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Fall risk prevention

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https://www.readbyqxmd.com/read/29782996/reducing-waste-in-evaluation-studies-on-fall-risk-assessment-tools-for-older-people
#1
Gabriele Meyer, Ralph Möhler, Sascha Köpke
OBJECTIVE: To critically appraise the recognition of methodological challenges in evaluation studies on assessment tools and nurses' clinical judgement on fall risk in older people and suggest how to reduce respective research waste. STUDY DESIGN: Opinion paper and narrative review covering systematic reviews on studies assessing diagnostic accuracy and impact of assessment tools and/or nurses' clinical judgement. RESULTS: Eighteen reviews published in the last 15 years were analysed...
May 18, 2018: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/29779141/socioeconomic-factors-and-individual-lifestyles-influencing-the-incidence-of-patella-fractures-a-national-population-based-survey-in-china
#2
Yanbin Zhu, Song Liu, Wei Chen, Lin Wang, Xiaolin Zhang, Yingze Zhang
BACKGROUND: We aimed to do a national survey on the population-based incidence of patella fractures and related risk factors fracture in China. METHODS: All the data on patella fractures were available from the China National Fracture Survey (CNFS) between January and May in 2015. And in the CNFS, all eligible household members were selected from 24 urban cities and 24 rural counties of eight provinces of China, with stratified random sampling and the probability proportional to size method used...
May 19, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29774801/therapists-perspectives-on-adapting-the-stepping-on-falls-prevention-programme-for-community-dwelling-stroke-survivors-in-singapore
#3
Tianma Xu, Kate O'loughlin, Lindy Clemson, Natasha A Lannin, Gerald Koh, Catherine Dean
PURPOSE: This study investigates the perspectives of rehabilitation therapists on the implementation of fall prevention programmes with community-dwelling stroke survivors in the Singapore context, and elicits recommendations to adapt the Stepping On programme with stroke survivors. METHOD: Qualitative data were elicited during 4 focus groups with 23 rehabilitation therapists (15 occupational therapists [OTs]; 8 physiotherapists [PTs]) who had received training to deliver the original Stepping On programme, and had experienced delivery of fall-prevention intervention programmes locally...
May 18, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29774765/-staying-safe-a-narrative-review-of-falls-prevention-in-people-with-parkinson-s-pdsafe
#4
Sophia Hulbert, Lynn Rochester, Alice Nieuwboer, Vicki Goodwin, Carolyn Fitton, Kim Chivers-Seymour, Ann Ashburn
BACKGROUND: Parkinson's disease demonstrates a spectrum of motor and non-motor symptoms. Falling is common and disabling. Current medical management shows minimal impact to reduce falls or fall-related risk factors, such as deficits in gait, strength, and postural instability. Despite evidence supporting rehabilitation in reducing fall risk factors, the most appropriate intervention to reduce overall fall rate remains inconclusive. This article aims to 1) synthesise current evidence and conceptual models of falls rehabilitation in Parkinson's in a narrative review; and based on this evidence, 2) introduce the treatment protocol used in the falls prevention and multi-centre clinical trial "PDSAFE"...
May 18, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29765104/falls-and-recurrent-falls-among-adults-in-a-multi-ethnic-asian-population-the-singapore-epidemiology-of-eye-diseases-study
#5
Wei Dai, Yih-Chung Tham, Miao-Li Chee, Nicholas Y Q Tan, Kah-Hie Wong, Shivani Majithia, Charumathi Sabanayagam, Ecosse Lamoureux, Tien-Yin Wong, Ching-Yu Cheng
We evaluated the rate and risk factors associated with falls and recurrent falls in a multi-ethnic Asian population. 10,009 participants aged ≥40 years (mean[SD] age = 58.9[10.4] years) underwent clinical examinations and completed interviewer-administered questionnaires. Participants who self-reported at least one fall or ≥2 falls in past 12 months were defined as fallers and recurrent fallers, respectively. Age-standardized rates for falls and recurrent falls were 13.8% (95%CI, 13.1-14.6%) and 4.6% (95%CI, 4...
May 15, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29764333/is-fear-of-falling-the-missing-link-to-explain-racial-disparities-in-fall-risk-data-from-the-national-health-and-aging-trends-study
#6
Tanvee Singh, Emmanuelle Bélanger, Kali Thomas
OBJECTIVES: Emerging research suggests Black older adults experience a 30% decreased risk for falls compared with their White U.S. counterparts, and this is mediated neither by physical performance nor activity. Fear of falling (FOF) is a significant risk factor for falls, yet we know little about how FOF varies by race/ethnicity. The purpose of this original research brief was to investigate the relationship between race/ethnicity and FOF among older adults. METHODS: 4,981 community-dwelling Medicare beneficiaries from the National Health and Aging Trends Study (NHATS) who had not self-reported a fall in the past 12 months were analyzed...
