Identifying interacting predictors of falling among hospitalized elderly in Japan: A signal detection approach

Nabeshima, Akira; Hagihara, Akihito; Hayashi, Kazuo; Nabeshima, Shigeki; Okochi, Jiro

doi:10.1111/j.1447-0594.2007.00391.x

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…Lower OLS time was known to be a potent risk factor for falls independent of already‐known risk factors, 15–19 and falls in elderly causes bone fractures with high probability. In addition, we identified short OLS time as an independent factor for reduced SOS.…”

Section: Discussionmentioning

confidence: 99%

Associations between short one‐leg standing time and speed of sound of calcaneal bone in a general population: The Shimanami Health Promoting Program (J‐SHIPP) study

Kido¹,

Tabara²,

Igase³

et al. 2010

Geriatrics Gerontology Int

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Section: Discussionmentioning

confidence: 99%

Associations between short one‐leg standing time and speed of sound of calcaneal bone in a general population: The Shimanami Health Promoting Program (J‐SHIPP) study

Kido¹,

Tabara²,

Igase³

et al. 2010

Geriatrics Gerontology Int

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“…Although confusion has long been recognized as a risk factor for falls, risk factors among confused patients have to our knowledge not been studied 3,4,22 . While there is evidence that multidisciplinary interventions can have an effect in reducing falls in cognitively‐intact patients, preventing falls among confused patients remains a challenge 23 .…”

Section: Discussionmentioning

confidence: 99%

Fall risk factors in elderly patients with cognitive impairment on rehabilitation wards

Vassallo

Mallela

Williams

et al. 2009

Geriatrics Gerontology Int

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Background: Confusion and cognitive impairment, are risk factors for falls in hospital. Evidence for reducing falls in cognitively-impaired patients is limited and to date no intervention has consistently been shown to reduce falls in this group of patients. We explored characteristics associated with falls in cognitively-impaired patients in a rehabilitation setting. Methods:In a prospective observational study, 825 consecutive patients were studied. Patient characteristics were assessed on admission. Factors predisposing to falls in cognitively-impaired patients were identified. Results:Cognitively-impaired patients were more likely to be fallers or recurrent fallers and more likely to sustain an injury than cognitively intact patients. They had a higher incidence of nursing home discharges and a significantly higher mortality. Logistic regression analysis showed that an unsafe gait (P < 0.001; 95% confidence interval, 0.13-0.57) was the only independent risk factor for falls in this group of patients. There was a cumulative higher risk of falling associated with an unsafe gait demonstrable throughout the patients' stay. Conclusion:Unsafe gait was the only significant independent risk factor for falls among cognitively-impaired patients in a rehabilitation environment. Interventions that improve gait patterns or that enhance safety for patients with abnormal gait are required if fall reduction in this group of patients is to be achieved.

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“…Among the clinical characteristics, the fall rate differed according to the clinical unit to which the patient had been admitted, activity level, pain, surgery, sleeplessness, and the presence of skin, digestive, respiratory or neuromuscular disorders. This can be understood in the same context as the study of Nabeshima et al ., which used factors related to falls in a geriatric hospital to elucidate the interactions between multiple risk factors for falls in elderly inpatients, and the study of Mamun and Lim, which demonstrated that the factors affecting falls in the elderly are balance problems, blood pressure drop on standing, medication and muscle weakness.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of falls by inpatients in an acute care hospital in Korea using the Morse Fall Scale

Sung

Cho

Kwon

et al. 2013

Int J of Nursing Practice

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The purpose of this study was to determine the cut-off values of the Korean version of the Morse Fall Scale (MFS-K) that would be most useful in identifying hospitalized patients at risk of falls in an acute-care setting in Korea. This study was conducted using the medical records of 66 patients who fell and 100 patients who did not fall (no-fall patients) sampled from inpatients hospitalized at a tertiary acute-care hospital in Seoul during the period from 1 January to 30 November 2009. The optimal cut-off point for the MFS-K was found to be 45 points, which produced an acceptable sensitivity and a fairly good specificity, negative predictive value and accuracy. The highest peak on the receiver operating characteristic curve was a cut-off score of 45 points in the MFS-K. Further research needs to be performed to determine the optimal cut-off score according to subjects' conditions through daily measurement with the MFS in medical or surgical patients who are relatively homogeneous in terms of individual and disease-related factors.

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Identifying interacting predictors of falling among hospitalized elderly in Japan: A signal detection approach

Cited by 7 publications

References 19 publications

Associations between short one‐leg standing time and speed of sound of calcaneal bone in a general population: The Shimanami Health Promoting Program (J‐SHIPP) study

Associations between short one‐leg standing time and speed of sound of calcaneal bone in a general population: The Shimanami Health Promoting Program (J‐SHIPP) study

Fall risk factors in elderly patients with cognitive impairment on rehabilitation wards

Evaluation of falls by inpatients in an acute care hospital in Korea using the Morse Fall Scale

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