomized controlled trial involving 5451 participants age ≥ 70 and at increased risk for falls, served by 86 primary care practices in 10 US health systems. The STRIDE intervention involves a nurse falls care manager who assesses a participant's underlying risks for falls, suggests interventions using motivational interviewing

2019 Injury epidemiology Controlled trial quality: uncertain

26. Falls - risk assessment

Falls - risk assessment Falls - risk assessment - NICE CKS Share Falls - risk assessment: Summary A fall is defined as an event which causes a person to, unintentionally, rest on the ground or other lower level. For the purpose of this CKS topic, a simple fall is defined as one occurring as a result of a chronic impairment of cognition, vision, balance, or mobility. It is distinguished from a collapse caused by an acute medical problem, such as an acute arrhythmia, transient ischaemic attack (...) , or vertigo. Falls are common in older people, especially those aged 65 years and over, and the prevalence increases with age. The risk of falling is multifactorial, and prevention is usually based on assessing multiple risk factors. A history of falls is one of the strongest risk factors for a fall, and all older people in regular contact with healthcare professionals should be asked routinely whether they have fallen in the past year. Other risk factors for falls in older people include: Conditions

2019 NICE Clinical Knowledge Summaries

27. Care of the older person: Evaluating falls prevention strategies in community settings: marginal reduction on rate of falls with individual risk-based multifactorial interventions compared to ‘usual care’

Care of the older person: Evaluating falls prevention strategies in community settings: marginal reduction on rate of falls with individual risk-based multifactorial interventions compared to ‘usual care’ Evaluating falls prevention strategies in community settings: marginal reduction on rate of falls with individual risk-based multifactorial interventions compared to ‘usual care’ | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you (...) Evaluating falls prevention strategies in community settings: marginal reduction on rate of falls with individual risk-based multifactorial interventions compared to ‘usual care’ Article Text Commentary Care of the older person Evaluating falls prevention strategies in community settings: marginal reduction on rate of falls with individual risk-based multifactorial interventions compared to ‘usual care’ Amanda Lee , Mark Hayter Statistics from Altmetric.com Commentary on: Hopewell S, Adedire O, Copsey BJ

2019 Evidence-Based Nursing

28. Effect on falls among elderly persons after training elderly care staff

Effect on falls among elderly persons after training elderly care staff Effect on falls among elderly persons after training elderly care staff We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Effect on falls among elderly persons after training elderly care staff Share: Reading time approx. 4 minutes In general, every person aged 65 years or older (...) , experience at least one fall per year. Falls are common reasons for injuries, and even death. Fall prevention among elderly persons is important due to reasons such as reduced functioning, individual suffering and societal costs. Staff training is one, frequently used, intervention. Question Does staff training in fall prevention, medication or nutrition effect falls among elderly persons? Tables with identified studies Table 1. Systematic reviews Included studies Population Outcome Balzer et al 2012 [1

2019 Swedish Council on Technology Assessement

29. Falls Assessment and Prevention: A Rapid Review

Falls Assessment and Prevention: A Rapid Review Falls Prevention & Management: A Rapid Review 1 Falls Assessment and Prevention: A Rapid Review Citation Corey Joseph and Angela Melder. October 2019. Falls Assessment and Prevention: A Rapid Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. cce@monashhealth.org Executive Summary Background Monash Health has several Falls Management Procedures which require updating and consolidation into one overarching guideline (...) . A review of current evidence about fall risk assessment and interventions (or strategies) to prevent falls was required as part of the guideline development. Objective The objective of this rapid review was to provide updated evidence regarding in-hospital falls risk assessment and prevention. Method We included the most up to date systematic reviews and clinical practice guidelines (published in the last 5 years) about patient characteristics (prone to falls), the most effective fall risk assessment

2019 Monash Health Evidence Reviews

30. Fall Prevention in Community-Dwelling Older Adults. (Abstract)

Fall Prevention in Community-Dwelling Older Adults. Falls are common among older adults. One in 3 adults aged 65 years or older and 1 in 2 adults aged 80 years or older fall each year. Interventions for prevention have been identified; however, they are often not addressed in primary care practice. Screening all older adults annually for falls can identify who will benefit from further clinical evaluation and management. Falls and the need for care from subsequent injury increase with age