April 25, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29763856/hospital-readmission-risks-in-older-adults-following-inpatient-subacute-care-a-six-month-follow-up-study
#7
Den-Ching A Lee, Cylie Williams, Aislinn F Lalor, Ted Brown, Terry P Haines
BACKGROUND: High rates of unplanned hospital readmissions are a burden on healthcare systems and individuals. This study examined factors at, and after initial hospital discharge and their associations with unplanned hospital readmission for older adults up to six months post-discharge from subacute care. METHODS: Older subacute care patients were surveyed prior to discharge, and assessed monthly post-discharge for six months. Data included the Geriatric Depression Scale, Phone-Fitt sub-scales, Friendship Scale, modified Lubben Social Network Scale, unplanned hospital readmission, self-reported physical capacity and falls in the last month were collected...
May 9, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29754811/integrated-exposure-therapy-and-exercise-reduces-fear-of-falling-and-avoidance-in-older-adults-a-randomized-pilot-study
#8
Julie Loebach Wetherell, Emily S Bower, Kristen Johnson, Douglas G Chang, Samuel R Ward, Andrew J Petkus
OBJECTIVES: To evaluate the safety and acceptability of a novel 8-week intervention integrating exercise, exposure therapy, cognitive restructuring, and a home safety evaluation, conducted by a physical therapist, in reducing fear of falling and activity avoidance. To collect preliminary evidence of efficacy. DESIGN: Randomized pilot study comparing the intervention to time- and attention-equivalent fall prevention education. SETTING: Participants' homes...
April 12, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29752141/predictors-of-falls-in-older-survivors-of-breast-and-prostate-cancer-a-retrospective-cohort-study-of-surveillance-epidemiology-and-end-results-medicare-health-outcomes-survey-linkage
#9
Min H Huang, Jennifer Blackwood, Monica Godoshian, Lucinda Pfalzer
OBJECTIVES: To identify predictors of falls in older breast and prostate cancer survivors. METHODS: This retrospective cohort study analyzed population-based Surveillance, Epidemiology and End Results-Medicare Health Outcomes Survey (SEER-MHOS) linkage. Inclusion criteria were age >65 years at cancer diagnosis, first primary female breast or prostate cancer, cancer staging information available, completion of baseline MHOS during years 2-3 and follow-up MHOS during years 4-5 post-diagnosis, and falls information available...
May 8, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29752052/decrease-in-required-coefficient-of-friction-due-to-smaller-lean-angle-during-turning-in-older-adults
#10
Takeshi Yamaguchi, Ryosuke Okamoto, Kazuo Hokkirigawa, Kei Masani
We investigated age-related differences in the required coefficient of friction (RCOF) during 90° turning, the difference of RCOF during step and spin turn, and how affects observed differences. Sixteen healthy young and healthy older adults (eight men and eight women in each group) participated. Participants performed 90° step and spin turns to the right at a self-selected normal speed. Older adults turned with lower RCOF than the young adults during both step and spin turns. This was associated with reduced mediolateral (ML) RCOF component (RCOFML ) for the older adults...
May 3, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29750950/locations-circumstances-and-outcomes-of-falls-in-patients-with-glaucoma
#11
Ayodeji E Sotimehin, Andrea V Yonge, Aleksandra Mihailovic, Sheila K West, David S Friedman, Laura N Gitlin, Pradeep Y Ramulu
PURPOSE: To characterize the locations, circumstances, and outcomes of falls in patients with varying degrees of glaucoma. DESIGN: Prospective cohort study METHODS: Patients with suspected or diagnosed glaucoma completed monthly calendars reporting falls. After each fall, a 30-item questionnaire was administered to determine fall location, circumstances, and injury. Mean deviation on visual field (VF) testing was used to categorize glaucoma severity. MAIN OUTCOME MEASURES: Fall locations, circumstances, and outcomes...
May 8, 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29747915/prognostic-and-practical-validation-of-current-definitions-of-myocardial-infarction-associated-with-percutaneous-coronary-intervention
#12
Pierluigi Tricoci, L Kristin Newby, Robert M Clare, Sergio Leonardi, C Michael Gibson, Robert P Giugliano, Paul W Armstrong, Frans Van de Werf, Gilles Montalescot, David J Moliterno, Claes Held, Philip E Aylward, Lars Wallentin, Robert A Harrington, Eugene Braunwald, Kenneth W Mahaffey, Harvey D White
OBJECTIVES: In 13,038 patients with non-ST-segment elevation acute coronary syndrome undergoing index percutaneous coronary intervention (PCI) in the EARLY ACS (Early Glycoprotein IIb/IIIa Inhibition in Non-ST-Segment Elevation Acute Coronary Syndrome) and TRACER (Thrombin Receptor Antagonist for Clinical Event Reduction in Acute Coronary Syndrome) trials, the relationship between PCI-related myocardial infarction (MI) and 1-year mortality was assessed. BACKGROUND: The definition of PCI-related MI is controversial...
May 14, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29746456/deaths-from-falls-among-persons-aged-%C3%A2-65-years-united-states-2007-2016
#13
Elizabeth Burns, Ramakrishna Kakara
Deaths from unintentional injuries are the seventh leading cause of death among older adults (1), and falls account for the largest percentage of those deaths. Approximately one in four U.S. residents aged ≥65 years (older adults) report falling each year (2), and fall-related emergency department visits are estimated at approximately 3 million per year.* In 2016, a total of 29,668 U.S. residents aged ≥65 years died as the result of a fall (age-adjusted rate†  = 61.6 per 100,000), compared with 18,334 deaths (47...
