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Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Published on: January (...) 15, 2016 Project Number: RB0950-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the comparative effectiveness of fall prevention strategies, versus fall risk assessments alone or fall risk assessments and fall prevention strategies for adult patients? What is the cost-effectiveness of fall prevention strategies for adult patients? What are the evidence-based guidelines regarding the use of fall prevention strategies
Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag dolls. It is undisputed for more than 200 years that the use of a parachute prevents major trauma when falling from a great height. Nevertheless up to date no prospective randomised controlled trial has proven the superiority in preventing trauma when falling from a great height instead of a free fall. The aim of this prospective randomised controlled trial was to prove (...) the effectiveness of a parachute when falling from great height.In this prospective randomised-controlled trial a commercially acquirable rag doll was prepared for the purposes of the study design as in accordance to the Declaration of Helsinki, the participation of human beings in this trial was impossible. Twenty-five falls were performed with a parachute compatible to the height and weight of the doll. In the control group, another 25 falls were realised without a parachute. The main outcome measures were
Falling Together - Empathetic Care for the Dying. 26759931 2016 02 24 2016 02 11 1533-4406 374 6 2016 Feb 11 The New England journal of medicine N. Engl. J. Med. Falling Together--Empathetic Care for the Dying. 587-90 10.1056/NEJMms1516444 Rosenbaum Lisa L eng Journal Article 2016 01 13 United States N Engl J Med 0255562 0028-4793 AIM IM Empathy Female Humans Male Physician-Patient Relations Physicians psychology Terminal Care psychology Terminally Ill psychology 2016 1 14 6 0 2016 1 14 6 0
Development of an algorithm to identify fall-related injuries and costs in Medicare data Identifying fall-related injuries and costs using healthcare claims data is cost-effective and easier to implement than using medical records or patient self-report to track falls. We developed a comprehensive four-step algorithm for identifying episodes of care for fall-related injuries and associated costs, using fee-for-service Medicare and Medicare Advantage health plan claims data for 2,011 patients (...) from 5 medical groups between 2005 and 2009.First, as a preparatory step, we identified care received in acute inpatient and skilled nursing facility settings, in addition to emergency department visits. Second, based on diagnosis and procedure codes, we identified all fall-related claim records. Third, with these records, we identified six types of encounters for fall-related injuries, with different levels of injury and care. In the final step, we used these encounters to identify episodes
Flibanserin: Feeling frisky or falling over? Tools for Practice is proudly sponsored by the Alberta College of Family Physicians (ACFP). ACFP is a provincial, professional voluntary organization, representing more than 4,000 family physicians, family medicine residents and medical students in Alberta. Established over fifty years ago, the ACFP strives for excellence in family practice through advocacy, continuing medical education and primary care research. www.acfp.ca February 29, 2016 (...) Flibanserin: Feeling frisky or falling over? Clinical Question: Does flibanserin improve sexual desire and the number of satisfying sexual episodes for women? Bottom-line: Flibanserin results in ~7% improvement in desire and 0.4-1 additional “satisfying” sexual event per month. However, it is also associated with adverse events like dizziness or somnolence for one in 10-15 women. Concerns regarding hypotension, syncope, and interactions with commonly used drugs (particularly alcohol) are worrisome
Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls To use Nintendo's Wii Fit balance board to determine the effectiveness of exergaming training in reducing risk and incidence of falls in older adults with a history of falls.Randomized controlled trial.Nursing home for older adults.Adults aged 65 years and older (N=60).Participants who lived in a nursing home had 6 weeks of balance training with either Wii Fit equipment (...) or conventional exercise.Physiological Profile Assessment scores and incidence of falls were observed with subsequent intention-to-treat statistical analyses.Physiological Profile Assessment scores and incidence of falls improved significantly in both groups after the intervention (all P<.01), but participants in the Wii Fit training group showed a significantly greater improvement in both outcome measures (P=.004 and P<.001, respectively).In institutionalized older adults with a history of falls, Wii Fit
