Journal ArticleDOI
Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home
TLDR
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.Abstract:
Background Falls warrant investigation as a risk factor for nursing home admission because falls are common and are associated with functional disability and because they may be preventable. Methods We conducted a prospective study of a probability sample of 1103 people over 71 years of age who were living in the community. Data on demographic and medical characteristics, use of health care, and cognitive, functional, psychological, and social functioning were obtained at base line and one year later during assessments in the participants' homes. The primary outcome studied was the number of days from the initial assessment to a first long-term admission to a skilled-nursing facility during three years of follow-up. Patients were assigned to four categories during follow-up: those who had no falls, those who had one fall without serious injury, those who had two or more falls without serious injury, and those who had at least one fall causing serious injury. Results A total of 133 participants (12.1 perce...read more
Citations
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Journal ArticleDOI
Predictors of institutionalization among home-dwelling older Finnish people: a 22-year follow-up study
Marika Salminen,Jenni Vire,Laura Viikari,Tero Vahlberg,Hannu Isoaho,Aapo Lehtonen,Matti Viitanen,Matti Viitanen,Seija Arve,Sini Eloranta +9 more
TL;DR: It is concluded that impaired cognitive function, low BMI, and frequent falling predicted institutionalization during the 22-year follow-up, and interventions should target risk factors, such as frailty, physical limitations, and falling.
Journal ArticleDOI
Nondisease‐Specific Problems and All‐Cause Mortality in the REasons for Geographic and Racial Differences in Stroke Study
C. Barrett Bowling,C. Barrett Bowling,John N. Booth,Monika M. Safford,Heather E. Whitson,Heather E. Whitson,Christine S. Ritchie,Virginia G. Wadley,Mary Cushman,Virginia J. Howard,Richard M. Allman,Richard M. Allman,Paul Muntner +12 more
TL;DR: To evaluate the association between six nondisease‐specific problems (problems that cross multiple domains of health) and mortality in middle‐aged and older adults, a large number of subjects were randomly assigned to one of the six categories.
Journal ArticleDOI
Predicting falls in older women.
TL;DR: A taxonomy for the reporting of trials testing these instruments, direct comparison of results has been difficult as discussed by the authors, which is why it is difficult to compare the results of different risk assessment tools.
Journal ArticleDOI
Osteoporose - a importância da prevenção de quedas
TL;DR: It is important to remember that falls are common and considered as high morbidity events in the elderly living in communities, and the evaluation of the environment at home in order to identify and remove hazards is very important as prevention strategy for falls.
Journal ArticleDOI
Factors related to gait and balance deficits in older adults.
TL;DR: A significant impact of upper limb disability, stroke, heart disease, arthritis, joint diseases, diabetes, and hypertension as well as psychiatric disorders and cognitive disabilities on gait and balance deficits among home-resident older adults is revealed.
References
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“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
A practical method for grading the cognitive state of patients for the clinician
TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
Manual for the State-Trait Anxiety Inventory
TL;DR: The STAI as mentioned in this paper is an indicator of two types of anxiety, the state and trait anxiety, and measure the severity of the overall anxiety level, which is appropriate for those who have at least a sixth grade reading level.
Journal ArticleDOI
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
M. P. Lawton,Elmne M. Brody +1 more
TL;DR: Two scales first standardized on their own population are presented, one of which taps a level of functioning heretofore inadequately represented in attempts to assess everyday functional competence, and the other taps a schema of competence into which these behaviors fit.