A population-based study of 2347 fall-related injuries among older people in a Finnish emergency department

Soukola, Saara K.; Jämsen, Esa; Pauniaho, Satu‐Liisa; Ukkonen, Mika

doi:10.1007/s41999-020-00288-0

Cited by 5 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another association to highlight in our series were falls. Although falls can be related to advanced age [26], it has been historically reported that patients with RA fall more frequently than non-RA individuals [27]. A recent study performed in UK population confirmed that, even in the last decade, RA has been associated with a self-reported increase in number of falls in the previous year, which was up to 23.1% [28].…”

Section: Discussionmentioning

confidence: 94%

Vertebral fractures are increased in rheumatoid arthritis despite recent therapeutic advances: a case-control study

et al. 2021

View full text Add to dashboard Cite

Prevalence and risk factors of vertebral fractures in postmenopausal RA women were assessed in 323 patients and compared with 660 age-matched women. Of patients, 24.15% had at least one vertebral fracture vs.16.06% of controls. Age, glucocorticoids and falls were the main fracture risks. Vertebral fractures were associated with disease severity. Introduction There is little quality data on the updated prevalence of fractures in rheumatoid arthritis (RA) that may have changed due to advances in the therapeutic strategy in recent years. This study was aimed at analysing the prevalence and risk factors of vertebral fractures in postmenopausal women with RA and comparing it with that of the general population. Methods We included 323 postmenopausal women diagnosed with RA from 19 Spanish Rheumatology Departments, randomly selected and recruited in 2018. Lateral radiographs of the thoracic and lumbar spine were obtained to evaluate morphometric vertebral fractures and the spinal deformity index. We analysed subject characteristics, factors related to RA, and fracture risk factors. The control group consisted of 660 age-matched Spanish postmenopausal women from the population-based Camargo cohort.Results Seventy-eight (24.15%) RA patients had at least one vertebral fracture. RA patients had increased fracture risk compared with controls (106 of 660, 16.06%) (p = 0.02). Logistic regression analysis showed that age (OR 2.17; 95% CI 1.27-4.00), glucocorticoids (OR 3.83; 95% CI 1.32-14.09) and falls (OR 3.57; 95% CI 1.91-6.86) were the independent predictors of vertebral fractures in RA patients. The subgroup with vertebral fractures had higher disease activity (DAS28: 3.15 vs. 2.78, p = 0.038) and disability (HAQ: 0.96 vs. 0.63, p = 0.049), as compared with those without vertebral fractures. Conclusion The risk of vertebral fracture in RA is still high in recent years, when compared with the general population. The key determinants of fracture risk are age, glucocorticoids and falls. Patients with vertebral fractures have a more severe RA.

show abstract

Section: Discussionmentioning

confidence: 94%

Vertebral fractures are increased in rheumatoid arthritis despite recent therapeutic advances: a case-control study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…We designed a structured questionnaire to survey the risk factors of falls through panel meetings and literature review 2 25–27. The survey questionnaire was divided into three sections: demographic information, fall characteristics and an assessment of comprehensive geriatric syndromes.…”

