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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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The Rise and Fall of Mandatory Cardiac Bundled Payments 29327034 2018 01 31 2018 11 13 1538-3598 319 4 2018 01 23 JAMA JAMA The Rise and Fall of Mandatory Cardiac Bundled Payments. 335-336 10.1001/jama.2017.19205 Wadhera Rishi K RK Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, Massachusetts. Richard and Susan Smith Center for Outcomes Research in Cardiology, Division of Cardiology, Beth Israel Deaconess Medical and Harvard Medical School, Boston (...) .2017.19205 PMC6093855 NIHMS976836 Health Care Financ Rev. 1997 Fall;19(1):41-57 10180001 Ann Surg. 2007 Oct;246(4):613-21; discussion 621-3 17893498 Fed Regist. 2017 Dec 01;82(230):57066-104 29232073 JAMA. 2018 Jan 9;319(2):191-193 29318267
Why is cervical screening coverage falling in the UK and what has primary care done to increase uptake of cervical screening? Knowledge & Library Services (KLS) Evidence Briefing Why is cervical screening coverage falling in the UK and what has primary care done to increase uptake of cervical screening? Nicola Pearce-Smith 11 th January 2018 Why is cervical screening coverage falling in the UK and what has primary care done to increase uptake of cervical screening? KLS Evidence Briefing 11 th (...) This briefing draws upon a literature search of the sources Medline, Embase, Health Management Information Consortium (HMIC), Cumulative Index to Nursing and Allied Health Literature (CINAHL), NHS Evidence search and Turning Research into Practice (TRIP) database from January 2011 to January 2018. Search strategies are available on request. 69 highly relevant citations (mainly from the UK) were used to produce this evidence briefing Why is cervical screening coverage falling in the UK and what has primary
Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines Falls Prevention Mats for Patients in Healthcare Settings: Clinical Effectiveness and Guidelines Last updated: March 19, 2018 Project Number: RB1202-000 Product Line (...) : Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of falls prevention mats to reduce injuries in healthcare settings? What are the evidence-based guidelines regarding the use of falls prevention mats in health care settings? Key Message One non-randomized study was identified regarding the clinical effectiveness of falls prevention mats to reduce injuries in healthcare settings. No evidence-based guidelines regarding
Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity Issues: Clinical Effectiveness and Guidelines Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity Issues: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity Issues: Clinical Effectiveness and Guidelines Falls Prevention Strategies for Acquired Brain Injury Patients with Impulsivity (...) Issues: Clinical Effectiveness and Guidelines Last updated: October 18, 2018 Project Number: RA0974-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What is the comparative clinical effectiveness of falls prevention strategies compared with usual care for the prevention of falls in patients with acquired brain injury or stroke? What are the evidence-based guidelines regarding falls prevention strategies for the prevention of falls
Multi-system balance training reduces injurious fall risk in Parkinson's disease - A randomized trial. Previous studies have shown that balance training could reduce falls in people with Parkinson disease. However, it remains unclear whether exercise can reduce injurious falls. The objective of present study was to determine whether multisystem balance training could reduce injurious falls and modify targeted fall risk factors in Parkinson disease nonfallers and single fallers. Participants (...) were randomly assigned to an 8-wk balance group (experimental, n = 41) or an upper limbs group (control, n = 43). Outcomes examined at posttraining and 12-mo follow-up were: (1) injurious fall risk (ratio of noninjurious fallers to injurious fallers); (2) two potential fall risk factors based on Balance Evaluation Systems Test scores and dual-task timed-up-and-go times. At posttraining, results indicated that there were no injurious falls, and fewer experimental participants were found in high fall
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
Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling To identify factors predicting falls and limited mobility in people with stroke at 12 months after returning home from rehabilitation.Observational cohort study with 12-month follow-up.Community.People with stroke (N=144) and increased falls risk discharged home from rehabilitation.Not applicable.Falls were measured using monthly calendars completed (...) by participants, and mobility was assessed using gait speed over 5m (high mobility: >0.8m/s vs low mobility: ≤0.8m/s). Both measures were assessed at 12 months postdischarge. Demographics and functional measures, including balance, strength, visual or spatial deficits, disability, physical activity level, executive function, functional independence, and falls risk, were analyzed to determine factors significantly predicting falls and mobility levels after 12 months.Those assessed as being at high falls risk
Falls Prevention in Community-Dwelling Older Adults: Interventions Recommendation | United States Preventive Services Taskforce Toggle navigation Main navigation Main navigation Recommendation Adults 65 years or older The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. B Adults 65 years or older The USPSTF recommends that clinicians selectively offer multifactorial interventions to prevent falls (...) to community-dwelling adults 65 years or older who are at increased risk for falls. Existing evidence indicates that the overall net benefit of routinely offering multifactorial interventions to prevent falls is small. When determining whether this service is appropriate for an individual, patients and clinicians should consider the balance of benefits and harms based on the circumstances of prior falls, presence of comorbid medical conditions, and the patient's values and preferences. See the Clinical
