Profile of Hospitalized Elderly Patients Treated for Falling

Hsiao, Yu Ling; Chang, Chia Chi; Chen, Ching Min

doi:10.1016/j.ijge.2012.01.019

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…In Taiwan, fall-related hospital admission rate was 47.5% [21]. In line with other studies [22,23], there was no significant relationship between gender and the falling rate of the elderly. However, a significant relationship was found between age and falling rate which is consistent with the findings of other studies [24][25][26][27][28].…”

Section: Resultssupporting

confidence: 70%

Prevalence of Risk Factors for Falls Among the Elderly Receiving Care at Home

Na'emani

Zali

Sohrabi

et al. 2019

Salmand

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Use your device to scan and read the article online Objectives Elderly people are at the highest risk for falling. In order to design and implement effective interventions and reduce the incidence of falling and its resulting injuries, the relative importance of each risk factor should be determined. This study aimed to determine how frequently different factors contribute to falls among the elderly served by one home health agency in Tehran. Methods & MaterialsThis study was a descriptive-analytic and cross-sectional study. A total of 400 elderly were selected through random cluster sampling method from all 22 districts of Tehran City, Iran. The study data were collected through a researcher-made questionnaire of falling risk factors. The questionnaire consisted of two parts: first, demographic questions and second, questions related to falling in 7 dimensions (including 60 questions). The obtained data were analyzed in SPSS (V. 19) through descriptive and inferential statistics. Results In this study, female samples were 52.5% of the participants (n=400) and the elderly mean±SD age was 78±8 years. The total frequency of falling among the elderly was 28% (112 out of 400). Among the elderly who had fallen (n= 112), 64 (57.1%) of them were female and their Mean±SD age was 80±7.5 years. About 82% of them fell down inside their homes, with these separate frequencies: bathroom (19.6%), toilet (18%), bedroom (18%), and hall (16%). Parts of the body which were more frequently affected by falls in forms of injuries, bone fractures, dislocations, etc., were the pelvis (26.8%), arms (22.3%) and legs (19.6%). Around 43.8% of the falling among the elderly had led to hospitalization, 44.9%, between 1 and 5 days, 36.7% between 6 and 10 days, and 18.4% between 11 and 15 days. The relationship between falls and the medical, lifestyle, or environmental risk factors was non-significant. Conclusion A high percentage of affected elderly were hospitalized after the incident, and among them a high percentage stayed in the hospital for a long time imposing considerable costs to the health system. Moreover, sensory and neuromuscular risk factors were the most frequent causes of falls which could be prevented by rehabilitation measures. Results showed that people who are afraid of falling have a higher risk of falling which requires adequate and special attention to this psychological risk factor. Compliance with ethical guidelinesThis study is an approved research project (registration code: 31287-38-01-95) supported by

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Section: Resultssupporting

confidence: 70%

Prevalence of Risk Factors for Falls Among the Elderly Receiving Care at Home

Na'emani

Zali

Sohrabi

et al. 2019

Salmand

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“…25 41 72 The hospitalisation costs were reported as US$3812 and US$743 per person respectively in two Mainland studies25 41 and US$1761 per person in one Taiwan-based study 72. The Taiwanese study also reported that average expenses paid by patients varied from 0 to US$2629, and the average reimbursement for medical expenditure claimed varied from US$45 to US$19 468.…”

Section: Resultsmentioning

confidence: 99%

Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review

Peng¹,

Tian²,

Andersen³

et al. 2019

Inj Prev

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ObjectiveChina’s population is ageing and fall-related injury in older Chinese people is a growing public health concern. This review aims to synthesise existing evidence on the incidence, risk factors and economic burden of fall-related injury among older Chinese people to inform health service planning.MethodsA systematic search of literature on falls and injury among older people living in China was performed in six electronic databases including both English and Chinese databases. Results were combined using narrative synthesis due to the heterogeneity of included studies.ResultsA total of 93 studies from Mainland China, Taiwan and Hong Kong were included in this review. Most of these studies were descriptive; 82 reported the incidence of fall-related injury among older Chinese people, 7 studies examined the risk factors for fall-related injury and 22 studies described the economic burden of fall-related injury. The incidence of fall-related injury reported among older Chinese people ranged from 0.6% to 19.5%. Risk factors significantly associated with fall-related injury among older Chinese included older age, female sex, walking aid use, living environments, chronic disease, medication usage, visual impairment and a fall direction other than forward. The cost of fall-related injury among older Chinese people ranged from US$16 to US$3812 per person per fall.ConclusionFalls-related injuries are a significant public health issue for older Chinese people. Further studies using prospective design to identify risk factors and the economic burden of fall-related injuries are needed.

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“…13 Authors on this subject consider that the ideal protocol for evaluating the real effectiveness of the IMT has still not been established. 15,16 There is a great diversity in suggested training times and in devices used for such purposes. 7,17---19 For this reason, the present study aimed to compare the effect of IMT on inspiratory muscle strength (IMS) using the Threshold IMT ® device and the Voldyne ® in healthy and sedentary subjects.…”

Section: Introductionmentioning

confidence: 99%