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
Cost-Effectiveness of a Group vs Individually Delivered Exercise Program in Community-Dwelling Persons Aged ≥70 Years
TL;DR: In this paper , the authors evaluated the cost-effectiveness of a group-delivered version of the Lifestyle-integrated functional exercise program compared with an individually delivered program version and concluded that the group program might be cost-effective for increasing physical activity in older adults but was unlikely to be cost effective with regard to quality-adjusted life years (QALYs) or for preventing falls.
Journal ArticleDOI
Risk Factors for Fall-Related Serious Injury among Korean Adults: A Cross-Sectional Retrospective Analysis.
TL;DR: In this article, the authors identify the risk factors of serious fall-related injuries by analyzing the differences between two fall groups: one with serious fallrelated injuries and one without such injuries, and they show that taking anticoagulant/antiplatelet drugs was the factor most significantly correlated with serious injuries related to falls.
Book ChapterDOI
Distributed Management of Pervasive Healthcare Data through Cloud Computing
TL;DR: This paper presents an integrated system for managing sensor data related to the detection of disabled or elderly citizens falls that is handled by the Cumulocity Cloud Platform.
Journal ArticleDOI
Prehospital and Posthospital Fall Injuries in Older US Adults
Geoffrey J. Hoffman,Mary E. Tinetti,Jinkyung Ha,Neil B. Alexander,Neil B. Alexander,Lillian Min +5 more
TL;DR: This retrospective cohort study using national survey and linked Medicare data observed spikes in older adult fall injury risk in the periods just before and after hospitalization.
Journal ArticleDOI
A long-recommended but seldom-used method of analysis for fall injuries found a unique pattern of risk factors in the youngest-old
TL;DR: The association of certain exposures with increased hazard of injurious falls begins earlier than previously studied, and Tailored fall prevention screening and intervention may be of value in populations younger than those traditionally screened.
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.