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Latest & greatest articles for falls
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on falls or other clinical topics then use Trip today.
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Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment. Impairment of vision is associated with a decrease in activities of daily living. Avoidance of physical activity in older adults with visual impairment can lead to functional decline and is an important risk factor for falls. The rate of falls and fractures is higher in older people with visual impairment than in age-matched visually normal older (...) people. Possible interventions to reduce activity restriction and prevent falls include environmental and behavioral interventions.We aimed to assess the effectiveness and safety of environmental and behavioral interventions in reducing physical activity limitation, preventing falls and improving quality of life amongst visually impaired older people.We searched CENTRAL (including the Cochrane Eyes and Vision Trials Register) (Issue 2, 2020), Ovid MEDLINE, Embase and eight other databases to 4
A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries. Injuries from falls are major contributors to complications and death in older adults. Despite evidence from efficacy trials that many falls can be prevented, rates of falls resulting in injury have not declined.We conducted a pragmatic, cluster-randomized trial to evaluate the effectiveness of a multifactorial intervention that included risk assessment and individualized plans, administered by specially trained (...) nurses, to prevent fall injuries. A total of 86 primary care practices across 10 health care systems were randomly assigned to the intervention or to enhanced usual care (the control) (43 practices each). The participants were community-dwelling adults, 70 years of age or older, who were at increased risk for fall injuries. The primary outcome, assessed in a time-to-event analysis, was the first serious fall injury, adjudicated with the use of participant report, electronic health records, and claims
In older adults with a history of falls, interventions to reduce use of fall risk-increasing drugs do not reduce falls. Hart LA, Phelan EA, Yi JY, Marcum ZA, Gray SL. Use of fall risk-increasing drugs around a fall-related injury in older adults: a systematic review. J Am Geriatr Soc. 2020. [Epub ahead of print]. 32064594.
End of Life Care in Frailty: Falls End of Life Care in Frailty: Falls | British Geriatrics Society Toggle main menu visibility Search Search Search Resources (menu position rule) , Date Published: 12 May 2020 Last updated: 12 May 2020 The aim of this guidance series is to support clinicians and others to consider the needs of frail older people as they move towards the end of their lives and help them to provide high quality care. This chapter looks at the investigation and management of falls (...) in the last phase of life. Please to view the other chapters in this series. Frailty is associated with an increased risk of falls. 1 The incidence of falls in frail adults is between 6.7 and 44%, 2 and over half of frail adults are reported to have fallen in the previous year. 3 Frailty-induced falls are associated with a greater risk of fractures, hospitalisation and institutionalisation. 4 As the severity of frailty increases, the risk of future falls increases. 5,6 The Comprehensive Geriatric
Falls Self-Management Interventions for People with Parkinson's Disease: A Systematic Review. Falls are common in Parkinson's disease (PD). Increased involvement of people with Parkinson's (PwP) in their care has been associated with enhanced satisfaction. Self-management programmes in other long-term conditions (LTCs) have led to improvements in physical and psychological outcomes. These have been more effective when targeted toward a specific behavior.This paper aimed to identify and review (...) falls self-management interventions for PwP.A systematic review was conducted. Electronic databases were searched in June 2018. Primary research studies (any design) reporting the delivery of falls self-management interventions to PwP were included. Data was extracted from each article and synthesised narratively.Six articles were identified, relating to five different self-management interventions. All described a self-management intervention delivered alongside physiotherapy. Intervention delivery
Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis. Background. Controlled whole-body vibration (CWBV) training has been applied to people with stroke. However, it remains inconclusive if CWBV reduces fall risk in this population. Objective. To (1) assess the immediate and retention effects of CWBV training on fall risk factors in people at postacute and chronic stages of stroke and (2) examine if CWBV dosage is correlated (...) with the effect size (ES) for 3 fall risk factors: body balance, functional mobility, and knee strength. Methods. Twelve randomized controlled trials were included. ES was calculated as the standardized mean difference, and meta-analyses were completed using a random-effects model. Results. CWBV training may lead to improved balance and mobility immediately after training (ES = 0.27, P = .03 for balance; ES = 0.34, P = .02 for mobility) but not at the 3-month follow-up test (ES = 0.02, P = .89 for balance; ES
Effectiveness of multifactorial interventions in preventing falls among older adults in the community: A systematic review and meta-analysis. Falls often cause unexpected injuries that older adults find difficult to recover from (e.g., hip and other major fractures, intracranial bleeding); therefore, fall prevention and interventions are of particular significance.This study aimed to examine the effectiveness of multifactorial fall prevention interventions among community-dwelling older adults (...) and compare subgroups that differed in terms of their degree of fall risk and the intensity and components of interventions.An exhaustive systematic literature search was undertaken using the following databases: Ovid-Medline, Ovid-Embase, and the Cochrane Central Register of Controlled Trials (Central). Two investigators independently extracted data and assessed the quality of the studies by examining the risk of bias. We conducted a meta-analysis of randomized controlled trials that had been published
Comment on: "Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta-analysis" by Yeung et al. 31898861 2020 04 21 2190-6009 11 1 2020 Feb Journal of cachexia, sarcopenia and muscle J Cachexia Sarcopenia Muscle Comment on: "Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta-analysis" by Yeung et al. 330-331 10.1002/jcsm.12467 Zhang Xiao-Ming XM https://orcid.org/0000-0001-9741-133X Department
