Risk-factor assessment for falls: from a written checklist to the penless clinic

Dyer, Christopher; Watkins, Caroline; Gould, Catherine; Rowe, Jed

doi:10.1093/ageing/27.5.569

Cited by 16 publications

(8 citation statements)

References 6 publications

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“…As mulheres estão mais expostas a atividades externas, utilização de acentuada quantidade de fár-macos, uso de psicotrópicos e diminuição da força de preensão (22) .…”

Section: Discussionunclassified

Avaliação do risco de quedas em idosos atendidos em Unidade Básica de Saúde

Pinho

Silva

Tura

et al. 2012

Rev. esc. enferm. USP

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A população mundial vem envelhecendo de forma abrupta, o que representa um grande desafio para os órgãos competentes que, por sua vez, necessitam de novas políticas públicas de saúde, inclusive na prevenção de quedas. Este estudo objetivou avaliar o risco de quedas em idosos. Trata-se de um estudo epidemiológico de corte transversal com abordagem quantitativa, realizado em uma unidade de saú-de da família. A amostra foi composta por 150 idosos avaliados de janeiro a abril de 2009. Para a coleta de dados, utilizou-se o Fall Risk Score, que foi analisado através do SPSS 17.0. Dos idosos avaliados 58,8% não sofreram quedas, sendo que, dos idosos que caíram (63 idosos), 71,4% sofreram de 1 a 2 quedas, citando como principal causa intrínseca a tontura/vertigem, enquanto que a extrínseca foi pisos escorregadios ou molhados. Conclui-se, portanto, que é de grande relevância avaliar o risco de quedas em idosos, para que se medidas preventivas sejam tomadas, com o objetivo de maximizar a qualidade de vida.

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“…As mulheres estão mais expostas a atividades externas, utilização de acentuada quantidade de fár-macos, uso de psicotrópicos e diminuição da força de preensão (22) .…”

Section: Discussionunclassified

Avaliação do risco de quedas em idosos atendidos em Unidade Básica de Saúde

Pinho

Silva

Tura

et al. 2012

Rev. esc. enferm. USP

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“…Many studies on falls from own height among elderly patients indicate that falls are more frequent among women. For some authors, the cause for these higher frequency levels is related to the fact that women are older and more fragile than men (14)(15) . Table 1 shows that most elderly diagnosed as "no frailty" are between 65 and 79 years of age.…”

Section: Discussionmentioning

confidence: 99%

Cross-cultural adaptation and validity of the "Edmonton Frail Scale - EFS" in a Brazilian elderly sample

Fabrício-Wehbe

Schiaveto²,

Vendrusculo³

et al. 2009

Rev. Latino-Am. Enfermagem

131

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“…Some geriatric clinics have used computerized fall risk factor databases to improve identification of patients in greatest need of fall prevention efforts. 145…”

Section: Falls and Restraintsmentioning

confidence: 99%

Preventable Medical Injuries in Older Patients

Rothschild¹,

Bates²,

Leape³

2000

Arch Intern Med

253

151

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Injuries associated with hospitalization are more common in older (>/=65 years) than in younger patients (<65 years), and they may be more severe and more often preventable. The increasing age of the population magnifies the importance of this problem. In this review, we first consider medical injuries in general and then review the literature for 6 categories: adverse drug events, falls, nosocomial infections, pressure sores, delirium, and surgical and perioperative complications. For each of these categories, older patients appear to be at higher risk, ranging from a 2.2-fold increase for perioperative complications to a 10-fold increase for falling, based on Harvard Medical Practice Study rates. The main cause of these increased risks appears to be the diminished physiological reserve of elderly patients; however, age alone is a less important predictor of adverse events than comorbidities and functional status. Furthermore, many of these complications appear to be preventable, although the proportion preventable varies by type of complication. While some prevention strategies are specifically beneficial in older patients, many apply to all age groups. Geriatric care units and consultation systems have improved outcomes in some instances, although the data are mixed. The success of intervention varies by type of complications. For medications, various interventions have been successful, and fall prevention programs have been demonstrated to be effective in the nursing home and home.

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Risk-factor assessment for falls: from a written checklist to the penless clinic

Abstract: ward-based intervention showed limited capacity to identify risk factors for falls: a dedicated clinic was more successful. The use of a portable computer with a programme to screen fallers for risk factors is worthy of consideration.

Cited by 16 publications

References 6 publications

Avaliação do risco de quedas em idosos atendidos em Unidade Básica de Saúde

Avaliação do risco de quedas em idosos atendidos em Unidade Básica de Saúde

Cross-cultural adaptation and validity of the "Edmonton Frail Scale - EFS" in a Brazilian elderly sample

Preventable Medical Injuries in Older Patients

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