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
A classification tree for predicting recurrent falling in community-dwelling older persons
TL;DR: A classification tree for predicting the risk of recurrent falling in community‐dwelling older persons using tree‐structured survival analysis (TSSA) and its applications in healthcare and social services are developed.
Book ChapterDOI
Limit Cycle Walking
TL;DR: This chapter introduces the paradigmLimit Cycle Walking, a new stability paradigm with fewer artificial constraints and thus more freedom for finding more efficient, natural, fast and robust walking motions.
Journal ArticleDOI
Fall and Injury Prevention
TL;DR: There is a large body of research that investigates fall and injury prevention across the care continuum, and targeted risk evaluation in the emergency department and management of vitamin D deficiency appear to be promising preventive methods in the community setting.
Journal ArticleDOI
Mobility difficulties are not only a problem of old age.
Lisa I. Iezzoni,Lisa I. Iezzoni,Ellen P. McCarthy,Ellen P. McCarthy,Roger B. Davis,Roger B. Davis,Hilary Siebens +6 more
TL;DR: Reports of mobility difficulties are common, including among middle-aged adults, and associations with poor performance of daily activities, depression, anxiety, and poverty highlight the need for comprehensive care for persons with mobility problems.
Journal ArticleDOI
Does a home-based strength and balance programme in people aged > or =80 years provide the best value for money to prevent falls? A systematic review of economic evaluations of falls prevention interventions.
Jennifer C. Davis,Mary Clare Robertson,Maureen C. Ashe,Teresa Liu-Ambrose,Karim M. Khan,Carlo A. Marra +5 more
TL;DR: Best value for money came from effective single factor interventions such as the Otago Exercise Programme which was cost saving in adults 80 years and older.
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.