Profile of fall injury in the New South Wales older adult population

Miu, Jenny; Curtis, Kate; Balogh, Zsolt J.

doi:10.1016/j.aenj.2016.07.001

Cited by 10 publications

(5 citation statements)

References 23 publications

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“…Contrary to this finding, in another recent study among senior housing residents in USA, 43 it was shown that bathrooms were the most common place for environmental hazards linked to falls. Similarly, 55.5% 44 and 49.0% 7 –55.4% 45 of elderly dwelling in community in China and Australia, respectively, had fallen indoors at home. The findings reported in the literature showed that environmental hazards varied among settings.…”

Section: Discussionmentioning

confidence: 99%

Fall among physically active elderly in senior housings, Bangkok, Thailand: situations and perceptions

Maneeprom

Taneepanichskul

Panza

2018

CIA

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PurposeA mixed-method study aimed to assess situations in which falls occur including prevalence and associated risk factors of falls among physically active elderly who are at risk of experiencing a fall in senior housings, Bangkok, Thailand, and their perceptions regarding falls.Patients and methodsIn the first phase, a cross-sectional study was conducted on 64 physically active elderly senior housing residents. Data on sociodemographics, health status, Barthel Index (BI) of activities of daily living, and fall experiences were collected through face-to-face interviews. Data on balance scores were obtained from Time Up and Go (TUG) test and Berg Balance Scale (BBS). In the second phase, a qualitative study was conducted on 41 physically active elderly who had experienced falls. Data regarding perception on falls, fall preventions, and fall management, were gathered through in-depth interviews from November 2017 to December 2017.ResultsThe prevalence of falls among participants in senior housings was 64.1%. Univariate analysis found that a higher BI was associated with fall (P<0.004). Multivariate analysis using binary logistic regression showed that a higher BI (OR=6.00, 95% CI=1.24–29.10) together with ≥2 environmental hazards (OR=6.33, 95% CI=1.24–32.29) were associated with fall. The result from content analysis indicated that the elderly were aware that they were at risk of fall. In addition, the elderly also perceived that fall could be avoided even though they did not know how to prevent it.ConclusionThe prevalence of fall among physically active elderly in senior housings was relatively high. A higher BI scale and having ≥2 environmental hazards were associated risk factors of falls. Although the elderly perceived that fall could be avoided, they did not know how to prevent it. The intervention that focuses on environmental modification, balancing enchantment, and education on fall prevention is highly required.

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Section: Discussionmentioning

confidence: 99%

Fall among physically active elderly in senior housings, Bangkok, Thailand: situations and perceptions

Maneeprom

Taneepanichskul

Panza

2018

CIA

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“…Also, we should limit our prescription to the most needed medicines, and choose from the once daily intake or the most simple drug regimens [10]. In this case, adding twice daily vitamin B (that can be forgone) erroneously induced this elderly woman to quadruple her anti-hypertensive medicine with the risk of hypotension and falls [5, 6, 11]. Patients on ACEIs, especially the elderly, should monitored regularly for late onset adverse drug reactions [7].…”

Section: Discussionmentioning

confidence: 99%

A case management of hypertension in the elderlyin sub-Sahara Africa: lessons from Granny

2017

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Management of chronic disease conditions in the elderly is challenging. They usually have many co-morbidities requiring multiple drug regimens, and memory or cognitive problems that can interfere with management. Also, they sometimes have a degree of social problems as they might often live alone, and thereby cater for their daily activities with minimal assistance. Multiple drug use combined with their fragile health predispose them to adverse drug reactions, drug-drug interactions, and direct drug toxicity from overdosing. We report and discuss the lessons learnt from the case of an elderly woman in an urban setting in sub-Saharan Africa who presented with problems of drug dosing, adverse drug effect, and drug-drug interaction that might prove useful in the future management of hypertension with angiotensin converting enzyme inhibitors.

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“…Previous reports indicate that the most common body part injured is the head (Miu et al, 2016; Sterling et al, 2001). The majority of hip fractures (95%) in older adults are due to falls, and falls result in approximately 80% of traumatic brain injury (TBI)-related ED visits, hospitalizations, and deaths in older adults (Peterson et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Injury Diagnosis and Affected Body Part for Nonfatal Fall-Related Injuries in Community-Dwelling Older Adults Treated in Emergency Departments

et al. 2020

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Objective: To estimate frequency and type of older adult fall-related injuries treated in emergency departments (EDs). Methods: We used the 2015 National Electronic Injury Surveillance System: All Injury Program. Patient data were abstracted from the narratives describing the circumstance of injury. Data for community-dwelling older adults ( n = 34,336) were analyzed to explore differences in injury diagnosis by demographic characteristics, location of fall, and disposition. Results: 70% of head-related injuries were internal injuries, suggestive of a traumatic brain injury. Most hip injuries were fractures or dislocations (73.3%). Women had higher percentages of fractures/dislocations but lower percentages of internal injuries than men. About a third of fall-related ED visits required hospitalization or transfer. Discussion: Falls in older adults result in array of injuries and pose a burden on the healthcare system. Understanding how fall injuries vary by different characteristics can help inform targeted prevention strategies.

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Profile of fall injury in the New South Wales older adult population

Cited by 10 publications

References 23 publications

Fall among physically active elderly in senior housings, Bangkok, Thailand: situations and perceptions

Fall among physically active elderly in senior housings, Bangkok, Thailand: situations and perceptions

A case management of hypertension in the elderlyin sub-Sahara Africa: lessons from Granny

Injury Diagnosis and Affected Body Part for Nonfatal Fall-Related Injuries in Community-Dwelling Older Adults Treated in Emergency Departments

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