Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home

Tinetti, Mary E.; Williams, Christianna S.

doi:10.1056/nejm199710303371806

Cited by 1,193 publications

(778 citation statements)

References 37 publications

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“…These data agree with national and international litera- ture. International literature shows that 30% of people older than 65 years of age fall at least once a year, and half of these people experience recurrent falls after the first event (7)(8)(9)(10) .…”

Section: Discussionmentioning

confidence: 99%

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Biazin

Rodrigues

2009

Rev. esc. enferm. USP

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Portuguese / English: www.scielo.br/reeusp RESUMO O objetivo foi caracterizar os idosos que sofreram trauma e foram internados nos três hospitais terciários, da cidade de Londrina -Paraná. Pesquisa quantitativa através de um estudo observacional, transversal, com 121 idosos de 60 a 74 anos e seus cuidadores, realizada durante um período de seis meses, por meio de entrevistas e visita domiciliar. Os resultados evidenciaram que a maioria dos idosos era do sexo masculino, com média de idade de 67,7 anos. Os traumas sofridos foram: 62,0% quedas, 25,6% acidentes de transporte e 10,4% outras causas. Como conseqüência ao trauma houveram de uma a três lesões, e 11 idosos (9,1%), foram a óbito. A queda foi a principal causa de trauma, a qual pode ser evitada observando os fatores intrínse-cos e os extrínsecos que a predispõem, com o intuito de estabelecer estratégias de prevenção desse tipo de trauma. DESCRITORESIdoso. Acidentes por quedas. Ferimentos e lesões. ABSTRACTThe objective of this study is to characterize elderly victims of traumas admitted to three tertiary hospitals in Londrina, Paraná State. This quantitative-based research lasted six months and was carried out by means of an observational and cross-sectional study of 121 elderly people (60 to 74 years old) and their caregivers at the patients' homes, by the use of interviews. Results indicated that the majority of the elderly patients were males, with average age of 67.7 years. The suffered traumas were distributed as follows: 62.0% by falls; 25.6% by transport accidents; and 10.4% by other sources. As a consequence of the trauma, the elderly patient had from one to three injuries and 11 (9.1%) died. Falls were the major source of traumas. This event can be avoided by the observations of predisposing intrinsic and extrinsic factors, aiming at establishing prevention strategies to this type of trauma. KEY WORDSAged. Accidental falls. Wounds and injuries. RESUMENEl objetivo fue caracterizar a los ancianos que sufrieron traumas y fueron internados en los tres hospitales terciarios, de la ciudad de Londrina, Paraná. Investigación cuantitativa a través de un estudio observacional, transversal, realizado en 121 ancianos de 60 a 74 años y sus cuidadores, realizada durante un período de seis meses, por medio de entrevistas y visitas a domicilio. Los resultados colocaron en evidencia que la mayoría de los ancianos era de sexo masculino, con promedio de edad de 67,7 años. Los traumas sufridos fueron: 62,0% caídas, 25,6% accidentes de transporte y 10,4% otras causas. Como consecuencia del trauma tuvieron de una a tres lesiones y 11 ancianos (9,1%), murieron. La caída fue la principal causa del trauma, la cual puede ser evitada observando los factores intrínsecos y los extrínsecos que la predisponen, con la finalidad de establecer estrategias de prevención para este tipo de trauma. DESCRIPTORES

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Section: Discussionmentioning

confidence: 99%

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Biazin

Rodrigues

2009

Rev. esc. enferm. USP

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“…Muscular weakness of the lower extremities, decreased grip force, impaired postural balance, functional, and cognitive disorders, and visual problems constitute intrinsic factors, while extrinsic factors consist of multiple drug use (≥4 drugs) and environmental factors such as inadequate illumination, slippery floors, and lack of safety equipments in bathrooms. Besides, a decrease in the ability to perform daily living activities and usage of walking aids contribute to the frequency of falls [3,5,7].…”

Section: Introductionmentioning

confidence: 99%

“…This incidence increases to 50% up to 80 years of age. Falls are responsible for 10% of admissions to emergency rooms, and 6% of hospitalizations in people aged ≥65 years [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Turkish version of the Performance-Oriented Mobility Assessment I

