Knowledge

Falls in older adults

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Risk factors may be grouped into intrinsic factors, such as existence of a specific ailment or disease. External or extrinsic factors include the environment and the way in which it may encourage or deter accidental falls. Such factors as lighting and illumination, personal aid equipment and floor traction are all important in
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Grossman, David C.; Curry, Susan J.; Owens, Douglas K.; Barry, Michael J.; Caughey, Aaron B.; Davidson, Karina W.; Doubeni, Chyke A.; Epling, John W.; Kemper, Alex R.; Krist, Alex H.; Kubik, Martha; Landefeld, Seth; Mangione, Carol M.; Pignone, Michael; Silverstein, Michael; Simon, Melissa A.; Tseng,
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American Geriatrics society (AGS)/British Geriatrics Society (BGS) recommend that all older adults should be screened for "falls in the past year". Fall history is the strongest risk factor associated with subsequent falls. Older people who have experienced at least one fall in the last 6 months, or
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When assessing a person who has fallen an eyewitness account of the incident is helpful. The person who fell may have had some loss of consciousness and may not be able to give an accurate description of the fall. In practice, these eyewitness accounts are often unavailable. 30% of cognitively intact
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or stepladders. The severity of injury is generally related to the height of the fall. The state of the ground surface onto which the victim falls is also important, harder surfaces causing more severe injury. Falls can be prevented by ensuring that carpets are tacked down, that objects like electric
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Falls are often caused by a number of factors. The faller may live with many risk factors for falling and only have problems when another factor appears. As such, management is often tailored to treating the factor that caused the fall, rather than all of the risk factors a patient has for falling.
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Direct costs are what patients and insurance companies pay for treating fall-related injuries. This includes fees for the hospital and nursing home, doctors and other professional services, rehabilitation, community-based services, use of medical equipment, prescription drugs, changes made to home
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The relationship between the person at risk of falling and their environment is important for determining the risk falls and taking measures to prevent falls. An assessment with an occupational therapist may be helpful to determine an appropriate rehabilitation plan to prevent falls by taking into
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The incidence of falls increases progressively with age. According to the existing scientific literature, approximately one-third of the elderly population experiences one or more falls each year, while 10% experience multiple falls annually. The risk is greater in people older than 80 years, in
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People who are hospitalized are at risk for falling. A randomized trial showed that use of a tool kit reduced falls in hospitals. Nurses complete a valid fall risk assessment scale. From that, a software package develops customized fall prevention interventions to address patients' specific
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Older adults who report falls should be asked about their circumstances and frequency to assess risks from gait and balance which may be compromised. A fall risk assessment is done by a clinician to include history, physical exam, functional capability, and environment.
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Many health institutions in USA have developed screening questionnaires. Enquiry includes difficulty with walking and balance, medication use to help with sleep/mood, loss of sensation in feet, vision problems, fear of falling, and use of assistive devices for walking.
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and trifocals can increase the risk of falling as the lower portion of corrective lenses are optimized for distances approximately 18 in (46 cm), thus precluding clear vision of one's feet/floor, approximately 4.5–5.5 ft (1.4–1.7 m) below one's
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of low friction against floor. Rubber soles with ribs normally have a high friction coefficient, so are preferred for most purposes. Clothing should fit the user well, without trailing parts (hems falling below the heel and loose shoelaces) which could snag with
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Tricco, AC; Thomas, SM; Veroniki, AA; Hamid, JS; Cogo, E; Strifler, L; Khan, PA; Robson, R; Sibley, KM; MacDonald, H; Riva, JJ; Thavorn, K; Wilson, C; Holroyd-Leduc, J; Kerr, GD; Feldman, F; Majumdar, SR; Jaglal, SB; Hui, W; Straus, SE (7 November 2017).
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of existing lights or lamps, so preventing hazard identification and avoidance. Eyesight deteriorates with age, and extra lighting will be needed where seniors move frequently. The power of the bulbs used should be higher than normally accepted, with
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consideration both the person and their living environment. A large body of evidence shows that efforts to include exercise decrease the risk of falls, and yet the fear of falling can lead to a decrease in participation in physical exercise.
