Cognitive Function as a Prospective Predictor of Falls

Chen, Tuo Yu; Peronto, Carol L.; Edwards, Jerri D.

doi:10.1093/geronb/gbs052

Cited by 62 publications

(35 citation statements)

References 57 publications

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“…Ninety days after hospital discharge, the independent factors were female gender with age ≥80 years and femoral neck fracture, which showed a 46 times greater chance of loss of functionality. These results are similar to the results of studies that have shown a predominance of elderly women, 70 or older, fall victims [1,2,[22][23][24][25][26][27], TBI [24,28] and associated comorbidities [25,29,30].…”

Section: Discussionsupporting

confidence: 89%

“…However, the psychomotor reaction speed of individuals who have some difficulty with postural balance may be considered an important predictor of falls, as it is directly related to the responsiveness of the elderly at the time of the trauma event [27]. In this context, the maintenance of appropriate social activity after the occurrence of femoral fracture as a result of a fall represents a challenge for health professionals.…”

mentioning

confidence: 99%

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Functional capacity and risk factors in elderly trauma victims

Nunes¹,

Mota²,

Martins-Filho³

et al. 2016

Int Arch Med

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Objective: To determine changes in the functional capacity of elderly victims of external-cause trauma using the Modified Barthel Index and to evaluate related independent risk factors during hospitalization and ninety days after discharge.Method: This prospective study of 247 elderly trauma victims in northeastern Brazil aged ≥ 60 years. Data were analyzed using the software BioEstat 5.0. The Wilcoxon test was used with a significance level of 5%. The independent predictors of incapacity that showed interactions (p<0.2) with the outcome were evaluated using logistic regression with a stepwise selection model and adjusted odds ratios with a confidence interval of 95%. This study was approved by the Research Ethics Committee. Results:The mean age was 70.8 years, and the mean duration of hospitalization was 10.5 days. The logistic regression analysis showed that a history of cardiovascular disease, traumatic brain injury and femoral neck fracture were independent factors associated with moderate/severe functional incapacity in elderly trauma patients during hospitalization. Ninety days after discharge, associated factors were female gender, age greater than or equal to 80 years and femoral neck fracture. Conclusion:The Modified Barthel Index showed improvement in functional capacity in almost all categories, except for elderly who remained in wheelchairs during hospitalization and 90 days after hospital discharge, with evidence of independent factors associated with incapacity, particularly femoral neck fracture. Studies involving the elderly can scientifically support the formulation of public policies.

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Functional capacity and risk factors in elderly trauma victims

Nunes¹,

Mota²,

Martins-Filho³

et al. 2016

Int Arch Med

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“…34,35 Por otro lado, se ha visto también que el incremento en la actividad física puede impactar positivamente en la disminución de la frecuencia de caídas. 33 Finalmente, tanto en nuestro país como a nivel internacional se han desarrollado guías clínicas para el abordaje del síndrome de caídas.…”

Section: Sí Nounclassified

Quedas: revisão de novos conceitos

Cruz

González²,

López³

et al. 2014

Revista Hospital Universitário Pedro Ernesto

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ResumenLas caídas son un problema que implica una carga de enfermedad importante en los adultos mayores. Existe escasa evidencia alrededor del impacto y frecuencia de este fenómeno en Latinoamérica. Se presenta una revisión del tema actualizada con énfasis en el conocimiento generado en los adultos mayores de la región. Adicionalmente hay una descripción de algunos artículos sobre esta población en particular. Hay una necesidad urgente de generar nuevo conocimiento con el fin de obtener evidencia suficiente, e integrar intervenciones efectivas para la prevención de caídas en los adultos mayores.Palabras clave: Ejercicio físico; Adulto mayor; Aptitud física; Calidad de vida; Educación y entrenamiento físico. ResumoAs quedas são um problema que envolve uma grande quantidade de doenças em idosos. Há poucas evidências sobre o impacto e a frequência deste fenômeno na América Latina. A presente revisão atualizada do tema enfatiza o conhecimento gerado em idosos da região. Além disso, há uma descrição de alguns tópicos sobre esta população específica. Há uma necessidade de se gerar novos conhecimentos, a fim de obter evidências suficientes, e integrar intervenções eficazes para a prevenção de quedas em idosos.Descritores: Exercício físico; Idoso; Aptidão física; Qualidade de vida; Educação física e treinamento. AbstractFalls are a problem that involves an important disease burden for the elderly. There's scarce evidence about the impact and frequency of this phenomenon in Latin America. We present a review of this subject emphasizing the knowledge gathered on the elderly of the region. We also include a description of a number of papers on this particular population. There's an urgent need for new knowledge and enough evidence to integrate effective interventions to prevent falls in the elderly population

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“…It leads to physical and psychological trauma. It is one of the leading causes of death due to unintentional injuries among older adults [3]. Falls are a major cause of morbidity among older adults, especially for those with cognitive problems [4].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have shown that identifying risk factors of falling followed by proper interventions can successfully reduce the incidence of falling. It is, therefore, important to understand the risk factors for falling in order to promote falls prevention and improve public health [3].…”

Section: Introductionmentioning

confidence: 99%