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Journal ArticleDOI

Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home

Mary E. Tinetti, +1 more
- 30 Oct 1997 - 
- Vol. 337, Iss: 18, pp 1279-1284
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...

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Citations
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Journal ArticleDOI

Impact of urbanization factors on mortality due to unintentional injuries using panel data regression model and spatial-temporal analysis.

TL;DR: There exist spatial differences for urbanization influencing TA, fall, and DS death in eastern, western, and central regions, and this study is expected to provide a reference for unintentional injuries control in those three regions.

Universite de picardie jules verne faculte de medecine d'amiens

TL;DR: The general practitioner cannot take care alone of elderly patients fallers and the need for a standardized strategy with clear recommendations is clear.
DissertationDOI

Gait variability, stride dynamics and falls risk in community dwelling older women

TL;DR: In this paper, the authors investigated the effect of walking protocol on measures of gait variability in healthy adults and examined the relationship between stride dynamics, gait variance and falls in older adults.
Journal ArticleDOI

Staying Active -- Staying Safe: development of a physical activity and falls prevention resource for older people who dwell in the community.

TL;DR: The development and evaluation of the resource are described, and the ways in which the resource is useful in increasing physical activity, functional mobility, and self-efficacy in completing everyday tasks are considered.
Journal ArticleDOI

[Admission diagnosis contusion: etiology, epidemiology and cost-causing factors].

TL;DR: The evaluation of the clinic internal data confirmed the subjective perception that the majority of patients admitted with the diagnosis of contusions came from the age group >65 years, and it could be shown that the resulting costs are relevant to health economics and that the treatment does not appear to cover the costs.
References
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Journal ArticleDOI

“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician

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, +1 more
- 21 Sep 1969 - 
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.
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