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be defined as "an unexpected event in which the participants come to rest on the ground, floor, or lower level." The ProFane taxonomy is currently used as a framework to appraise falls-related research studies in Cochrane Systematic Reviews.
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preferred especially as they react much more quickly than other types of bulb when switched on. This is vital when entering a room where an obstacle can trip the user for example, especially if not seen in time to prevent the
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is often multifactorial and may require a multidisciplinary approach both to treat any injuries sustained and to prevent future falls. Falls include dropping from a standing position or from exposed positions such as those on
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Regular exercise - lower limb strengthening exercise to increase muscle strength. Other forms of exercise, such as those involving gait, balance, co-ordination and functional tasks, may also help improve balance in older
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Furthermore, a 2012 systematic review has demonstrated that performing dual-task tests (for example, combining a walking task with a counting task) may help in predicting which people are at an increased risk of a fall.
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Hopewell S, Adedire O, Copsey BJ, Sherrington C, Clemson LM, Close JC, Lamb SE (2016). "Multifactorial and multiple component interventions for preventing falls in older people living in the community (Protocol)".
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may decrease risk of hip fractures slightly, although they may slightly increase the risk of a pelvic fracture in older adults living in nursing care facilities. Little or no effect reported on other fractures or
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Other definitions are more inclusive and do not exclude "major intrinsic events" as a fall. Falls are of concern within medical treatment facilities. Fall prevention is usually a priority in healthcare settings.
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determinants of fall risk. The kit also has bed posters with brief text and an accompanying icon, patient education handouts, and plans of care, all communicating patient-specific alerts to key stakeholders.
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Tricco, Andrea C.; Thomas, Sonia M.; Veroniki, Areti Angeliki; Hamid, Jemila S.; Cogo, Elise; Strifler, Lisa; Khan, Paul A.; Robson, Reid; Sibley, Kathryn M.; MacDonald, Heather; Riva, John J. (2017-11-07).
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Soft tissue injuries. Bilateral orbital haematomas (two black eyes) suggests that the faller was probably not conscious as they fell, as they did not manage to protect their face as they hit the ground.
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due to the variation within research. The Prevention of Falls Network Europe (ProFane) taxonomy for the definition and reporting of falls aimed at mitigating this problem. ProFane recommended that a
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A 2014 review concluded that exercise interventions may reduce fear of falling (FOF) in community-dwelling older adults immediately after the intervention, without evidence of long-term effects.
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as "an event which results in a person coming to rest unintentionally on the ground or other lower level, not as a result of a major intrinsic event (such as a stroke) or overwhelming hazard."
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Kendrick D, Kumar A, Carpenter H, Zijlstra G, Skelton DA, Cook JR, Stevens Z, Belcher CM, Haworth D, Gawler SJ, Gage H, Masud T, Bowling A, Pearl M, Morris RW, Iliffe S, Delbaere K (2014).
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Sherrington C, Tiedemann A, Fairhall NJ, Hopewell S, Michaleff ZA, Howard K, Clemson L, Lamb SE (2016). "Exercise for preventing falls in older people living in the community (Protocol)".
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Indirect costs include the loss of productivity of family caregivers and long-term effects of fall-related injuries such as disability, dependence on others and reduced quality of life.
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The health care impact and costs of falls in older adults are significantly rising all over the world. The cost of falls is categorized into 2 aspects: direct cost and indirect cost.
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Lamb SE, Jørstad-Stein EC, Hauer K, Becker C (2005). "Development of a Common Outcome Data Set for Fall Injury Prevention Trials: The Prevention of Falls Network Europe Consensus".
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cords are not in one's path, that hearing and vision are optimized, dizziness is minimized, alcohol intake is moderated and that shoes have low heels or rubber soles.
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Bao X., Qiu Q.-X., Shao Y.-J., Quiben M., Liu H. Effect of Sitting Ba-Duan-Jin Exercises on Balance and Quality of Life among Older Adults: A Preliminary Study.
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visits for non-fatal injuries and more than 800,000 hospitalizations. By 2030, the annual number of falling injuries is expected to be 74 million older adults.
