Prevention of falls and their consequences

Robledo, Luis Miguel Gutiérrez

doi:10.1016/j.eurger.2016.08.002

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…They affect 30% of older adults over 60 years, and 40 to 50% of seniors aged from 80 to 85 years. Among these groups (especially the long-lived), falls are the leading causes of injuries, fatal or not [3][4][5] . They are the most common type of unintentional injuries in the United States 6 , and the leading cause of accidental death.…”

Section: Introductionmentioning

confidence: 99%

“…Accidental falls are more common at an old age and their sequelae may decrease functional independence and increase the risk of early death 4 ; thus, old age associated with natural depletion of physiological systems and functionality, increased morbidity, and early institutionalization turns accidental falls into a public health matter 4 . Besides its high cost, fall-related hospitalizations imply survival rates: only about 50% of older adults who fell and were admitted to hospitals will still be alive within one year 10 .…”

Section: Introductionmentioning

confidence: 99%

“…O avanço da idade associado à depleção natural dos sistemas fisiológicos e da funcionalidade, ao aumento da morbidade e à institucionalização precoce tornam as quedas acidentais um problema de saúde pública 4 , pois elas são mais frequentes na velhice e suas sequelas podem diminuir a independência funcional do idoso e aumentar o risco de morte precoce 4 . Além do alto custo, as internações por quedas implicam na sobrevida, pois apenas cerca de 50% dos idosos que caíram e foram admitidos em hospitais estarão vivos após um ano 10 .…”

Section: Introductionunclassified

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Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil

et al. 2020

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OBJECTIVE: To estimate the trends of fall-related hospitalization, mortality, and lethality among older adults in Brazil and regions. METHODS: This is a descriptive study based on data from the Hospital Information System of the Brazilian Unified Health System. We included records of every older adult, aged 60 years or older, hospitalized for accidental fall from January, 1998 to November, 2015 in all Brazilian regions. We selected the codes E885, E886, E880, E884, E884 from the International Classification of Diseases, 9th revision, and W01, W03, W10, W17, W18 from the 10th revision, and calculated fall-related hospitalization and mortality rates per 100,000 inhabitants, as well as lethality. To estimate trends, we applied the Prais-Winsten regression for time series analysis. RESULTS: During the period, 1,192,829 fall-related hospitalizations occurred, among which 54,673 had a fatal outcome; lethality was 4.5%. Hospitalization rates showed upward trends, with seasonality, in Brazil (11%), and in the Northeast (44%), Midwest (13%), and South regions (14%). The North showed a decreasing hospitalization rate (48%), and the Southeast a stationary one (3%). CONCLUSIONS: In Brazil, fall-related hospitalizations, mortality, and lethality among older adults showed an upward trend from 1998 to 2015, with seasonal peaks in the second and third quarters. Considering we are in plain demographic transition, to improve hospital healthcare and encourage falls prevention programs among older adults is essential.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil

et al. 2020

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“…(16) As quedas cometem cerca de 30% dos idosos acima de 60 anos e de 40 a 50% dos idosos mais velhos (acima de 80 a 85 anos), consistindo na principal causa de lesões, fatais ou não, nesses grupos. (17) Estes incidentes são considerados um problema de saúde pública, pois são mais frequentes na velhice e suas sequelas podem diminuir a independência funcional do idoso e aumentar o risco de morte precoce, (18) além de mencionar que as internações por quedas implicam na sobrevida, pois apenas cerca de 50% dos idosos que caíram e foram admitidos em hospitais estarão vivos após um ano. (19) A quantidade de idosos acima de 60 anos cresce mundialmente a uma taxa acelerada de 3% ao ano, ampliando o número de pessoas em risco de quedas, e consequentemente com sequelas e fatalidades.…”

Section: Discussionunclassified

Avaliação e características das quedas de pacientes durante a internação hospitalar

Dornelles

Aguiar

Matos

et al. 2021

Enfermeria (Montev.)

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Objetivo: Avaliar e caracterizar as quedas de pacientes em um hospital no sul do Brasil. Método: Estudo descritivo e retrospectivo de 73 notificações de quedas em um hospital no sul do Brasil, de janeiro 2016 a dezembro de 2019. Utilizou-se dados secundários obtidos pelo Núcleo de Segurança do Paciente da instituição e da Morse Fall Scale, sendo a análise estatística descritiva. Resultados: A maioria dos pacientes que sofreram quedas foi do sexo masculino (60,3%), >61 anos (50,6%), tratamento clínico (89,0%), portadores de neoplasias (43,8%) em uso contínuo de medicações (91,8%). As quedas ocorreram da própria altura (67,1%), no banheiro (56,2%) e no turno da noite (50,0%). Em 50,7% das quedas houve danos ao paciente, sendo os danos considerados como: leve (62,2%), moderado (32,4%) e grave (5,4%). Conclusão: Melhorar a compreensão das quedas e as suas consequências pode auxiliar os profissionais na avaliação dos riscos e no estabelecimento de medidas preventivas.

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Non-pharmacological interventions to prevent falls in older patients: Clinical practice recommendations – the SENATOR ONTOP Series

Rimland

Abraha

Dell'Aquila

et al. 2017

European Geriatric Medicine

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Prevention of falls and their consequences

Cited by 3 publications

References 22 publications

Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil

Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil

Avaliação e características das quedas de pacientes durante a internação hospitalar

Non-pharmacological interventions to prevent falls in older patients: Clinical practice recommendations – the SENATOR ONTOP Series

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