A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly

Bongué, Bienvenu; Dupré, Caroline; Beauchet, Olivier; Rossat, Arnaud; Fantino, Bruno; Colvez, Alain

doi:10.1016/j.jclinepi.2010.12.014

Cited by 102 publications

(107 citation statements)

References 33 publications

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“…The falls following fractures of the proximal femur of elderly people have been identified as one of the principal causes of functional limitations, temporary or permanent, as well being an object of study not only in Brazil (1)(2) , but also in other countries, such as France (3) , Japan (4) and the United States of America (5) . Within Brazil, between 2006 and 2008, proximal femoral fractures represented one percent of the hospitalizations of elderly receiving care from the Sistema Único de Saúde Brasileiro (Brazilian Unified Health System -SUS) (6) .…”

Section: Introductionmentioning

confidence: 99%

Family participation to elderly rehabilitation with femoral fracture

2015

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How to cite this article: Avila MAG, Pereira GJC, Bocchi SCM. Family participation to elderly rehabilitation with femoral fracture.Rev Bras Enferm. 2015;68(5):601-7. DOI: http://dx.doi.org/10.1590/0034-7167.2015680517iSubmission: 12-15-2014 Approval: 07-13-2015 ABSTRACT Objective: verify if the mode of care adopted by caregivers favored functional independence recovery by elderly with and without the presence of nervous system disease and mental and behavioral disorders; and, if disease interfered with their functional independence. Method: transversal study, with 12-month follow-up of 89 Brazilian elders (≥ 60 years) after proximal femoral surgery, and their family caregiver. Results: the Functional Independence Measure scores decreased by 0.7 points per year of life, and in the case of presenting nervous system disease and mental and behavioral disorders, this loss amounted to 20.5 points. Conclusion: The incentive to ambulate increased by 18.8 for self-care, 12.8 for self-care, and 11.5 for leisure activities on the Functional Independence Measure. Encouraging movement and ambulation, self-care and leisure activities, especially with those elderly with nervous system diseases and mental and behavioral disorders, is recommended. Key words: Aged; Caregivers; Femoral Fractures. RESUMO Objetivo: verifi car se o modo de cuidar adotado pelos cuidadores favoreceu a recuperação da independência funcional dos idosos com e sem a presença de doença no sistema nervoso e transtornos mentais e comportamentais e se doenças interferiram na independência funcional. Método: estudo transversal, com seguimento por 12 meses de 89 idosos brasileiros (≥ 60 anos), submetidos à cirurgia de fêmur proximal e seus cuidadores familiares. Resultados: os escores da Medida de Independência Funcional diminuíram 0,7 pontos por ano vivido e no caso de apresentar doença no sistema nervoso e transtorno mental e comportamental essa perda elevou-se para 20,5 pontos. O incentivo à deambulação aumentou 18,9, ao autocuidado 12,8 e ao lazer 11,5 pontos da Medida de Independência Funcional. Conclusão: recomenda-se o incentivo à movimentação e à deambulação, ao autocuidado e às atividades de lazer, principalmente naqueles idosos com doenças nos sistema nervoso e transtorno mental e comportamental. Descritores: Idosos; Cuidadores; Fraturas do Fêmur. RESUMENObjetivo: verifi car si el modo de cuidar adoptado por los cuidadores favoreció la recuperación de la independencia funcional de los ancianos con y sin la presencia de enfermedad en el sistema nervioso y trastornos mentales y comportamentales y si enfermedades interfi rieron en la independencia funcional. Método: estudio trasversal, con seguimiento por 12 meses de 89 ancianos brasileños (≥ 60 años), sometidos a cirugía de fémur proximal y sus cuidadores familiares. Resultados: los scores de la Medida de Independencia Funcional disminuyeron 0,7 puntos por año vivido y, en el caso de enfermedad en el sistema nervioso y trastorno mental y comportamental, esa pérdida aumentó para 20,5 puntos. El incentivo ...

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Section: Introductionmentioning

confidence: 99%

Family participation to elderly rehabilitation with femoral fracture

2015

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“…Compared to men, women had a 2.2 fold increased odds ratio to falls. The results could be explained by the presence of low muscle strength in females which are more likely than males to experience a fall-related injury 17,18 . However, there was homogeneity of the odds ratio of fall for all treatments with FRIDs between males and females.…”

Section: Discussionmentioning

confidence: 96%

The correlation of specific medication groups and falls risk in elderly. A medication logbook survey

Pyrgeli

Agapiou

Pyrgelis

et al. 2017

JFSF

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“…Sex categories were analyzed separately due to large differences in aging between men and women, particularly with regard to body composition and lean body mass. Previous studies indicate significant differences in the prevalence of falls in both sexes, with higher chances for older women 16,17 . Data obtained in this study are slightly lower than epidemiological population-based designs with prevalence of falls ranging from 28 to 42% 5,6 possibly due to a more pronounced muscle mass loss.…”

Section: Discussionmentioning

confidence: 97%

Indicadores antropométricos como instrumento de triagem para quedas em idosos

Freitas

Amorim

Dip

et al. 2016

Rev. Bras. Cineantropom. Desempenho Hum.

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-Anthropometric indicators enable professionals for predicting risk of falls in the elderly; however, there is a gap in literature on reference values. This study analyzes anthropometric indicators such as screening tests for falls in the elderly. Cross-sectional population-based systematic sampling was conducted through a household survey and body composition assessment. Anthropometric measurements were performed using portable electronic scale and stadiometer. Bioimpedance device was used to measure body mass index, body fat and lean body mass. Falls were evaluated in the 12 months preceding the interview as a dependent variable. Discriminatory analysis was performed for falls through the ROC curve, sensitivity, specificity, positive and negative predictive values. Overall, 275 older adults participated in this study, whose prevalence of falls was 23.6%. The average body mass index was 27.8kg/cm 2 and 52.1% of individuals were overweight. Among older men, height (ROC=0.68; 95%CI 0.54-0.78) and lean body mass (ROC=0.63, 95%CI 0.58-0.76) were associated to the occurrence of falls. When considering cutoff of 52.2kg and 166cm, sensitivity was obtained in 75% and high negative predictive values (88.1% and 89.1% respectively). For women, lean body mass (ROC=0.61, 95%CI 0.30-0.49) and body mass (ROC=0.60, 95%CI 0.53-0.72) were relevant from the optimal cutoff point of 28.9% and 57.2kg/m 2 . Lean body mass was more sensitive (63.2%) and body mass little more specific (64.3%), both with high negative predictive values (82.0% and 83.0%). The indicators used were able to discriminate older adults who have suffered from falls.Key words: Anthropometry; Obesity; Older adults; ROC Curve; Sarcopenia. ROC=0,68; IC95%=0,78) e massa corporal magra (ROC=0,63; IC95%=0,76) (88,1% e 89,1% respectivamente). Para as mulheres, a massa corporal magra (ROC=0,61; IC95%=0,49) e a massa corporal (ROC=0,60; IC95%=0,72) Resumo -Indicadores antropométricos instrumentalizam profissionais para predizer risco de quedas em idosos, entretanto, há lacunas de evidências na literatura sobre valores de referência. O objetivo foi analisar os indicadores antropométricos como testes de rastreio para quedas em idosos. Estudo com delineamento transversal de base populacional

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A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly

Cited by 102 publications

References 33 publications

Family participation to elderly rehabilitation with femoral fracture

Family participation to elderly rehabilitation with femoral fracture

The correlation of specific medication groups and falls risk in elderly. A medication logbook survey

Indicadores antropométricos como instrumento de triagem para quedas em idosos

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