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
Community-based randomised controlled trial evaluating falls and osteoporosis risk management strategies.
Patricia M Ciaschini,Sharon E. Straus,Sharon E. Straus,Lisa Dolovich,Lisa Dolovich,Ron Goeree,Ron Goeree,K.M. Leung,Carol R Woods,Greg Zimmerman,Sumit R. Majumdar,S. Spadafora,L.A. Fera,L.A. Fera,H.N. Lee +14 more
TL;DR: The protocol for a pragmatic randomised trial of a multi-faceted, community-based intervention to optimize the implementation of evidence based management for patients at risk for falls and osteoporosis is outlined.
Journal ArticleDOI
Podiatry interventions to prevent falls in older people: a systematic review and meta-analysis
Gavin Wylie,Claire Torrens,Pauline Campbell,Helen Frost,Adam L. Gordon,Hylton B. Menz,Dawn A. Skelton,Francis Sullivan,Miles D. Witham,Jacqui Morris +9 more
TL;DR: In this article, a systematic review examined podiatry interventions for falls prevention delivered in the community and in care homes in older adults (aged 60+) and found that the effectiveness of these interventions to prevent falls in older people is unknown.
Journal ArticleDOI
Perioperative nutritional supplementation and skeletal muscle mass in older hip-fracture patients.
Irene Fleur Kramer,Taco J. Blokhuis,Lex B. Verdijk,Luc J. C. van Loon,Martijn Poeze,Martijn Poeze +5 more
TL;DR: An overview is presented of the existing literature on nutritional status and sarcopenia in elderly hip-fracture patients, clinical outcomes, and the effects of nutritional intervention on outcome and rehabilitation in this patient group.
References
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Journal ArticleDOI
“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.