The authors reply: Letter on: " Sarcopenia and its association with falls and fracturesin older adults: A systematic review andmeta-analysis" by Zhang et al. 31903717 2020 04 21 2190-6009 11 1 2020 Feb Journal of cachexia, sarcopenia and muscle J Cachexia Sarcopenia Muscle The authors reply: Letter on: " Sarcopenia and its association with falls and fracturesin older adults: A systematic review andmeta-analysis" by Zhang et al. 332-335 10.1002/jcsm.12521 Yeung Suey S Y SSY Department of Human
Interventions for preventing falls in people with multiple sclerosis. Multiple sclerosis (MS) is one of the most prevalent diseases of the central nervous system with recent prevalence estimates indicating that MS directly affects 2.3 million people worldwide. Fall rates of 56% have been reported among people with MS in a recent meta-analysis. Clinical guidelines do not outline an evidence-based approach to falls interventions in MS. There is a need for synthesised information regarding (...) the effectiveness of falls prevention interventions in MS.The aim of this review was to evaluate the effectiveness of interventions designed to reduce falls in people with MS. Specific objectives included comparing: (1) falls prevention interventions to controls and; (2) different types of falls prevention interventions.We searched the Trials Register of the Cochrane Multiple Sclerosis and Rare Diseases of the CNS Group, Cochrane Central Register of Controlled Trials (2018 Issue 9); MEDLINE (PubMed) (1966 to 12
The link between falls, social isolation and loneliness: A systematic review. The chances of experiencing a fall among those aged 60 years and older increase as risk factors accumulate. In the last few decades, several studies have identified different risk factors for falls in older people, including the role of social isolation and loneliness. This systematic review provides an overview of published literature that analyzes the bidirectional relation between falls and social isolation (...) or loneliness.Two databases (PubMed and Europe PMC) were used to search for publications investigating the relationship between falls, social isolation and/or loneliness in older people. Similar articles and references were screened against the inclusion criteria.17 studies met the inclusion criteria and were included. Only a few studies assessed the association between falls and social isolation/loneliness among older people. Therefore, articles examining the association between falls and living alone status
The Impact of Nocturia on Falls and Fractures: A Systematic Review and Meta-Analysis. Although nocturia is associated with various comorbidities, its impact on falls and fractures remains unclear. We performed a systematic review and meta-analysis to evaluate the association between nocturia and falls and fractures as a prognostic and as a causal risk factor.We searched PubMed®, Scopus®, CINAHL (Cumulative Index to Nursing and Allied Health Literature) and abstracts of major urological meetings (...) up to December 31, 2018. We conducted random effects meta-analyses of adjusted relative risks of falls and fractures. We applied the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach to rate the quality of evidence for nocturia as a prognostic and causal factor of falls and fractures.Among 5,230 potential reports 9 observational longitudinal studies provided data on the association between nocturia and falls or fractures (1 for both, 4 for falls, 4 for fractures
Does Obesity Increase the Risk and Severity of Falls in People Aged 60 Years and Older? A Systematic Review and Meta-analysis of Observational Studies. Recent investigations suggest that obesity may be associated with an increased risk of falls; however, this theory has yet to be definitively confirmed. This systematic review and meta-analysis examined the strength of the association between obesity and falls, multiple falls, fall-related injuries, and fall-related fractures among older (...) adults.MEDLINE, Embase, CINAHL, PsycINFO, SPORTDiscus, LILACS, and Web of Science databases were searched to identify observational studies that assessed the association between obesity and fall-related outcomes in participants aged 60 years and older. Two independent reviewers performed data extraction and quality assessment. Relative risks and 95% confidence intervals (CI) were pooled using random effect meta-analyses.Thirty-one studies including a total of 1,758,694 participants were selected from 7,815
The effect of a multicomponent exercise programme onelderly adults' risk of falling in nursing homes: A systematic review. To determine the effect of a multi-component exercise programme on elderly adults' risk of falling in nursing homes.A computerised search of published randomised controlled trials in the English language was performed using PubMed, Cochrane Library, the Cumulative Index of Nursing and Allied Health Literature, Physiotherapy Evidence Database (PEDro), and the Institute (...) for Scientific Information up to December 2017. We included highquality articles that reported a score of ≥5 on the Physiotherapy Evidence Databasescale which compared multicomponent exercise with a single exercise programme in nursing homes, with the risk of falling as an outcome, among participants aged ≥65 years.A total of 8 articles, comprising 382 participants, were included. All these articles scored 6-8 points out of 10 on the PEDro scale, with an average of 6.7 points. The mean age of participants
Falls after spinal cord injury: a systematic review and meta-analysis of incidence proportion and contributing factors. Falls are detrimental to the well-being of individuals with spinal cord injury (SCI). To establish effective fall prevention initiatives, a comprehensive understanding of falls after SCI is needed.To report the incidence proportion of falls and summarize the factors contributing to falls in individuals with SCI.Systematic review and meta-analysis.Eight databases were searched (...) . Abstracts/full articles were screened by two researchers independently. Data concerning study design, participant characteristics, and the incidence proportion, factors, and consequences of falls were extracted. Risk of bias was assessed using a domain-based approach that considered sampling and measurement bias. The incidence proportions of falls were pooled for ambulators and wheelchair users separately using random-effects meta-analyses, and compared descriptively for inpatients and community