Yücel¹,

Şahin

Doğu

et al. 2012

Eur Rev Aging Phys Act

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The Performance-Oriented Mobility Assessment (POMA)-I is widely used assessment tool for evaluation of balance and gait properties. The aim of this study was to translate POMA-I to Turkish and to assess its reliability and validity. People with amputated lower extremities using prosthetics, those who underwent orthopedic surgery within the last 6 months, those dependent on wheel chairs and also bed-ridden patients, subjects with dementia and Alzheimer's disease, and illiterate people were excluded. After translation into Turkish, the Turkish version of the scale was applied on the participants at 2-week intervals. Volunteers ≥65 years of age were enrolled in the study. Internal consistencies of POMA subscale scores of postural balance and gait, and total score were calculated using Cronbach's α coefficient. The Turkish version was evaluated with respect to inter-and intrarater reliability and test-retest reliability intraclass correlation coefficient (ICC). For validation, Pearson's correlation coefficient between POMA and Berg Balance Scale (BBS) and Timed Up and Go Test (TUGT) was estimated. Eighty participants enrolled in the study with a mean age of 76.5± 6.75 years. In the reliability evaluation of the scale, considering postural balance, gait, and total score, Cronbach's α coefficients were found to be 0.72, 0.83, and 0.88, respectively. ICCs were detected above 0.70 for test-retest reliability and also for interrater and intrarater reliability. In validation study POMA total score had a strong positive correlation with BBS total score (r00.86, p<0.0001), and also a negative correlation with TUGT (r0−0.75, p<0.0001). According to the results of this study, the Turkish version of the POMA-I scale has been found to be a reliable and a valid scale for elderly Turkish people.

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“…It has been estimated that one third of those over the age of 65 experience a fall in any given year with the associated economic costs measured in tens of billions of dollars [2]. Falls are the most common cause of injury among community-dwelling older adults and are strongly associated with loss of independence due to both functional decline and skilled-nursing facility admission [3,4]. Emotionally, the fear of falling itself affects health behaviors through activity restriction [5], resulting in diminished quality of life and ultimately a decline in physical function [6].…”

Section: Introductionmentioning

confidence: 99%

Kyphosis and incident falls among community-dwelling older adults

et al. 2017

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Summary Hyperkyphosis commonly affects older persons and is associated with morbidity and mortality. Many have hypothesized that hyperkyphosis increases fall risk. Within this prospective study of older adults, kyphosis was significantly associated with incident falls over 1 year. Measures of hyperkyphosis could enhance falls risk assessments during primary care office visits. Introduction To determine the association between four measures of kyphosis and incident and injurious falls in older persons. Methods Community-dwelling adults aged 65 and older (n = 72) residing in southern California were invited to participate in a prospective cohort study. Participants had kyphosis assessed four ways. Two standing measures included a flexicurve ruler placed against the back to derive a kyphotic index and the Debrunner kyphometer, a protractor used to measure the kyphotic angle in degrees. Two lying measures included the blocks method (number of 1.7 cm blocks needed to achieve a neutral head position while lying supine) and traditional Cobb angle calculation derived from DXA based lateral vertebral assessment. Baseline demographic, clinical, and other health information (including a timed up and go (TUG) test) were assessed at a clinic visit. Participants were followed monthly through email or postcard for 1 year, with falls outcomes confirmed through telephone interview. Results Mean age was 77.8 (± 7.1) among the 52 women and 20 men. Over 12 months, 64% of participants experienced at least one incident fall and 35% experienced an injurious fall. Each standard deviation increase in kyphosis resulted in more than doubling the adjusted odds of an incident fall, even after adjusting for TUG. Odds of injurious falls were less consistent across measures; after adjusting for TUG, only the blocks method was associated with injurious falls. Conclusions Each kyphosis measure was independently associated with incident falls. Findings were inconsistent for injurious falls; the blocks measure suggested the strongest association. If these findings are replicated, the blocks measure could be incorporated into office visits as a quick and efficient tool to identify patients at increased fall risk.

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Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home

Abstract: Among older people living in the community falls are a strong predictor of placement in a skilled-nursing facility; interventions that prevent falls and their sequelae may therefore delay or reduce the frequency of nursing home admissions.

Cited by 1,193 publications

References 37 publications

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Reliability and validity of the Turkish version of the Performance-Oriented Mobility Assessment I

Kyphosis and incident falls among community-dwelling older adults

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