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In the United States alone, the total cost of falling injuries for people 65 and older was $ 31 billion in 2015. The costs covered millions of hospital
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Adding safety devices, such as grab handles, high friction floors, as well as low power lighting at night to the person's home or work environment
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E, Jian-Yu; Li, Tianjing; McInally, Lianne; Thomson, Katie; Shahani, Uma; Gray, Lyle; Howe, Tracey E.; Skelton, Dawn A. (2020-09-03).
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who believe that they may fall in the coming months, should be evaluated with the aim of reducing their risk of recurrent falls.
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Eibling, D. (2018). Balance disorders in older adults.Clinics in GeriatricMedicine,4(2), 175–181. doi:10.1016/j.cger.2018.01.002
83: 38: 1630:"Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review" 1201: 109: 1996:
Dykes PC, Carroll DL, Hurley A, Lipsitz S, Benoit A, Chang F, Meltzer S, Tsurikova R, Zuyov L, Middleton B (2010-11-03).
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Tinetti ME, Speechley M, Ginter SF (Dec 1988). "Risk factors for falls among elderly persons living in the community".
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Sarofim M (2012). "Predicting falls in the elderly: do dual-task tests offer any added value? A systematic review".
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will delay responses and compensations to standing or walking imbalances, thus increasing the likelihood of falls.
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Improvements to the person's environment such as their home or workplace may help to reduce the risk of falling.
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RodrĂ­guez-Molinero (2015). "Falls in the Spanish elderly population: Incidence, consequences and risk factors".
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Researchers have tried to create a consensual definition of a fall since the 1980s. Tinneti et al. defined a
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of low headroom (less than about 6 ft (1.8 m)) are common in old houses and cottages for example.
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older people are unable to remember a documented fall three months later. Important points of inquiry:
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Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE (2012).
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Ishigaki, Erika Y.; Ramos, Lidiane G.; Carvalho, Elisa S.; Lunardi, Adriana C. (2016-11-08).
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is not recommended in those without vitamin D deficiency for fall prevention in older adults.
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should be supplied plentifully, especially in critical areas where users may be vulnerable.
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An assessment tool to determine and quantify persons as low, mid, and high risk for falls.
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Tinetti (1988). "Risk Factors for Falls among Elderly Persons Living in the Community".
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Please expand the article to include this information. Further details may exist on the
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Santesso, Nancy; Carrasco-Labra, Alonso; Brignardello-Petersen, Romina (2014-03-31).
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Nevitt (1989). "Risk factors for recurrent nonsyncopal falls. A prospective study".
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Ficalora, Robert D.; Paul S. Mueller; Thomas J. Beckman; et al., eds. (2013).
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to reduce the risk of falling and bone fractures. Falls are an important aspect of
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Monitoring of medications and ongoing medical problems - For example, people with
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A 2006 review of literature identified the need for standardization of falls
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DK, Kiely (1998). "Identifying nursing home residents at risk of falling".
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Howe, T. E.; Rochester, L; Neil, F; Skelton, D. A.; Ballinger, C (2011).
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Improvements to footwear and utilization of orthotic devices if required.
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Doorways with adequate headroom so that the user's head does not hit the
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and muscle wasting from reduced physical activity during recovery periods
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led to a recommendation that people over the age of 60 years should
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Assessment of proper, safe use of cane or walker assistive device
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National service framework for older people; Standard 6 – Falls
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Sokhal BS, Hider SL, Paskins Z, Mallen CD, Muller S (2021).
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and individual instability. All surfaces should have a high
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with triangular handles in a modern Japanese commuter train
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Hauer K, Lamb SE, Jorstad EC, Todd C, Becker C (2006).
