Summary of factors contributing to falls in older adults and nursing implications

Enderlin, Carol; Rooker, J.; Ball, S De; Hippensteel, Dawn; Alderman, Joanne; Fisher, Sarah; McLeskey, Nanci; Jordan, K

doi:10.1016/j.gerinurse.2015.08.006

Cited by 69 publications

(61 citation statements)

References 109 publications

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“…A matched cohort was identified of community‐dwelling individuals who had not been diagnosed with hip or knee osteoarthritis (i.e., had not presented to a physician with joint pain diagnosed as osteoarthritis) from the OAI dataset. The cohorts were matched for: age, ethnicity and PASE score to account for the potential confounder of level of participating physical activity . There was no overlap of patients between these two groups.…”

Section: Methodsmentioning

confidence: 99%

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Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative

Smith

Higson²,

Pearson

et al. 2016

Int J of Rheum Dis

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Section: Methodsmentioning

confidence: 99%

“…A number of factors have been associated with increased risk of falls. These have included demographic, socio‐economic, medical and morbidity‐related, poly‐pharmacy, environmental and physical, including impaired mobility, balance and gait problems …”

Section: Introductionmentioning

confidence: 99%

Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative

Smith

Higson²,

Pearson

et al. 2016

Int J of Rheum Dis

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show abstract

“…Countries worldwide and the Nordic countries in particular face demographic changes likely to result in the increased lifespan of its citizens, where the number of older people is expected to double by 2050 (United Nations Department of Economic and Social Affairs, ). As the frequency of falls and fall‐related injuries increases with age (World Health Organization, , Nilson, Moniruzzaman & Andersson, ; Enderlin et al., ), the incidence of falls is accordingly expected to increase during the twentieth century (Marks, ), putatively resulting in increasing costs for the individual, the community and the society. First are the direct costs, of which are the health care costs, and second are the indirect costs, that is, societal productivity losses of activities due to fall‐related injuries (World Health Organization, ).…”

Section: Introductionmentioning

confidence: 99%

Mismatch between risk factors and preventive interventions? A register study of fall prevention among older people in one Swedish county

Witt

Englander

Kumlien

et al. 2018

Int J Older People Nursing

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“…; Meuleners and Hobday ), as well as to be prescribed drugs known to increase the risk of falls, such as antidepressants, anxiolytics and hypnotics (Enderlin et al . ). Thus, potential ways of decreasing the prevalence of falls among older people with ID may be physical activity and physiotherapeutic interventions (Bartlo & Klein ; Van Hanegem et al .…”

Section: Discussionmentioning

confidence: 97%

“…During the entire lifespan, people with ID are consistently found to have lower balance and gait capacities (Enkelaar et al 2012), as well as poor perceptualmotor coordination (Carmeli et al 2008;Boot et al 2013). They are more likely to have medical conditions known to affect fall risk, such as epilepsy (Lukaszyk et al 2016;Cooper et al 2017), diabetes mellitus (Vinik et al 2017) and dementia Meuleners and Hobday 2017), as well as to 200 be prescribed drugs known to increase the risk of falls, such as antidepressants, anxiolytics and hypnotics (Enderlin et al 2015). Thus, potential ways of decreasing the prevalence of falls among older people with ID may be physical activity and physiotherapeutic interventions (Bartlo & Klein 2011;Van Hanegem et al 2014;Hale et al 2016) and regular drug reviews.…”

Section: Discussionmentioning

confidence: 99%

Falls resulting in health care among older people with intellectual disability in comparison with the general population

Axmon

Ahlström

Sandberg

2018

J intellect Disabil Res

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Background Falls are common among older people with intellectual disability (ID) and are also a major contributor to injuries in this population. Yet, fall characteristics have only been sparsely studied, and the results are inconsistent. The aim of the present study was to investigate type of falls, places where they occurred and activities that caused them, as well as health outcomes and health utilisation patterns after falls, among older people with ID in comparison with their age peers in the general population. Methods We established an administrative cohort of people with ID aged 55 years, or more, and alive at the end of 2012 (ID cohort; n = 7936). A cohort from the general population, one‐to‐one matched by sex and year of birth, was used as referents. Data regarding fall‐induced health care episodes in inpatient and outpatient specialist care were collected from the National Patient Register for the period 2002–2012. Results With the exception of falls from one level to another (i.e. fall on and from stairs and steps, ladder and scaffolding; fall from, out of or through building or structure; fall from tree or cliff and diving or jumping into water; or other fall from one level to another), people in the ID cohort were more likely to fall and fall more often than those in the general population cohort. Falls during a vital activity (e.g. attending to personal hygiene or eating) were twice as common among people with ID compared with the general population. When falling, people with ID were more likely to injure their head and legs but less likely to sustain injuries to the thorax and elbow/forearm. They were more likely to have superficial injuries, open wounds and fractures but less likely to have dislocations, sprain and strains. Fall‐related health care visits among people with ID were more likely to be in inpatient care and be unplanned. People with ID were also more likely than those in the general population to have a readmission within 30 days. Conclusions People with ID are more likely to require specialist care after a fall and also more likely to obtain injuries to the head, compared with the general population. This is important to consider when taking preventive measures to reduce falls and fall‐related injuries.

show abstract

Summary of factors contributing to falls in older adults and nursing implications

Cited by 69 publications

References 109 publications

Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative

Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative

Mismatch between risk factors and preventive interventions? A register study of fall prevention among older people in one Swedish county

Falls resulting in health care among older people with intellectual disability in comparison with the general population

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