Guidelines for the prevention of falls in people over 65

Feder, Gene; Cryer, Colin; Donovan, Sheila; Carter, Yvonne

doi:10.1136/bmj.321.7267.1007

Cited by 272 publications

(196 citation statements)

References 27 publications

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“…As quedas recorrentes estão vinculadas habitualmente a múltiplos fatores tanto intrínsecos, como extrínsecos e/ou ambientais que, atuando de forma sinérgica, propiciam a recorrência dos eventos e apontam para a complexidade da intervenção necessária. Vários protocolos de avaliação e intervenção vêm sendo estudados 5,[16][17][18] em populações idosas na comunidade visando à redução do risco. Todos incluem ações visando à identificação dos fatores relacionados (e suas correções cabíveis), como a hipotensão postural, o uso de medicações, a avaliação de equilíbrio e marcha, o déficit visual, a força muscular e o meio ambiente.…”

Section: Discussionunclassified

Prevalência e fatores associados a quedas em idosos em um município do Rio de Janeiro

Motta

Aguiar

Coutinho

et al. 2010

Rev. bras. geriatr. gerontol.

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INTRODUÇÃO: Estima-se que 50% das quedas em idosos resultem em algum tipo de lesão. O objetivo deste estudo é estimar a prevalência e identificar fatores associados a quedas em idosos em um município no Rio de Janeiro. METODOLOGIA: Um inquérito foi conduzido em residentes com mais de 60 anos capazes de prestar informações por si, através de um questionário de avaliação multidimensional, aplicado por agentes comunitários treinados. As análises incluíram cálculos de proporções e respectivos intervalos de confiança de 95%. RESULTADOS: Foram entrevistados 1.064 idosos, em sua maioria mulheres (57%), com idade média de 71,4 anos. No ano anterior à entrevista, 322 participantes (30,3% - IC95% 27,6-33,2) caíram, dos quais 148 (13,9% - IC95% 11,9-16,2) o fizeram pelo menos duas vezes. Algumas associações se evidenciaram: sexo feminino, idade avançada, ser divorciado, morar só, assim como as variáveis indicadoras de más condições de saúde, capacidade funcional e satisfação com a vida. CONCLUSÃO: Este estudo ratifica fatores associados a quedas em idosos já conhecidos. O grande desafio deste conhecimento é a proposição de intervenções nos fatores modificáveis e a identificação ativa dos idosos sob risco, objetivando a reabilitação preventiva.

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Section: Discussionunclassified

Prevalência e fatores associados a quedas em idosos em um município do Rio de Janeiro

Motta

Aguiar

Coutinho

et al. 2010

Rev. bras. geriatr. gerontol.

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“…Lifestyle changes may contribute to the decrease in hip fracture incidence, with attention focused on calcium and vitamin D supplementation, 46,47 avoidance of smoking, regular weight bearing exercise, an awareness of falls, 48 and moderating alcohol intake. However, we did not have access to changes in all of these factors in our patient sample.…”

Section: Commentmentioning

confidence: 99%

Incidence and Mortality of Hip Fractures in the United States

&NA;

2010

Survey of Anesthesiology

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Context-Understanding the incidence and subsequent mortality following hip fracture is essential to measuring population health and the value of improvements in health care.Objective-To examine trends in hip fracture incidence and resulting mortality over 20 years in the US Medicare population. Main Outcome Measures-Age-and sex-specific incidence of hip fracture and age-and riskadjusted mortality rates. ©2009 American Medical Association. All rights reserved.Corresponding Author: Carmen A. Brauer, MD, MSc, FRCSC, Division of Orthopedic Surgery, University of Calgary, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB, Canada T3B 6A8 (carmen.brauer@albertahealthservices.ca). Financial Disclosures: None reported.Disclaimer: This research was performed at the National Bureau of Economic Research, Cambridge, Massachusetts.Additional Information: eTables 1 through 3 are available at http://www.jama.com. Additional Contributions:We thank Douglas M. Norton, BA, a research assistant at the National Bureau of Economic Research, for help with the initial data analysis. He received no compensation for his help.Author Contributions: Dr Brauer had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Role of the Sponsor:The supporters had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. Conclusion-In the United States, hip fracture rates and subsequent mortality among persons 65 years and older are declining, and comorbidities among patients with hip fractures have increased. HHS Public AccessThe Number of Hip Fractures occurring in the United States and the resulting postsurgical outcome are a major public health concern. About 30% of people with a hip fracture will die in the following year, 1-3 and many more will experience significant functional loss. [4][5][6][7] The long-term consequences may be great as well. Some studies have shown excess long-term mortality even 10 years after an episode, [8][9][10][11][12] although other studies have only shown moderate increases in mortality. [13][14][15][16][17] Treating hip fractures is also very expensive. A typical patient with a hip fracture spends US $40 000 in the first year following hip fracture for direct medical costs and almost $5000 in subsequent years. 1,[18][19][20] Despite recent literature indicating that the hip fracture incidence may be stabilizing or decreasing, 21-29 concern still exists that because of the aging of the population, the hip fracture incidence will increase worldwide unless additional steps are taken. 7,19,20,22,[30][31][32][33][34][35] Understanding the incidence and postsurgical outcome of hip fractures is a vital first step in improving population health. Our primary objective was to assess trends in the age-and sexspecific incidence and subsequent age-and risk-adjusted mortality of hip fractures among elderly indivi...

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“…However, the most appropriate modality of exercise that should be practiced by the elderly is still a subject of discussion. Feder et al 7 and Oliveira et al 8 indicated that tai chi chuan (TCC), a Chinese modality of gymnastics, as effi cient in increasing physical condition, strength and balance among elderly practitioners, thus helping to prevent falls.…”

Section: Introductionmentioning

confidence: 99%

“…Feder et al 7 in their study provided important orientations on how to prevent falls for people over 65 years old. Th e research aimed to transform recommendations to reduce the number of falls in elderly people with the clinical use of experimental evidence.…”

Section: Introductionmentioning

confidence: 99%