Mortality trends for accidental falls in older people in Spain, 2000-2015

Padrón-Monedero, Alicia; Damián, Javier; Martin, Pilar; Fernández-Cuenca, Rafael

doi:10.1186/s12877-017-0670-6

Cited by 49 publications

(54 citation statements)

References 24 publications

(39 reference statements)

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“…Approximately one‐third of older adults fall at least once a year and a median of 4.1% of falls results in fractures . Falls are associated with physical disability, functional impairment, dependency in activities of daily living, institutionalization, increased morbidity, and mortality . A number of risk factors have been found to predispose older adults to falls.…”

Section: Introductionmentioning

confidence: 99%

“…2 Falls are associated with physical disability, functional impairment, dependency in activities of daily living, institutionalization, increased morbidity, and mortality. 3,4 A number of risk factors have been found to predispose older adults to falls. These include old age, female sex, fear of falling, impaired cognition, mobility, and gait.…”

Section: Introductionmentioning

confidence: 99%

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Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

Yeung

Reijnierse

Pham

et al. 2019

J cachexia sarcopenia muscle

615

463

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Sarcopenia is a potentially modifiable risk factor for falls and fractures in older adults, but the strength of the association between sarcopenia, falls, and fractures is unclear. This study aims to systematically assess the literature and perform a meta‐analysis of the association between sarcopenia with falls and fractures among older adults. A literature search was performed using MEDLINE, EMBASE, Cochrane, and CINAHL from inception to May 2018. Inclusion criteria were the following: published in English, mean/median age ≥ 65 years, sarcopenia diagnosis (based on definitions used by the original studies' authors), falls and/or fractures outcomes, and any study population. Pooled analyses were conducted of the associations of sarcopenia with falls and fractures, expressed in odds ratios (OR) and 95% confidence intervals (CIs). Subgroup analyses were performed by study design, population, sex, sarcopenia definition, continent, and study quality. Heterogeneity was assessed using the I 2 statistics. The search identified 2771 studies. Thirty‐six studies (52 838 individuals, 48.8% females, and mean age of the study populations ranging from 65.0 to 86.7 years) were included in the systematic review. Four studies reported on both falls and fractures. Ten out of 22 studies reported a significantly higher risk of falls in sarcopenic compared with non‐sarcopenic individuals; 11 out of 19 studies showed a significant positive association with fractures. Thirty‐three studies (45 926 individuals) were included in the meta‐analysis. Sarcopenic individuals had a significant higher risk of falls (cross‐sectional studies: OR 1.60; 95% CI 1.37–1.86, P < 0.001, I 2 = 34%; prospective studies: OR 1.89; 95% CI 1.33–2.68, P < 0.001, I 2 = 37%) and fractures (cross‐sectional studies: OR 1.84; 95% CI 1.30–2.62, P = 0.001, I 2 = 91%; prospective studies: OR 1.71; 95% CI 1.44–2.03, P = 0.011, I 2 = 0%) compared with non‐sarcopenic individuals. This was independent of study design, population, sex, sarcopenia definition, continent, and study quality. The positive association between sarcopenia with falls and fractures in older adults strengthens the need to invest in sarcopenia prevention and interventions to evaluate its effect on falls and fractures.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

Yeung

Reijnierse

Pham

et al. 2019

J cachexia sarcopenia muscle

615

463

View full text Add to dashboard Cite

show abstract

“…Falls can have many consequences for patients, such as trauma (e.g., fractures), emotional changes, aggravation of the clinical condition and even death (Padrón‐Monedero, Damián, Martin, & Fernández‐Cuenca, ). Besides mortality, according to the National Institute for Health and Care Excellence (), a fall can increase hospital stay and treatment costs.…”

