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
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Journal ArticleDOI
Interventions for preventing falls in older people living in the community
Lesley D Gillespie,Mary Clare Robertson,William J Gillespie,Catherine Sherrington,Simon Gates,Lindy Clemson,Sarah E Lamb +6 more
TL;DR: These interventions were more effective in people at higher risk of falling, including those with severe visual impairment, and home safety interventions appear to be more effective when delivered by an occupational therapist.
Journal ArticleDOI
Gait variability and fall risk in community-living older adults: A 1-year prospective study
TL;DR: Findings show both the feasibility of obtaining stride-to-stride measures of gait timing in the ambulatory setting and the potential use ofgait variability measures in augmenting the prospective evaluation of fall risk in community-living older adults.
Reference EntryDOI
Interventions for preventing falls in older people living in the community (Review)
Lesley D Gillespie,M. Clare Robertson,William J. Gillespie,Sarah E Lamb,Simon Gates,Robert G. Cumming,Brian H. Rowe +6 more
TL;DR: Exercise interventions reduce risk and rate of falls, and home safety interventions did not reduce falls, but were effective in people with severe visual impairment, and in others at higher risk of falling.
Journal ArticleDOI
Clinical practice. Preventing falls in elderly persons.
TL;DR: A 79-year-old woman with a history of congestive heart failure, arthritis, depression, and difficulty sleeping presents for a follow-up visit, and her daughter reports that the patient has fallen twice during the past six months.
Journal ArticleDOI
The costs of fatal and non-fatal falls among older adults
TL;DR: Fall related injuries among older adults, especially among older women, are associated with substantial economic costs, and implementing effective intervention strategies could appreciably decrease the incidence and healthcare costs of these injuries.
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Journal Article
Changes in functional status and the risks of subsequent nursing home placement and death.
TL;DR: The risk of nursing home placement and death between the 1986 and 1988 follow-ups was associated with deterioration in advanced ADLs and lower body function and substantial improvement in model fit was obtained for both outcomes.
Journal ArticleDOI
A simple screening test for hearing impairment in elderly patients
TL;DR: Free-field voice testing appears a simple, reliable and reproducible test for detecting hearing impairment in elderly patients.
Journal ArticleDOI
Can health visitors prevent fractures in elderly people
TL;DR: A health visitor visiting a group of people aged 70 and over and using simple preventive measures had no effect on the incidence of fractures.
Journal ArticleDOI
Health care utilization and functional status in the aged following a fall.
TL;DR: One-time fallers and, especially repeated fallers, were at greater risk of subsequent hospitalization, nursing home admission, and frequent physician contact than were nonfallers, after controlling for age, sex, self-perceived health status, and difficulties with activities of daily living.
Journal ArticleDOI
The risk of nursing home use in later life.
TL;DR: The data revealed that 37% of a nationally representative sample of individuals dying between 1982 and 1984 used a nursing home sometime after turning 65, and this proportion increased with longevity and was higher among females and whites and in the North Central and Western regions of the country.