Evidently Advent 2015 Fear of falling Evidently Advent 2015 Fear of falling - Evidently Cochrane Search and hit Go By December 17, 2015 // You can also watch the video on YouTube: Links Kendrick D, Kumar A, Carpenter H, Zijlstra GAR, Skelton DA, Cook JR, Stevens Z, Belcher CM, Haworth D, Gawler SJ, Gage H, Masud T, Bowling A, Pearl M, Morris RW, Iliffe S, Delbaere K. . Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD009848. DOI: 10.1002/14651858.CD009848.pub2 Link (...) and in the history of women’s health and illness in early modern England (MPhil., University of Reading). Evidently Advent 2015 Fear of falling by Sarah Chapman is licensed under a Leave a Reply Your email address will not be published. Required fields are marked * Comment Name * E-Mail * Web Sign me up for the newsletter! Latest Posts Leave this field empty if you're human: Sharing health evidence you can trust Search Search UA-49496932-1
Preseasonal treatment with either omalizumab or an inhaled corticosteroid boost to prevent fall asthma exacerbations Short-term targeted treatment can potentially prevent fall asthma exacerbations while limiting therapy exposure.We sought to compare (1) omalizumab with placebo and (2) omalizumab with an inhaled corticosteroid (ICS) boost with regard to fall exacerbation rates when initiated 4 to 6 weeks before return to school.A 3-arm, randomized, double-blind, double placebo-controlled (...) , multicenter clinical trial was conducted among inner-city asthmatic children aged 6 to 17 years with 1 or more recent exacerbations (clincaltrials.gov #NCT01430403). Guidelines-based therapy was continued over a 4- to 9-month run-in phase and a 4-month intervention phase. In a subset the effects of omalizumab on IFN-α responses to rhinovirus in PBMCs were examined.Before the falls of 2012 and 2013, 727 children were enrolled, 513 were randomized, and 478 were analyzed. The fall exacerbation rate
The risk of fall and fracture with the initiation of a prostate-selective α antagonist: a population based cohort study. Do men starting treatment with prostate-specific α antagonists have increased risk of fall and fracture?Administrative datasets from the province of Ontario, Canada, that contain patient level data were used to generate a cohort of 147,084 men aged ≥ 66 years who filled their first outpatient prescription for prostate-specific α antagonists tamsulosin, alfuzosin, or silodosin (...) between June 2003 and December 2013 (exposed men) plus an equal sized cohort matched 1:1 (using a propensity score model) who did not initiate α antagonist therapy. The primary outcome was a hospital emergency room visit or inpatient admission for a fall or fracture in the 90 days after exposure.The men exposed to prostate-specific α antagonist had significantly increased risks of falling (odds ratio 1.14 (95% CI 1.07 to 1.21), absolute risk increase 0.17% (0.08 to 0.25%)) and of sustaining a fracture
Longitudinal patient-oriented outcomes in neuropathy: Importance of early detection and falls To evaluate longitudinal patient-oriented outcomes in peripheral neuropathy over a 14-year time period including time before and after diagnosis.The 1996-2007 Health and Retirement Study (HRS)-Medicare Claims linked database identified incident peripheral neuropathy cases (ICD-9 codes) in patients ≥65 years. Using detailed demographic information from the HRS and Medicare claims, a propensity score (...) method identified a matched control group without neuropathy. Patient-oriented outcomes, with an emphasis on self-reported falls, pain, and self-rated health (HRS interview), were determined before and after neuropathy diagnosis. Generalized estimating equations were used to assess differences in longitudinal outcomes between cases and controls.We identified 953 peripheral neuropathy cases and 953 propensity-matched controls. The mean (SD) age was 77.4 (6.7) years for cases, 76.9 (6.6) years
Combined resistance and balance-jumping exercise reduces older women's injurious falls and fractures: 5-year follow-up study previously, a randomised controlled exercise intervention study (RCT) showed that combined resistance and balance-jumping training (COMB) improved physical functioning and bone strength. The purpose of this follow-up study was to assess whether this exercise intervention had long-lasting effects in reducing injurious falls and fractures.five-year health-care register (...) -based follow-up study after a 1-year, four-arm RCT.community-dwelling older women in Finland.one hundred and forty-five of the original 149 RCT participants; women aged 70-78 years at the beginning.participants' health-care visits were collected from computerised patient register. An injurious fall was defined as an event in which the subject contacted the health-care professionals or was taken to a hospital, due to a fall. The rate of injured fallers was assessed by Cox proportional hazards model
Fall Prevention Strategies for Adults in Acute Care Following Orthopedic Surgery Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should (...) study only. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Fall Prevention Strategies for Adults in Acute Care