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2020;45(5):271-278. doi:10.1097/rnj.0000000000000219
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Interventions to minimize the consequences of falls
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Unsourced material may be challenged and removed. 2238: 2095: 1443: 630:increase the risk of falling and of hip fractures. 869:Possible interventions to prevent falls include: 2487: 1687:"Exercise for improving balance in older people" 1581: 1579: 2482:– Centers for Disease Control and Prevention 2324: 1162: 891: 872: 1937:The Cochrane Database of Systematic Reviews 1691:The Cochrane Database of Systematic Reviews 1450:The Cochrane Database of Systematic Reviews 53:Learn how and when to remove these messages 2055:Journal of the American Geriatrics Society 1576: 1271:Journal of the American Geriatrics Society 1194:Mayo Clinic internal medicine board review 908:often take long-term steroids, leading to 604:significantly increase the risk of falling 243: 2350: 2301: 2291: 2131: 2121: 2029: 1964: 1907: 1849: 1839: 1744: 1661: 1604: 1559: 1477: 1416: 1414: 1412: 1337: 1242: 1147: 1099: 1062: 1058: 1056: 881:A review of the current living conditions 220:Learn how and when to remove this message 150:Learn how and when to remove this message 2158:. The American Geriatrics Society. 2016. 718: 706: 695: 610:medications can contribute towards falls 2168: 1729:Cochrane Database of Systematic Reviews 1387:Cochrane Database of Systematic Reviews 1364:Cochrane Database of Systematic Reviews 1318:Cochrane Database of Systematic Reviews 179:about prognosis/consequences, see e.g. 2488: 2203: 2096:RodrĂ­guez-Molinero, Alejandro (2017). 1409: 1053: 1731:. Art. No.: CD009848 (11): CD009848. 1634:Brazilian Journal of Physical Therapy 1439: 1437: 1435: 1433: 1081: 887:Identify and remove potential hazards 715:catering for mainly seated passengers 466: 2273: 1264: 1262: 691: 580:Visual motor reaction time problems 542: 161: 88:adding citations to reliable sources 59: 18: 2410:"Costs of Falls Among Older Adults" 1124: 840:legal and illegal drug interactions 13: 2067:10.1111/j.1532-5415.1998.tb01069.x 2052: 1430: 1163:Hughes, R. G.; Currie, L. (2008). 1065:Australian Medical Student Journal 682:Structural heart disease, such as 14: 2522: 2428: 1828:Rheumatology Advances in Practice 1259: 793:so as to improve user stability. 777:Clothing/footwear poorly fitted, 648:increases the likelihood of falls 34:This article has multiple issues. 2218:10.1001/jama.1989.03420180087036 1424:, Crown Copyright, 24 May 2001, 1283:10.1111/j.1532-5415.2005.53455.x 723:A staircase with metal handrails 711:Grab rails on a longer-distance 305: 286: 166: 64: 23: 2402: 2367: 2318: 2267: 2232: 2197: 2162: 2148: 2089: 2046: 1989: 1924: 1866: 1815: 1775: 1713: 1678: 1646:10.1590/S1413-35552012005000148 1621: 1526: 1494: 1378: 1354: 1305: 972: 785:Lack of equipment/aids such as 75:needs additional citations for 42:or discuss these issues on the 1949:10.1002/14651858.CD001255.pub5 1737:10.1002/14651858.CD009848.pub2 1699:10.1002/14651858.CD004963.pub3 1462:10.1002/14651858.CD009233.pub3 1330:10.1002/14651858.CD007146.pub3 1218: 1185: 1156: 1075: 1040: 1031: 428:European Food Safety Authority 1: 1082:Chang, Huan J. (2010-01-20). 