2018 Annals of Internal Medicine

31. An economic evaluation of the SUNBEAM programme: a falls-prevention randomized controlled trial in residential aged care (Abstract)

An economic evaluation of the SUNBEAM programme: a falls-prevention randomized controlled trial in residential aged care To estimate the cost-effectiveness of a strength and balance exercise programme (SUNBEAM) which has been shown to be clinically effective in reducing the rate of falls in residents of aged care facilities.An economic evaluation was conducted alongside a pragmatic cluster randomized controlled trial that included 16 residential care facilities and 221 participants. Mean (...) participant age was 86 years, 65% were female and 78% relied on a mobility aide. A cost-effectiveness analysis examined the costs of providing the exercise programme and costs of health service use arising from falls in each arm (intervention and usual care) over 12 months.Incremental cost-effectiveness ratios were calculated for the cost per fall avoided. Costs were bootstrapped to obtain adjusted confidence intervals for the incremental cost-effectiveness ratios.Of 63 facilities contacted, 16 met

2018 EvidenceUpdates

32. Factors associated with the likelihood of fall-related injury among people with lower limb loss Full Text available with Trip Pro

Factors associated with the likelihood of fall-related injury among people with lower limb loss People with lower limb loss that live in the community fall at a rate that exceeds that of other vulnerable populations such as hospitalized elderly people. Past research in a small single state study has identified factors associated with fall-related injury. The purpose of this study was to use a larger multistate sample of people with lower limb loss living in community settings to evaluate (...) factors associated with fall-related injury in a multivariable model.This retrospective cohort study included community-dwelling people with lower limb loss participating in wellness-walking programs in 6 states within the United States. Fall-related injury was considered injury sustained during a fall to the ground that required medical care. Pearson's Chi-squared test and student's t-test were used for descriptive statistics. Odds ratios and 95% confidence intervals from multivariable logistic

2018 Injury epidemiology

33. Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study (Abstract)

Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study To evaluate whether risk of fall-related injuries differs between nursing home (NH) residents newly dispensed low-dose trazodone and those newly dispensed benzodiazepines.Retrospective, matched cohort study in linked, population-based administrative data. Matching was based on propensity score ( ± 0.2 standard deviations of the score as a caliper), age ( ± 1 year), sex, frailty status (...) , and history of dementia. The derived propensity score included demographic characteristics, clinical comorbidities, cognitive and functional status, and risk factors for falls.All NHs in Ontario, Canada.Propensity score-matched pairs of residents aged 66 and older who received a full clinical assessment between April 1, 2010, and March 31, 2015 (N=7,791).Hospitalization (emergency department visit or acute care admission) for a fall-related injury within 90 days of exposure. Subdistribution hazard

2018 EvidenceUpdates

34. Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents Full Text available with Trip Pro

Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents To examine the association between central nervous system (CNS) medication dosage burden and risk of serious falls, including hip fractures, in individuals with a history of a recent fall.Nested case-control study.Veterans Health Administration (VHA) Community Living Centers (CLCs).CLC residents aged 65 and older with a history of a fall or hip fracture (...) in the year before a CLC admission between July 1, 2005, and June 30, 2009. Each case (n = 316) was matched to four controls (n = 1264) on age, sex, and length of stay.Outcomes were serious falls identified using International Classification of Diseases, Ninth Revision (ACD-9) or Current Procedural Terminology (CPT) E codes, diagnosis codes, or procedure codes associated with a VHA emergency department visit or hospitalization during the CLC stay. Bar code medication administration data were used

2018 EvidenceUpdates

35. Discriminative ability and clinical utility of the Timed Up and Go (TUG) in identifying falls risk in people with multiple sclerosis: a prospective cohort study (Abstract)