Section: Methodsmentioning

confidence: 99%

Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

Zha

Lü

Jiang³

et al. 2023

BMJ Open

View full text Add to dashboard Cite

ObjectivesThis study aimed to explore the potential risk factors associated with toileting-related falls in community-dwelling older adults who presented to the emergency department and were subsequently hospitalised.DesignThis was a cross-sectional study.Setting and participantsThis study was conducted in two teaching hospitals in Shanghai, China between October 2019 and December 2021 among community-dwelling adults aged ≥60 years.MethodsIn-person interviews, physical assessment and medical record review were performed to collect data on the characteristics and risk factors of falls. Associations of toileting-related falls with demographic characteristics and geriatric syndromes were examined using logistic regression models.Main outcome measuresPotential risk factors for toileting-related falls.ResultsThis study included 419 older patients with a mean age of 73.8±9.7 years. Among 60 (14.3%) patients with toileting-related falls (mean age: 78.8±9.2 years), 63.3% of toileting-related falls, mainly occurred between 00:00 and 05:59 hours, compared with 17.3% of non-toileting-related falls, which primarily occurred during the daytime. The rate of recurrent falls (35%) was significantly higher in the toileting-related falls group than in the non-toileting-related falls group (21.2%) (p=0.02). Logistic regression showed that visual impairment (OR 2.7, 95% CI 1.1 to 7.1), cognitive impairment (OR 3.3, 95% CI 1.3 to 8.4), gait instability (OR 3.1, 95% CI 1.1 to 8.8) and urinary incontinence (OR 3.4, 95% CI 1.2 to 9.9) were strongly associated with toileting-related falls. Twenty-three (38.3%) patients in the toileting-related falls group had moderate and severe injuries, compared with 71.7% in the non-toileting-related falls group (p<0.05).ConclusionsThis study revealed that patients who reported toileting-related falls were more likely to have cognitive impairment, urinary incontinence, gait instability, visual impairment than patients who fell during other activities. Social and healthcare professionals should prioritise the management of toileting activities in older patients and provide targeted interventions to those in the high-risk group.

show abstract

“…Note that, although the MediaPipe Pose solution is capable of inferring depth from the 2D image, this depth is referenced to the center of the body, and does not allow the reconstruction of the 3D space according to the reference system of the RGB-D sensor. As it is particularly important the computation of the speed and the trajectory of the subject for estimating the score of some items related to gait in most of standard of care tests, values obtained from the MediaPipe Pose solution are transformed to the RGB-D sensor reference frame by applying the corresponding transformation by using Equations (3)- (5).…”

Section: Using the Mediapipe Pose Solutionmentioning

confidence: 99%

“…Each year there are 37.3 million falls that require medical attention, and people over 60 are the ones who suffer them the most, becoming fatal [ 2 ] in many cases. In addition, the most frequent consequence of falls is usually hip fracture, which is associated with a decrease in functional capacity and a high risk of subsequent death, as indicated by different studies [ 3 , 4 , 5 ]. On the other hand, an investigation relates the fear of falling with a low HRQoL (Health Related Quality of Life) rate, both physically and mentally [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Computer Vision-Based System to Help Health Professionals to Apply Tests for Fall Risk Assessment

Blasco-García,

García-López,

Jiménez-Muñoz

et al. 2024

Sensors

View full text Add to dashboard Cite

The increase in life expectancy, and the consequent growth of the elderly population, represents a major challenge to guarantee adequate health and social care. The proposed system aims to provide a tool that automates the evaluation of gait and balance, essential to prevent falls in older people. Through an RGB-D camera, it is possible to capture and digitally represent certain parameters that describe how users carry out certain human motions and poses. Such individual motions and poses are actually related to items included in many well-known gait and balance evaluation tests. According to that information, therapists, who would not need to be present during the execution of the exercises, evaluate the results of such tests and could issue a diagnosis by storing and analyzing the sequences provided by the developed system. The system was validated in a laboratory scenario, and subsequently a trial was carried out in a nursing home with six residents. Results demonstrate the usefulness of the proposed system and the ease of objectively evaluating the main items of clinical tests by using the parameters calculated from information acquired with the RGB-D sensor. In addition, it lay the future foundations for creating a Cloud-based platform for remote fall risk assessment and its integration with a mobile assistant robot, and for designing Artificial Intelligence models that can detect patterns and identify pathologies for enabling therapists to prevent falls in users under risk.

show abstract

A population-based study of 2347 fall-related injuries among older people in a Finnish emergency department

Cited by 5 publications

References 20 publications

Vertebral fractures are increased in rheumatoid arthritis despite recent therapeutic advances: a case-control study

Vertebral fractures are increased in rheumatoid arthritis despite recent therapeutic advances: a case-control study

Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

A Computer Vision-Based System to Help Health Professionals to Apply Tests for Fall Risk Assessment

Contact Info

Product

Resources

About