Section: Introductionmentioning

confidence: 99%

A predictive model for fall risk in hospitalized adults: A case–control study

Severo

Kuchenbecker

Vieira

et al. 2018

Journal of Advanced Nursing

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Aim:To develop and validate a predictive model for falls in hospitalized adult clinical and surgical patients, assessing intrinsic (i.e. patient-related) and extrinsic factors (i.e. care process-related). Background:To identify factors predictive of falls and enable appropriate management of fall risk it is necessary to understand patient and environmental factors, along with care delivery processes. Design:A matched case-control study. Methods:This study was conducted in the medical and surgical wards of a Brazilian teaching hospital. The sample included 536 patients, with data collected in 2013- Data analysis included descriptive statistics and conditional logistic regression.Cases of patients aged 18 years or older who fell while hospitalized were included.One patient who did not fall during hospitalization, matched by sex, ward and admission date, was selected as a control for each included case. Results: The SAK Fall Scale (Severo-Almeida-Kuchenbecker) was developed and validated. The scale includes seven variables: disorientation/confusion, frequent urination, walking limitations, lack of caregiver, postoperative status, previous falls and number of medications administered within 72 hr prior to the fall. This scale showed acceptable predictive accuracy. Conclusions: The newly developed SAK Fall Scale includes five intrinsic and two extrinsic variables and differs from other predictive scales for falls. The findings of this study are broad and the scale, which is easy to apply, can be used worldwide by nurses in health services. In advanced practice, the testing of a new model for fall risk contributes to preventive interventions and thus has an impact on patient safety. K E Y W O R D S adult, advanced practice, falls, nurses, patient safety, risk management *Member of the Study Group on Adult and Elderly Care -GEPECADI -CNPq.• The study gives data for a new prediction model that should be used to predict fall risk.• The findings should be used to support the care and safety of hospitalized clinical and surgical patients. 564 | SEVERO ET AL.

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“…Falling is a public health challenge in that it is a predictor of unfavorable outcomes in the elderly population and often leads to musculoskeletal injuries, comorbidities, decreased performance of functional activities, and limitations in daily living activities [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

“…A queda é um desafio para a saúde pública sendo um preditor de desfechos desfavoráveis em idosos e, frequentemente, propicia lesões musculoesqueléticas, comorbidades, diminuição do desempenho de atividades funcionais e limitações nas atividades de vida diária [1][2][3][4] .…”

Section: Introductionunclassified

Comparison of the risk of falls between elderly people who practice physical exercises and who are sedentary and the relationship between balance and muscle strength variables

Franciulli¹,

Souza²,

Soares³

et al. 2019

Mundo Saúde

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Falling is an event with an unfavorable outcome, which limits the independence and autonomy of the elderly, in addition to generating high social and economic costs. The risk of falls, in general, is assessed by individuals' physical abilities such as postural balance, mainly the dynamic type, and muscular strength. The primary objective of this study was to evaluate the effect of physical activity on the number and risk of falls, through postural balance, mobility and muscular strength of the elderly. Secondarily, this study aimed to correlate muscle strength with the variables of balance and mobility. A total of 76 elderly people participated in the study and were divided into group A, with 39 active elderly people (72.1 ± 2.2 years) who performed some type of physical activity at least twice a week, and group S, with 37 sedentary elderly people (71.8 ± 3.4 years) who did not engage in any type of physical activity. The number of falls was evaluated by a questionnaire and balance was evaluated by the Berg balance scale. For measuring mobility, the Timed up and go test was used, and for the handgrip strength a hand dynamometer was used. Student's t-test was performed to identify differences between groups, and Pearson's correlation was used for both groups between handgrip strength, balance and mobility. Group A demonstrated a lower number of falls (p=0.01*) and risk of falls according to the Berg scale (p=0.01*) and the TUG test (p=0.01*) compared with the S group. There was no difference (p=0.90) between handgrip strength and the other groups. There was no relationship between strength and balance variables. Physical activity has a positive effect on the risk of falls, but postural balance and muscle strength should be tested, associated and trained in a complementary way throughout life, because the biological aging process of the neuromuscular system has a deleterious effect between the components of balance and muscular strength.

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Mortality trends for accidental falls in older people in Spain, 2000-2015

Cited by 49 publications

References 24 publications

Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

A predictive model for fall risk in hospitalized adults: A case–control study

Comparison of the risk of falls between elderly people who practice physical exercises and who are sedentary and the relationship between balance and muscle strength variables

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