May 11, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29744997/nursing-students-experience-with-fall-risk-assessment-in-older-adults
#14
Susan Kane Patton, Leah Jean Henry
The purpose of this study was to examine the perceptions of nursing students regarding barriers and facilitators to integrating falls risk evaluation and management into practice as well as effective strategies for learning falls prevention. The qualitative research method of thematic analysis was adopted to collect data through semi-structured interviews with senior nursing students. Open and axial coding was used to analyze the data and those with greatest support generated final categories. Thematic analysis identified five central themes (learning to do a fall risk assessment, addressing health beliefs of older adults, barriers to fall assessment, and overcoming barriers) that describe nursing student perceptions of incorporating fall prevention into practice...
May 10, 2018: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29743029/relationship-between-occlusal-force-and-falls-among-community-dwelling-elderly-in-japan-a-cross-sectional-correlative-study
#15
Maki Eto, Shinji Miyauchi
BACKGROUND: Falls may cause serious health conditions among older population. Fall-related physical factors are thought to be associated with occlusal conditions. However, few studies examined the relationship between occlusal force and falls. To identify the association between occlusal force and falls among community-dwelling elderly individuals in Japan, public health nurses conducted a cross-sectional descriptive study. METHODS: We performed extensive physical assessments of five items: maximum occlusal force, handgrip strength, maximal knee extensor strength, one-leg standing time with eyes open and body sway...
May 9, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29742451/muscle-plasticity-of-aged-subjects-in-response-to-electrical-stimulation-training-and-inversion-and-or-limitation-of-the-sarcopenic-process
#16
REVIEW
Thierry Paillard
This review addresses the possible structural and functional adaptations of the muscle function to neuromuscular electrical stimulation (NMES) training in frail and/or aged (without advanced chronic disease) subjects. Evidence suggests that the sarcopenic process and its structural and functional effects would be limited and/or reversed through NMES training using excito-motor currents (or direct currents). From a structural viewpoint, NMES helps reduce muscle atrophy. From a functional viewpoint, NMES enables the improvement of motor output (i...
May 6, 2018: Ageing Research Reviews
https://www.readbyqxmd.com/read/29740928/incidence-timing-and-impact-of-comorbidity-on-second-hip-fracture-a-population-based-study
#17
Lara Harvey, Barbara Toson, Rebecca Mitchell, Henry Brodaty, Brian Draper, Jacqueline Close
BACKGROUND: To quantify the incidence and timing of second hip fracture, and to evaluate the relative impact of comorbidities on risk of second hip fracture. METHODS: Hospitalization records for individuals aged ≥65, admitted to a New South Wales hospital for fall-related hip fracture between 1 January 2005 and 31 December 2009 were linked. Comorbidities were identified from the records using a 1-year look-back period. To calculate second hip fracture rates, individuals were followed until death, fracture or end of study period (31 December 2012)...
May 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29738486/shoe-insole-technology-for-injury-prevention-in-walking
#18
REVIEW
Hanatsu Nagano, Rezaul K Begg
Impaired walking increases injury risk during locomotion, including falls-related acute injuries and overuse damage to lower limb joints. Gait impairments seriously restrict voluntary, habitual engagement in injury prevention activities, such as recreational walking and exercise. There is, therefore, an urgent need for technology-based interventions for gait disorders that are cost effective, willingly taken-up, and provide immediate positive effects on walking. Gait control using shoe-insoles has potential as an effective population-based intervention, and new sensor technologies will enhance the effectiveness of these devices...
May 8, 2018: Sensors
https://www.readbyqxmd.com/read/29723734/characteristics-of-single-vehicle-crashes-with-e-bikes-in-switzerland
#19
Patrizia Hertach, Andrea Uhr, Steffen Niemann, Mario Cavegn
In Switzerland, the usage and accident numbers of e-bikes have strongly increased in recent years. According to official statistics, single-vehicle accidents constitute an important crash type. Up to date, very little is known about the mechanisms and causes of these crashes. To gain more insight, a survey was conducted among 3658 e-cyclists in 2016. The crash risk and injury severity were analysed using logistic regression models. 638 (17%) e-cyclists had experienced a single-vehicle accident in road traffic since the beginning of their e-bike use...
April 30, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29719847/characteristics-of-occupational-injuries-in-a-pharmaceutical-company-in-iran
#20
Abbas Rasouli, Seyed Mojtaba Hosseini, Mohammadkarim Bahadori, Ramin Ravangard
Objective: To prioritize occupational hazards in a Pharmaceutical Company in Iran using the analytical hierarchy process (AHP). Methods: This was a cross-sectional study conducted in a Pharmaceutical Company in Iran in 2017. All employees working in the administrative, production, installations and facilities, and laboratory units were studied using the consensus method (N=n=130 employees). A data collection form was designed for identifying the hazards using the Nominal Group Technique (NGT) method, as well as a pair-wise questionnaire was used for collecting required data in the quantitative phase...
April 2018: Bulletin of Emergency and Trauma
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