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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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Can falls be predicted with gait analytical and posturographic measurement systems? A prospective follow-up study in a nursing home population To validate previously proposed findings and to develop an objective, feasible and efficient bifactorial (risk factors: gait impairment and balance disorders) fall risk assessment.Prospective follow-up study Setting: Nursing homes (Halle/Saale, Germany).One hundred and forty-six nursing home residents (aged 62-101 years) were recruited.Gait data were (...) collected using a mobile inertial sensor-based system (RehaWatch). Postural regulation data were measured with the Interactive Balance System. Falls were recorded in standardized protocols over a follow-up period of 12 months.Gait parameters (e.g. spatial-temporal parameters), posturographic parameters (e.g. postural subsystems), number of falls.Seventeen (12%) of the participants had more than two falls per year. The predictive validity of the previously selected posturographic parameters
Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. Falls in elderly people are a major health burden, especially in the long-term care environment. Yet little objective evidence is available for how and why falls occur in this population. We aimed to provide such evidence by analysing real-life falls in long-term care captured on video.We did this observational study between April 20, 2007, and June 23, 2010, in two long-term care (...) facilities in British Columbia, Canada. Digital video cameras were installed in common areas (dining rooms, lounges, hallways). When a fall occurred, facility staff completed an incident report and contacted our teams so that we could collect video footage. A team reviewed each fall video with a validated questionnaire that probed the cause of imbalance and activity at the time of falling. We then tested whether differences existed in the proportion of participants falling due to the various causes
The toddler who is falling off the growth chart Growth monitoring is an essential part of paediatric health care, from birth through adolescence. Growth and nutritional problems often occur between 18 months and three years of age. Health care professionals involved in the care of children need to follow growth closely in this period, be able to evaluate a toddler whose growth seems to be faltering, and know when and how to intervene. Key Words: Appetite; Growth; Nutritional intervention
Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines CADTH 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 CADTH. Fall prevention in adults with mental health and substance use needs: a review of the clinical evidence and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2012 Authors' conclusions No evidence on fall prevention for adult outpatients in mental health and substance use programs was identified. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Accidental Falls
Falling down and following up 22959392 2012 10 03 2018 11 13 1474-547X 380 9845 2012 Sep 08 Lancet (London, England) Lancet Falling down and following up. 948 10.1016/S0140-6736(12)60645-X Wang Charles C University of North Carolina Project China, Guangzhou, China. Cai Wei-Ping WP Tucker Joseph D JD Li Ling-Hua LH Hu Feng-Yu FY eng K01 TW008200 TW FIC NIH HHS United States R13 AI102515 AI NIAID NIH HHS United States Case Reports Journal Article Research Support, N.I.H., Extramural Research (...) Support, Non-U.S. Gov't England Lancet 2985213R 0140-6736 AIM IM AIDS-Related Opportunistic Infections complications diagnosis Accidental Falls Adult Fever microbiology Humans Male Mycoses complications diagnosis Penicillium Syncope microbiology 2012 9 11 6 0 2012 9 11 6 0 2012 10 4 6 0 ppublish 22959392 S0140-6736(12)60645-X 10.1016/S0140-6736(12)60645-X PMC3635476 NIHMS459720 Lancet. 1994 Jul 9;344(8915):110-3 7912350 Zhonghua Yi Xue Za Zhi (Taipei). 1995 Feb;55(2):127-36 7750052 PLoS Med. 2011 Jul
Prevention of Falls in Community-Dwelling Older Adults: U.S. Preventive Services Task Force Recommendation Statement. Update of the 1996 U.S. Preventive Services Task Force (USPSTF) recommendation statement on counseling to prevent household and recreational injuries, including falls.The USPSTF reviewed new evidence on the effectiveness and harms of primary care-relevant interventions to prevent falls in community-dwelling older adults. The interventions were grouped into 5 main categories (...) : multifactorial clinical assessment (with or without direct intervention), clinical management (with or without screening), clinical education or behavioral counseling, home hazard modification, and exercise or physical therapy.The USPSTF recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (Grade B recommendation)The USPSTF does not recommend automatically performing an in-depth
Effectiveness of intervention programs in preventing falls: a systematic review of recent 10 years and meta-analysis 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.