Improving Decisions About Transport to the Emergency Department for Assisted Living Residents Who Fall. Residents of assisted living facilities who fall may not be seriously ill or injured, but policies often require immediate transport to an emergency department regardless of the patient's condition.To determine whether unnecessary transport can be avoided.Prospective cohort study.One large county with a single system of emergency medical services.Convenience sample of residents in 22 assisted (...) living facilities served by 1 group of primary care physicians.Paramedics providing emergency medical services followed a protocol that included consulting with a physician by telephone.The number of transports after a fall and the number of time-sensitive conditions in nontransported patients.Of the 1473 eligible residents, 953 consented to participate in the study (mean age, 86 years; 76% female) and 359 had 840 falls in 43 months. The protocol recommended nontransport after 553 falls. Eleven
Does pride really come before a fall? Longitudinal analysis of older English adults. To test whether high levels of reported pride are associated with subsequent falls.Secondary analysis of the English Longitudinal Study of Ageing (ELSA) dataset.Multi-wave longitudinal sample of non-institutionalised older English adults.ELSA cohort of 6415 participants at wave 5 (baseline, 2010/11), of whom 4964 were available for follow-up at wave 7 (follow-up, 2014/15).Self reported pride at baseline (low (...) /moderate/high) and whether the participant had reported having fallen during the two years before follow-up.The findings did not support the contention that "pride comes before a fall." Unadjusted estimates indicate that the odds of reported falls were significantly lower for people with high pride levels compared with those who had low pride (odds ratio 0.69, 95% confidence interval 0.58 to 0.81, P<0.001). This association remained after adjustment for age, sex, household wealth, and history of falls
Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic Cerebral Palsy. The aim of this study was to investigate the effects of antigravity treadmill training on gait, balance, and fall risk in children with diplegic cerebral palsy.Thirty children with diplegic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received antigravity treadmill training (20 mins/d, 3 d/wk (...) ) together with traditional physical therapy for 3 successive mos and (2) a control group that received only traditional physical therapy program for the same period. Outcomes included selected gait parameters, postural stability, and fall risk. Outcomes were measured at baseline and after 3 mos of intervention.Children in both groups showed significant improvements in the mean values of all measured variables (P < 0.05), with significantly greater improvements in the experimental group than the control
Falling upward with Parkinsonâ€™s disease Falls can injure, even kill. No one with Parkinson's disease (PD) wants to fall by accident. However, the potential nastiness of falls does not preclude a more nuanced understanding of the personal meaning that falls can have. Rather than view falls as a problem to fear and manage solely by preventing and repairing harm, people with PD and those who care for them may recast falls as a mixed blessing. Falls may be a resource, skill, and catalyst (...) for personal growth. We discuss how falls may give rise to opportunities in interrelated domains: capabilities, credo, character, creativity, chronemics, and connectedness. Clinicians could incorporate a positive focus across these domains to help people with PD to 'fall upward' in the sense of flourish.
Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pediatric fall patients.Data was retrieved from prospectively maintained trauma registry project at level 1 trauma center developed as part of Multicentric Project-Towards Improving Trauma Care Outcomes (TITCO (...) having 50, 50, and 86% of area under the curve on ROCs, and RTS was statistically significant among them.Physiologically based trauma score systems (RTS) are much better predictors of inhospital mortality in comparison to anatomical based scoring systems (ISS and NISS) for unintentional pediatric falls.
Identifying characteristics and outcomes that are associated with fall-related fatalities: multi-year retrospective summary of fall deaths in older adults from 2005â€“2012 Fall-related deaths continue to be the leading cause of accidental deaths in the older adult (65+ year) population. However, many fall-related fatalities are unspecified and little is known about the fall characteristics and personal demographics at the time of the fall. Therefore, this report describes the characteristics (...) , circumstances and injuries of falls that resulted in older adult deaths in one U.S. County and explores the variables associated with fatal injuries from falls.This is a continued retrospective analysis of 841older adults whose underlying cause of death was due to a fall over an 8-year period (2005-2012). Demographics and logistic regression of fall characteristics and injuries were analyzed.Falls that led to death most often occurred when walking in one's own home. Most of the residents in this study were
Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention Rapid Synthesis Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 2 (...) relevance. Acknowledgments The authors wish to thank Shane Natalwalla for help with data extraction. We would also like to thank Bonny Jung and Maureen Markle-Reid for their insightful comments and suggestions. Citation Waddell K, Wilson MG. Rapid synthesis: Examining the impact of interprofessional training and patient engagement on falls prevention. Hamilton: McMaster Health Forum, 30 April 2017. Product registration numbers ISSN 2292-7999 (online) Examining the Impact of Interprofessional Training
Older adult falls prevention behaviors 60 days post-discharge from an urban emergency department after treatment for a fallFalls are a common and debilitating health problem for older adults. Older adults are often treated and discharged home by emergency department (ED)-based providers with the hope they will receive falls prevention resources and referrals from their primary care provider. This descriptive study investigated falls prevention activities, including interactions with primary (...) care providers, among community-dwelling older adults who were discharged home after presenting to an ED with a fall-related injury.We enrolled English speaking patients, aged ≥ 65 years, who presented to the ED of an urban level one trauma center with a fall or fall related injury and discharged home. During subjects' initial visits to the ED, we screened and enrolled patients, gathered patient demographics and provided them with a flyer for a Matter of Balance course. Sixty-days post enrollment