Exercise for falls prevention in Parkinson disease: A randomized controlled trial To determine whether falls can be prevented with minimally supervised exercise targeting potentially remediable fall risk factors, i.e., poor balance, reduced leg muscle strength, and freezing of gait, in people with Parkinson disease.Two hundred thirty-one people with Parkinson disease were randomized into exercise or usual-care control groups. Exercises were practiced for 40 to 60 minutes, 3 times weekly for 6 (...) months. Primary outcomes were fall rates and proportion of fallers during the intervention period. Secondary outcomes were physical (balance, mobility, freezing of gait, habitual physical activity), psychological (fear of falling, affect), and quality-of-life measures.There was no significant difference between groups in the rate of falls (incidence rate ratio [IRR] = 0.73, 95% confidence interval [CI] 0.45-1.17, p = 0.18) or proportion of fallers (p = 0.45). Preplanned subgroup analysis revealed
Predictors of Adherence to a Falls Prevention Exercise Program for People with Parkinson's Disease. Long-term benefits of exercise for people with Parkinson's disease (PD) require regular and sustained participation. This study aimed to investigate predictors of adherence to a minimally supervised exercise program designed to reduce falls in people with PD.People with idiopathic PD who participated in the exercise arm of a randomized, controlled trial were included. Exercises were prescribed (...) three times per week for 6 months. Adherence was defined as the percentage of prescribed sessions participants reported as having undertaken. Potential predictors of adherence included baseline measures of demographic variables, disease severity and duration, falls and fear of falling, pain, self-reported health and quality of life, cognition, physical activity levels, freezing of gait, functional mobility and balance, and knee extensor strength.The 108 participants included undertook a mean of 72
Review of systematic reviews on prevention of falls in institutions Review of systematic reviews on prevention of falls in institutions - NIPH Selected items added to basket Close Search for: Søk Meny Infectious diseases & Vaccines Close Mental & Physical health Close Environment & Lifestyle Close Health in Norway Close Quality & Knowledge Close Research & Access to data Close About NIPH Close Review of systematic reviews on prevention of falls in institutions Relaterte filer Have you found (...) an error? Order Download: Key message Falls are the most common cause of injuries among the elderly in and outside of health institutions. Falls can have many negative consequences for the elderly. Between 10 and 20% of falls in nursing homes cause serious injuries. Effect of various interventions to prevent falls in institutions: Multifactorial interventions (interventions that consists of a number of various components like education of staff and offers of exercises to the patients) adapted
Fall-Safe Assist device for the prevention and detection of fallsFall-Safe Assist device for the prevention and detection of fallsFall-Safe Assist device for the prevention and detection of falls NIHR HSRIC Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation NIHR HSRIC. Fall-Safe Assist device for the prevention and detection of falls. Birmingham: NIHR Horizon (...) Scanning Research&Intelligence Centre. Horizon Scanning Review. 2015 Authors' objectives The Fall-Safe Assist device is a wearable, fall detection technology that has been developed by Fall-Safe Assist Ltd., in collaboration with Hip Impact Protection Ltd. It is designed to detect falls and prevent hip fractures from such falls in those people at increased risk e.g., those aged 65 years or more. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Accidental Falls; Helping
Preventing falls in hospitals Preventing falls in hospitals Preventing falls in hospitals 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 Centre for Reviews and Dissemination. Preventing falls in hospitals. University of York. Effectiveness Matters. 2014 Authors' objectives This issue of Effectiveness (...) Matters summarises the evidence about the effectiveness and implementation of interventions to prevent falls in hospitals. The bulletin is based on existing sources of synthesised and quality-assessed evidence and NICE guidance: Falls: assessment and prevention of falls in older people Authors' conclusions Falls in hospital impact on quality of life and health, and cost the NHS more than £2.3 billion per year. An individualised falls risk assessment is essential to identify targeted prevention
Preventing falls in the community Preventing falls in the community Preventing falls in the community 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 Centre for Reviews and Dissemination. Preventing falls in the community. University of York. Effectiveness Matters. 2014 Authors' objectives This issue (...) of Effectiveness Matters summarises the evidence about the effectiveness and implementation of interventions programmes to prevent falls in the community and nursing care homes. The bulletin is based on existing sources of synthesised and quality-assessed evidence. Authors' conclusions Falls can have a devastating effect on independence, confidence, and quality of life. Multicomponent assessment of falls risk for individuals is essential to identify the appropriate targeted interventions. Group and home-based