Falls in young, middle-aged and older community dwelling adults: perceived cause, environmental factors and injury

Talbot, Laura A.; Musioł, Robert; Witham, Erica K; Metter, E. J.

doi:10.1186/1471-2458-5-86

Cited by 469 publications

(397 citation statements)

References 36 publications

(49 reference statements)

Supporting

Mentioning

355

Contrasting

Unclassified

Order By: Relevance

“…Nos estudos analisados, a prevalência de quedas no último ano em idosos da comunidade variou entre 11 e 42%, [15][16][17][18][19][20] sendo observada menor prevalência (11% a 21%) nos estudos de base populacional. 16,17,20 Dos dez artigos incluídos no presente estudo, sete avaliaram a ocorrência de quedas tanto em ambientes interno como externo, 15,16,[18][19][20][21][22][23] enquanto um analisou as quedas em ambiente externo 24 e um dentro do domicílio.…”

Section: Características Dos Estudos Selecionadosunclassified

“…16,17,20 Dos dez artigos incluídos no presente estudo, sete avaliaram a ocorrência de quedas tanto em ambientes interno como externo, 15,16,[18][19][20][21][22][23] enquanto um analisou as quedas em ambiente externo 24 e um dentro do domicílio. 17 Em relação às circunstâncias das quedas, aproximadamente a metade (48-56,5%) ocorreu durante a deambulação 15,16,20 e envolveu principalmente tropeços e escorregões (22,4-34,6%). 16,20,22 Nos estudos que avaliaram as causas das quedas, os fatores de risco ambientais estiveram presentes em 16% a 58% 15,19,21,23 dos eventos, enquanto 20% a 62% das quedas foram atribuídas a alterações da marcha e equilíbrio.…”

Section: Características Dos Estudos Selecionadosunclassified

“…17 Em relação às circunstâncias das quedas, aproximadamente a metade (48-56,5%) ocorreu durante a deambulação 15,16,20 e envolveu principalmente tropeços e escorregões (22,4-34,6%). 16,20,22 Nos estudos que avaliaram as causas das quedas, os fatores de risco ambientais estiveram presentes em 16% a 58% 15,19,21,23 dos eventos, enquanto 20% a 62% das quedas foram atribuídas a alterações da marcha e equilíbrio. 15,19,23 Os fatores de risco extrínsecos relacionados às quedas incluíam superfícies irregulares (18 a 48%) 16,[18][19][20] e superfícies molhadas/escorregadias (14 a 43%), 15,16,[19][20][21] seguidos por objetos/tapetes soltos (10 a 33,5%), 15,16,[19][20][21] desníveis no chão/ problemas com degraus (7 a 17%), [18][19][20][21] problemas com calçados (6,3%) 20 e iluminação inadequada (3,6%).…”

Section: Características Dos Estudos Selecionadosunclassified

See 3 more Smart Citations

Fatores ambientais e risco de quedas em idosos: revisão sistemática

Oliveira

Trevizan

Bestetti

et al. 2014

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

ResumoA queda em idosos é resultado de uma interação complexa entre fatores intrínsecos e extrínsecos. Embora seja difícil separar esses fatores, estudos apontam que fatores de risco ambientais estão presentes em aproximadamente 40% das quedas. O objetivo deste estudo foi realizar uma revisão sistemática da literatura sobre o envolvimento de fatores ambientais nas quedas em idosos vivendo na comunidade. Para tanto, foram selecionados estudos publicados no período de janeiro de 2000 a maio de 2014 nas bases de dados eletrônicas MEDLINE, LILACS e SciELO. Apenas artigos disponíveis na íntegra e em inglês, português e espanhol foram considerados para esta revisão. Após a análise do título, do resumo e do texto na íntegra, dez artigos foram incluídos na revisão. Nos estudos analisados, aproximadamente metade das quedas ocorreu durante a locomoção e envolveu tropeços e escorregões. Os fatores de risco ambientais estão muito presentes nas quedas (20-58%), sendo que superfícies irregulares, superfícies molhadas/escorregadias, objetos/tapetes soltos e desníveis no chão/problemas com degraus foram os mais prevalentes. Observou-se tendência de aumento na ocorrência de quedas em ambientes externos, as quais são frequentemente precipitadas por fatores extrínsecos. Mais estudos são necessários na caracterização e no desenvolvimento de estratégias de prevenção de quedas em ambientes externos. AbstractFalls in the elderly is the result of a complex interplay between intrinsic and extrinsic factors. Although it is difficult to separate these factors, studies indicate that environmental hazards are involved in approximately 40% of the falls. This study aimed to conduct a systematic review about the contribution of environmental hazards for falls in community-dwelling elderly. Studies published from January 2000 to May 2014 in the electronic databases MEDLINE, LILACS and SciELO were selected. Only free full-text articles written in English, Portuguese and Spanish were considered Palavras-chave: Acidentes por Quedas. Idoso. Medicina Ambiental.http://dx

show abstract

Section: Características Dos Estudos Selecionadosunclassified

See 2 more Smart Citations

Fatores ambientais e risco de quedas em idosos: revisão sistemática

Oliveira

Trevizan

Bestetti

et al. 2014

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

show abstract

“…Approximately 30% of people aged >60 years experience a fall in a given year,1, 2 with older age and frailty independently increasing falls risk 2, 3, 4. Older adults with neurological disorders, such as stroke and Parkinson's disease, are at an even higher risk of falling 5.…”

