Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review

Peng, Ke; Tian, Maoyi; Andersen, M.L.; Zhang, Jing; Liu, Yishu; Wang, Qilong; Lindley, Richard I; Ivers, Rebecca

doi:10.1136/injuryprev-2018-042982

Cited by 83 publications

(66 citation statements)

References 45 publications

(22 reference statements)

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“…Results relating to gender have proved inconsistent. In their study on community-dwelling older adults, Zhao et al [37] reported that men were more likely to fall than women, as in our results, but another study reported that women were more likely to fall than men mainly in community-dwelling setting [38]. Further research is needed to investigate the association between falls and gender in hospitals.…”

Section: Discussionsupporting

confidence: 54%

Malnutrition at Admission Predicts In-Hospital Falls in Hospitalized Older Adults

et al. 2020

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Malnutrition leads to poor prognoses, including a predisposition to falls. Few studies have investigated the relationship between malnutrition and falls during hospitalization. This study aimed to determine malnutrition’s association with falls during hospitalization. A retrospective observational study was conducted. Patients aged ≥65 years that were admitted to and discharged from a university hospital between April 2018 and March 2019 were examined. Patients with independent basic activities of daily living were included. Diagnosis of malnutrition was based on the European Society for Clinical Nutrition and Metabolism (ESPEN) criteria at admission. Disease information such as the Charlson Comorbidity Index (CCI) and reasons for hospitalization were reviewed. Kaplan–Meier curve and multivariate Cox regression analyses were performed. Data from 6081 patients (mean age: 74.4 ± 6.1 years; males: 58.1%) were analyzed. The mean CCI was 2.3 ± 2.8 points. Malnutrition was detected in 668 (11.0%) and falls occurred in 55 (0.9%) patients. Malnourished patients experienced a higher fall rate than those without malnutrition (2.4% vs. 0.7%, log-rank test p < 0.001). In multivariate analysis, malnutrition had the highest hazard ratio for falls among covariates (hazard ratio 2.78, 95% confidence interval 1.51–5.00, p = 0.001). In conclusion, malnutrition at the time of admission to hospital predicts in-hospital falls.

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Section: Discussionsupporting

confidence: 54%

Malnutrition at Admission Predicts In-Hospital Falls in Hospitalized Older Adults

et al. 2020

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“…The most likely reason is that elderly female Chinese have been reported to have a high risk of falls. 40 That is, when assessing female VCI subjects, fall prevention should be evaluated carefully. A comparison of the care bundles in the patients with AD or VCI is listed in Table 5.…”

Section: Discussionmentioning

confidence: 99%

<p>Care Needs of Community-Residing Male Patients with Vascular Cognitive Impairment</p>

Jhang

Wang

Chang

et al. 2020

NDT

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The aim of this study was to identify the care needs of male patients with vascular cognitive impairment (VCI) and their caregivers. Patients and Methods: This cross-sectional study enrolled 389 male patients with VCI and their caregivers who were cared for by the dementia collaborative care team at Changhua Christian Hospital, Taiwan. Fifteen care needs consisting of most of quality measures for people living with dementia and their caregivers were developed by the care team. Through face-to-face evaluations, individualized care needs were collected. The Apriori algorithm was used to identify care bundles for the patients and their caregivers. Results: Six basic care needs for patients and their caregivers were identified, including appropriate schedule of activities, regular outpatient follow-up treatment, introduction and referral of social resources, referral to family support groups and care skills training, care for the mood of the caregiver, and health education for dementia and behavioral and psychological symptoms of dementia. Compared to subjects with all dementia subtypes from the previous studies, care for the mood of the caregiver was an important and frequent care need for the male patients with VCI and their caregivers. A comparison among the study and similar studies was made to highlight the strength of this study concentrating on the precise selection of care needs. Conclusion: Collaborative dementia care teams should monitor for caregivers' depression and include this care need into the care bundle when assessing male subjects with VCI. Keywords: male patients with vascular cognitive impairment, people living with dementia, behavioral and psychological symptoms of dementia, dementia collaborative care model, care need, Apriori algorithm

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“…Falls occur as a result of a complex interaction of risk factors [ 3 ]. The associated risk factors include advanced age [ 4 ], muscle weakness [ 5 , 6 ], gait disorders [ 7 ], balance impairment [ 8 ], cognitive deficits [ 9 ], and others. In terms of intervention effect or time and energy consumption, active exercise is the best way to prevent falls among the elderly [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Design and Evaluation of an Augmented Reality-Based Exergame System to Reduce Fall Risk in the Elderly

Chen

Tang

et al. 2020

IJERPH

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Falls are a major public health concern in today’s aging society. Virtual reality (VR) technology is a promising method for reducing fall risk. However, the absence of representations of the user’s body in a VR environment lessens the spatial sense of presence. In terms of user experience, augmented reality (AR) can provide a higher degree of presence and embodiment than VR. We developed an AR-based exergame system that is specifically designed for the elderly to reduce fall risk. Kinect2.0 was used to capture and generate 3D models of the elderly and immerse them in an interactive virtual environment. The software included three functional modules: fall risk assessment, cognitive–motor intervention (CMI) training, and training feedback. The User Experience Questionnaire (UEQ-S) was used to evaluate user experience. Twenty-five elders were enrolled in the study. It was shown that the average scores for each aspect were: pragmatic quality score (1.652 ± 0.868); hedonic quality score (1.880 ± 0.962); and overall score was 1.776 ± 0.819. The overall score was higher than 0.8, which means that the system exhibited a positive user experience. After comparing the average score in a dataset product of UEQ-S Data Analysis Tool, it was found that the pragmatic quality aspect was categorized as good, while the hedonic quality aspect was categorized as excellent. It revealed a positive evaluation from users.

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Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review

Cited by 83 publications

References 45 publications

Malnutrition at Admission Predicts In-Hospital Falls in Hospitalized Older Adults

Malnutrition at Admission Predicts In-Hospital Falls in Hospitalized Older Adults

<p>Care Needs of Community-Residing Male Patients with Vascular Cognitive Impairment</p>

Design and Evaluation of an Augmented Reality-Based Exergame System to Reduce Fall Risk in the Elderly

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