Discriminative ability and clinical utility of the Timed Up and Go (TUG) in identifying falls risk in people with multiple sclerosis: a prospective cohort study To investigate discriminative ability and clinical utility of the Timed Up and Go under single- and dual-task conditions between fallers and non-fallers in multiple sclerosis (MS).Prospective cohort study.Neurology service in a tertiary hospital.Participants were 101 people with MS and Expanded Disability Status Scale score of 3-6.5 (...) . One participant withdrew after the baseline assessment, and hence the data were analysed for 100 participants.No specific intervention.Timed Up and Go and Timed Up and Go-Cognitive. Three-month prospective diaries recorded falls.Mean age was 52.6 (SD 10.7) and 66 were female. Majority of the participants had progressive MS (72) and 73 used a walking aid; 56 participants recorded 791 falls. The area under the receiver operating characteristic curve values for Timed Up and Go and Timed Up and Go

2018 EvidenceUpdates

36. Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial Full Text available with Trip Pro

Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial Falls in older adults are a serious public health problem associated with irreversible health consequences and responsible for a substantial economic burden on health care systems. However, identifying optimal choices from among evidence-based fall prevention interventions is challenging as few comparative data (...) for effectiveness are available.To determine the effectiveness of a therapeutically tailored tai ji quan intervention, Tai Ji Quan: Moving for Better Balance (TJQMBB), developed on the classic concept of tai ji (also known as tai chi), and a multimodal exercise (MME) program relative to stretching exercise in reducing falls among older adults at high risk of falling.A single-blind, 3-arm, parallel design, randomized clinical trial (February 20, 2015, to January 30, 2018), in 7 urban and suburban cities

2018 EvidenceUpdates

37. Relationship Between Physiological and Perceived Fall Risk in People With Multiple Sclerosis: Implications for Assessment and Management Full Text available with Trip Pro

Relationship Between Physiological and Perceived Fall Risk in People With Multiple Sclerosis: Implications for Assessment and Management This study evaluated the relationship between physiological and perceived fall risk in people with multiple sclerosis (MS).Secondary analysis of data from prospective cohort studies undertaken in Australia, the United Kingdom, and the United States.Community.Ambulatory people with MS (N=416) (age 51.5±12.0 years; 73% female; 62% relapsing-remitting MS; 13.7 (...) ±9.9 years disease duration).Not applicable.All participants completed measures of physiological (Physiological Profile Assessment [PPA]) and perceived (Falls Efficacy Scale-international [FESi]) fall risk and prospectively recorded falls for 3 months.155 (37%) of the participants were recurrent fallers (≥2 falls). Mean PPA and FESi scores were high (PPA 2.14±1.87, FESi 34.27±11.18). The PPA and the FESi independently predicted faller classification in logistic regression, which indicated

2018 EvidenceUpdates

38. Differentiating cognitive or motor dimensions associated with the perception of fall-related self-efficacy in Parkinson’s disease Full Text available with Trip Pro

Differentiating cognitive or motor dimensions associated with the perception of fall-related self-efficacy in Parkinson’s disease In Parkinson's disease (PD), concurrent declines in cognitive and motor domain function can severely limit an individual's ability to conduct daily tasks. Current diagnostic methods, however, lack precision in differentiating domain-specific contributions of cognitive or motor impairments based on a patients' clinical manifestation. Fear of falling (FOF

2018 NPJ Parkinson's disease

39. Falls

Falls Top results for falls - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4 (...) ) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: 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

2018 Trip Latest and Greatest

40. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Full Text available with Trip Pro

Multifactorial and multiple component interventions for preventing falls in older people living in the community. Falls and fall-related injuries are common, particularly in those aged over 65, with around one-third of older people living in the community falling at least once a year. Falls prevention interventions may comprise single component interventions (e.g. exercise), or involve combinations of two or more different types of intervention (e.g. exercise and medication review (...) ). Their delivery can broadly be divided into two main groups: 1) multifactorial interventions where component interventions differ based on individual assessment of risk; or 2) multiple component interventions where the same component interventions are provided to all people.To assess the effects (benefits and harms) of multifactorial interventions and multiple component interventions for preventing falls in older people living in the community.We searched the Cochrane Bone, Joint and Muscle Trauma Group

2018 Cochrane