Section: Introductionmentioning

confidence: 99%

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Gerards

McCrum

Mansfield

et al. 2017

Geriatrics Gerontology Int

179

134

View full text Add to dashboard Cite

Falls are a leading cause of injury, hospitalization and even death among older adults. Although various strength and balance exercise interventions have shown moderate reductions in falls incidence among healthy older adults, no significant falls incidence improvements have been consistently seen in frail older adults or in patient groups with an increased falls risk (e.g. people with Parkinson's disease and stroke). This might be due to a lack of task specificity of previous exercise interventions to the recovery actions required to prevent a fall. Perturbation‐based balance training (PBT) is an emerging task‐specific intervention that aims to improve reactive balance control after destabilizing perturbations in a safe and controlled environment. Although early studies were carried out predominantly in research laboratory settings, work in clinical settings with various patient groups has been proliferating. A systematic search of recent PBT studies showed a significant reduction of falls incidence among healthy older adults and certain patient groups (e.g. people with Parkinson's disease and stroke), with clinically relevant reductions in frail older adults. The most practical methods in clinical settings might be treadmill‐based systems and therapist‐applied perturbations, and PBT that incorporates multiple perturbation types and directions might be of most benefit. Although more controlled studies with long‐term follow‐up periods are required to better elucidate the effects of PBT on falls incidence, PBT appears to be a feasible and effective approach to falls reduction among older adults in clinical settings. Geriatr Gerontol Int 2017; 17: 2294–2303..

show abstract

Age-Related Risk of Serious Fall Events and Opioid Analgesic Use

Hopkins,

Bharat,

Buizen

et al. 2024

JAMA Intern Med

View full text Add to dashboard Cite

ImportanceOpioid analgesics may be associated with increased risk of falls, particularly among older adults.ObjectiveTo quantify the age-related risk of serious fall events among adults prescribed opioids by opioid exposure, time from initiation, and daily dose.Design, Setting, and ParticipantsThis population-based cohort study conducted in New South Wales, Australia, used data linking national pharmaceutical claims to national and state datasets, including information on sociodemographic characteristics, clinical characteristics, medicines use, health services utilization, and mortality (POPPY II study). It included adults (18 years or older) who initiated prescription opioid treatment, which was defined as no prior dispensing during the preceding 365 days, between January 1, 2005, and December 31, 2018. Data were analyzed from February to June 2023.ExposureTime-dependent periods of opioid exposure were evaluated from dispensing records.Main Outcome and MeasuresSerious fall events identified from emergency department, hospitalization, and mortality records. Negative binomial models were used to assess associations between time-dependent opioid exposure (overall, by time from initiation, and by dose), age, and risk of fall events. Models were adjusted for known fall risk factors, including other fall risk–increasing drugs, frailty risk, and prior serious fall events.ResultsThe cohort comprised 3 212 369 individuals who initiated prescription opioid treatment (1 702 332 women [53%]; median [IQR] age at initiation, 49 [32-65] years). Overall, 506 573 serious fall events were identified, including 5210 fatal falls. During exposure to opioids, the risk of serious fall events was elevated among all age groups; compared with the group aged 18 to 44 years, this risk was highest among those 85 years or older (adjusted incident rate ratio, 6.35; 95% CI, 6.20-6.51). Across all age groups, the first 28 days following opioid initiation was a time of increased serious fall risk; this risk increased with age. Among individuals aged 18 to 84 years, associations were identified between higher daily opioid doses and serious fall events.Conclusions and RelevanceThe results of this cohort study suggest that prescription opioids were associated with increased risk of serious fall events among adults of all ages, with individuals 85 years or older at greatest risk. These risks should be considered when prescribing opioids, particularly for individuals with preexisting risk factors or when opioids are prescribed at higher doses. Targeted falls prevention efforts may be most effective within the first month following opioid initiation.

show abstract

Falls in young, middle-aged and older community dwelling adults: perceived cause, environmental factors and injury

Cited by 469 publications

References 36 publications

Fatores ambientais e risco de quedas em idosos: revisão sistemática

Fatores ambientais e risco de quedas em idosos: revisão sistemática

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Age-Related Risk of Serious Fall Events and Opioid Analgesic Use

Contact Info

Product

Resources

About