1024: 854: 762:Rugs/floor surfaces with low 445: 2123:10.1371/journal.pone.0176703 993: 955: 805: 7: 2388:10.1056/NEJM198812293192604 2183:10.1056/NEJM198812293192604 1587:Chien-Wen (24 April 2018). 1015: 946: 789:or walking frames, such as 393:are a significant cause of 10: 2527: 2253:10.1016/j.regg.2015.05.005 1795:10.3310/nihrevidence_51304 1002:and insurance processing. 981: 942:Treatment for osteoporosis 858: 16:Age-related health problem 2436: 1395:10.1002/14651858.CD012424 1372:10.1002/14651858.CD012221 892:Behavioural interventions 873:Environmental adaptations 728:Poor lighting due to low 598:is common in older people 529: 401:and are a major class of 256: 251: 242: 237: 189:10.1007/s11556-013-0134-8 2293:10.1186/1471-2318-14-105 2241:Rev Esp Geriatr Gerontol 1149:10.2903/j.efsa.2011.2382 1084:"Falls and older adults" 837:Risk factors for falling 672:Neurocardiogenic syncope 662:Postprandial hypotension 1892:10.1001/jama.2017.15006 1552:10.1001/jama.2017.15006 657:Orthostatic hypotension 99:"Falls in older adults" 2014:10.1001/jama.2010.1567 1834:(3) rkab094: rkab094. 1606:10.1001/jama.2018.3097 1420:Department of Health, 1101:10.1001/jama.303.3.288 906:polymyalgia rheumatica 724: 716: 704: 684:valvular heart disease 667:Carotid sinus syndrome 653:Cardiovascular causes 177:is missing information 2474:Morse Fall Assessment 2325:Shumway-Cook (2009). 1244:10.1093/ageing/afi218 722: 710: 699: 569:neuromuscular disease 391:Falls in older adults 238:Falls in older adults 2343:10.2522/ptj.20070107 1167:. Ncbi.nlm.nih.gov. 772:friction coefficient 624:macular degeneration 618:Visual impairments, 403:preventable injuries 373:Fires, flames, smoke 280:in the United States 252:Front-wheeled walker 84:improve this article 2114:2017PLoSO..1276703R 2108:(12(5)): e0176703. 1841:10.1093/rap/rkab094 834:Associated features 678:Cardiac arrhythmias 642:Cognitive problems 1427:accessed:19/5/2008 831:Eyewitness account 824:Effectiveness of " 821:Frequency of falls 735:incandescent bulbs 725: 717: 705: 615:Visual impairment 573:vestibular disease 467:Signs and symptoms 440:geriatric medicine 263:Emergency medicine 2480:Older Adult Falls 2469: 2468: 2008:(17): 1912–1918. 1886:(17): 1687–1699. 1599:(16): 1696–1704. 1546:(17): 1687–1699. 1203:978-0-19-994894-9 692:Extrinsic factors 561:arthritic changes 548:Balance and gait 543:Intrinsic factors 525:A fear of falling 278:Accidental deaths 272: 271: 232:Medical condition 230: 229: 222: 212: 211: 160: 159: 152: 134: 57: 2518: 2434: 2433: 2422: 2421: 2419: 2417: 2406: 2400: 2399: 2371: 2365: 2364: 2354: 2322: 2316: 2315: 2305: 2295: 2271: 2265: 2264: 2236: 2230: 2229: 2201: 2195: 2194: 2166: 2160: 2159: 2152: 2146: 2145: 2135: 2125: 2093: 2087: 2086: 2050: 2044: 2043: 2033: 1993: 1987: 1986: 1968: 1928: 1922: 1921: 1911: 1870: 1864: 1863: 1853: 1843: 1819: 1813: 1812: 1810: 1809: 1779: 1773: 1772: 1770: 1769: 1763: 1757:. Archived from 1748: 1726: 1717: 1711: 1710: 1693:(11): CD004963. 1682: 1676: 1675: 1665: 1625: 1619: 1618: 1608: 1583: 1574: 1573: 1563: 1530: 1524: 1523: 1521: 1519: 1513: 1506: 1498: 1492: 1491: 1481: 1441: 1428: 1418: 1407: 1406: 1382: 1376: 1375: 1358: 1352: 1351: 1341: 1309: 1303: 1302: 1277:(9): 1618–1622. 1266: 1257: 1256: 1246: 1222: 1216: 1215: 1189: 1183: 1182: 1180: 1179: 1160: 1154: 1153: 1151: 1142:(9) 2382. 2011. 