Intensive Glycemic Control Is Not Associated With Fractures or Falls in the ACCORD Randomized Trial Older adults with type 2 diabetes are at high risk of fractures and falls, but the effect of glycemic control on these outcomes is unknown. To determine the effect of intensive versus standard glycemic control, we assessed fractures and falls as outcomes in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) randomized trial.ACCORD participants were randomized to intensive or standard (...) glycemia strategies, with an achieved median A1C of 6.4 and 7.5%, respectively. In the ACCORD BONE ancillary study, fractures were assessed at 54 of the 77 ACCORD clinical sites that included 7,287 of the 10,251 ACCORD participants. At annual visits, 6,782 participants were asked about falls in the previous year.During an average follow-up of 3.8 (SD 1.3) years, 198 of 3,655 participants in the intensive glycemia and 189 of 3,632 participants in the standard glycemia group experienced at least one
Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial To determine the long-term effects of three strength and balance exercise interventions on physical performance, fall-related psychological outcomes, and falls in older people.A single-blinded, four-group, randomized controlled trial.Community, Germany.Community-dwelling adults aged 70 to 90 who had (...) fallen in the past 6 months or reported fear of falling.After baseline assessment, 280 participants were randomly assigned to the control group (CG; no intervention; n = 80) or one of three strength and balance exercise interventions (the strength and balance group (SBG; strength and balance only; n = 63), the fitness group (FG; strength and balance plus endurance training; n = 64), or the multifaceted group (MG; strength and balance plus fall risk education; n = 73). The interventions consisted
Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: a randomised trial What is the effect of a balance training protocol with the Biodex Balance System in institutionalised older people with fear of falling?Randomised controlled trial with concealed allocation and assessor blinding.Forty older people who lived in a nursing home and had fear of falling.The experimental group completed a 12-week balance training protocol (...) based on balancing/rebalancing training with the Biodex Balance System, with two sessions per week. During the training period, participants in both groups received the same multidisciplinary care (such as physiotherapy, occupational therapy and nursing) that they usually received in the nursing home.The primary outcome was fear of falling (Falls Efficacy Scale International questionnaire). Secondary outcomes were dynamic balance (Fall Risk Test) and isometric strength (torque of knee flexor
Post-Fall Monitoring in Long-Term Care: Guidelines 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 be considered along with other (...) 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: Post-Fall Monitoring in Long-Term Care: Guidelines DATE: 17 February 2012
An economic evaluation of community and residential aged care falls prevention strategies in NSW 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.
Comparative effectiveness of implementing evidence-based education and best practices in nursing homes: Effects on falls, quality-of-life and societal co The aim was to conduct a comparative effectiveness research study to estimate the effects on falls, negative affect and behavior, and the associated societal costs of implementing evidence-based education and best practice programs in nursing homes (NHs).A quasi-experimental design, a variant of a cluster randomized trial of implementation (...) State. Outcomes were assessed using medical records and the Minimum Data Set (MDS).The main finding was of a significant reduction of between 5 and 12 annual falls in a typical nursing home. While both intervention groups resulted in fall reduction, the larger and significant reduction occurred in the group without surveyor training. A significant reduction in negative affect associated with training staff and surveyors was observed. Net cost savings from fall prevention was estimated.A low cost
External validity of physical activity interventions for community-dwelling older adults with fall risk: a quantitative systematic literature review External validity of physical activity interventions for community-dwelling older adults with fall risk: a quantitative systematic literature review External validity of physical activity interventions for community-dwelling older adults with fall risk: a quantitative systematic literature review McMahon S, Fleury J CRD summary The authors (...) concluded that future research on physical activity interventions to reduce falls among community dwelling older adults should target diverse populations, incorporate behaviour change theories, enable replication and translation, test innovative measures and evaluate feasibility and acceptability. As these recommendations do not appear to be directly related to limitations identified within results they should be interpreted with caution. Authors' objectives To assess the reach, efficacy, effectiveness
Vitamin D supplementation and risk of fractures, falls, and bone loss Vitamin D supplementation and risk of fractures, falls, and bone loss Vitamin D supplementation and risk of fractures, falls, and bone loss 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 Vitamin D supplementation and risk of fractures, falls, and bone loss. Lansdale: HAYES, Inc.. Directory (...) Publication. 2012 Authors' conclusions The purpose of vitamin D supplementation is to improve bone and muscle health, thereby reducing the risk of fractures, falls, and bone Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Accidental Falls; Bone Density Conservation Agents; Calcium, Dietary; Dietary Supplements; Fractures, Bones; Osteoporosis; Vitamin D Language Published English Country of organisation United States English summary An English
Meta-analysis: multidisciplinary fall prevention strategies in the acute care inpatient population 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 risk six weeks from onset of stroke and the ability of the Prediction of Falls in Rehabilitation Settings Tool and motor function to predict falls To investigate whether the Prediction of Falls in Rehabilitation Settings Tool (Predict FIRST) and motor function could be used to identify people at risk of falling during the first six weeks after stroke, and to compare the risk of falling according to Predict FIRST with real falls frequency.A longitudinal, prospective study.Sixty-eight people (...) newly diagnosed with stroke admitted to an acute stroke unit.The participants underwent an assessment of motor ability (Modified Motor Assessment Scale according to Uppsala University Hospital version 99 (M-MAS UAS-99)) and falls risk (Predict FIRST) on the first to fourth day at the acute stroke unit. Falls occurring in the acute stroke unit were recorded and falls occurring after discharge were reported by telephone follow-up. The prediction of falls was analysed with binary logistic
The cost-effectiveness of falls prevention interventions for older community-dwelling Australians The cost-effectiveness of falls prevention interventions for older community-dwelling Australians The cost-effectiveness of falls prevention interventions for older community-dwelling Australians Church J, Goodall S, Norman R, Haas M 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 evaluated the cost-effectiveness of strategies to prevent falls among older people. The authors concluded that Tai Chi, for the general population, and group exercise, for high-risk patients, were the most cost-effective strategies. Specific interventions for specific populations were all cost-effective. In general, the analysis was well
How much are we willing to pay to prevent a fall? Cost-effectiveness of a multifactorial falls prevention program for community-dwelling older adults How much are we willing to pay to prevent a fall? Cost-effectiveness of a multifactorial falls prevention program for community-dwelling older adults How much are we willing to pay to prevent a fall? Cost-effectiveness of a multifactorial falls prevention program for community-dwelling older adults Bray Jenkyn K, Hoch JS, Speechley M 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 The objective was to assess the cost-effectiveness of a programme to prevent unintentional falls, for older people living in the community. The authors concluded that their programme was not cost-effective, compared