1128: 1122: 1121: 1103: 1079: 1073: 1072: 1060: 1051: 1044: 1038: 1035: 774:with shoe soles. 744:with inadequate 500:Due to bed rest 426:evidence by the 379: 370: 361: 352: 343: 334: 325: 309: 290: 247: 235: 234: 225: 218: 207: 204: 198: 170: 162: 155: 148: 144: 141: 135: 133: 92: 68: 60: 49: 27: 26: 19: 2526: 2525: 2521: 2520: 2519: 2517: 2516: 2515: 2506:Causes of death 2486: 2485: 2470: 2465: 2464: 2445: 2431: 2426: 2425: 2415: 2413: 2408: 2407: 2403: 2372: 2368: 2323: 2319: 2272: 2268: 2237: 2233: 2212:(18): 2663–68. 2202: 2198: 2167: 2163: 2154: 2153: 2149: 2094: 2090: 2051: 2047: 1994: 1990: 1943:(3): CD001255. 1929: 1925: 1871: 1867: 1820: 1816: 1807: 1805: 1781: 1780: 1776: 1767: 1765: 1761: 1724: 1718: 1714: 1683: 1679: 1626: 1622: 1584: 1577: 1531: 1527: 1517: 1515: 1511: 1504: 1500: 1499: 1495: 1456:(9): CD009233. 1442: 1431: 1419: 1410: 1383: 1379: 1359: 1355: 1324:(9): CD007146. 1310: 1306: 1267: 1260: 1223: 1219: 1204: 1190: 1186: 1177: 1175: 1161: 1157: 1130: 1129: 1125: 1080: 1076: 1061: 1054: 1048:Rehabil. Nurs.. 1045: 1041: 1036: 1032: 1027: 1018: 996: 984: 975: 958: 949: 932: 919:Supplementation 894: 875: 863: 861:Fall prevention 857: 808: 766:, causing poor 694: 551:As a result of 545: 537:fall prevention 532: 469: 448: 388: 387: 386: 385: 384: 377: 375: 368: 366: 359: 357: 350: 348: 341: 339: 332: 330: 323: 319: 318: 317: 316: 310: 301: 300: 299: 298: 297: 291: 282: 281: 233: 226: 215: 214: 213: 208: 202: 199: 192: 171: 156: 145: 139: 136: 93: 91: 81: 69: 28: 24: 17: 12: 11: 5: 2524: 2514: 2513: 2508: 2503: 2498: 2484: 2483: 2477: 2467: 2466: 2463: 2462: 2446: 2441: 2440: 2438: 2437:Classification 2430: 2429:External links 2427: 2424: 2423: 2401: 2382:(26): 1701–7. 2366: 2317: 2266: 2231: 2196: 2177:(26): 1701–7. 2161: 2147: 2088: 2061:(5): 551–555. 2045: 1988: 1923: 1865: 1814: 1789:. 2022-06-21. 1774: 1712: 1677: 1640:(2): 111–118. 1620: 1575: 1525: 1493: 1429: 1408: 1377: 1353: 1304: 1258: 1231:Age and Ageing 1217: 1202: 1184: 1155: 1123: 1074: 1052: 1039: 1029: 1028: 1026: 1023: 1017: 1014: 1010:emergency room 995: 992: 983: 980: 974: 971: 957: 954: 948: 945: 944: 943: 940: 936:Hip protectors 931: 928: 927: 926: 916: 913: 902: 899: 893: 890: 889: 888: 885: 882: 874: 871: 859:Main article: 856: 853: 852: 851: 848: 841: 838: 835: 832: 829: 822: 819: 807: 804: 803: 802: 799:hanging straps 787:walking sticks 783: 775: 760: 749: 739: 713:commuter train 701:Hanging straps 693: 690: 689: 688: 687: 686: 680: 675: 669: 664: 659: 651: 650: 649: 640: 639: 638: 631: 613: 612: 611: 608:Cardiovascular 605: 599: 590: 589: 588: 578: 577: 576: 544: 541: 531: 528: 527: 526: 523: 522: 521: 516: 511: 509:Pressure sores 506: 498: 497: 496: 493:Disuse atrophy 490: 476: 468: 465: 447: 444: 434:the diet with 424:clinical trial 376: 367: 358: 349: 340: 331: 322: 321: 320: 312: 311: 304: 303: 302: 293: 292: 285: 284: 283: 276: 275: 274: 273: 270: 269: 260: 254: 253: 249: 248: 240: 239: 231: 228: 227: 210: 209: 181:CDC fact sheet 174: 172: 165: 158: 157: 72: 70: 63: 58: 32: 31: 29: 22: 15: 9: 6: 4: 3: 2: 2523: 2512: 2509: 2507: 2504: 2502: 2499: 2497: 2494: 2493: 2491: 2481: 2478: 2475: 2472: 2471: 2461: 2457: 2456: 2452: 2448: 2447: 2444: 2439: 2435: 2411: 2405: 2397: 2393: 2389: 2385: 2381: 2377: 2370: 2362: 2358: 2353: 2348: 2344: 2340: 2337:(4): 324–32. 2336: 2332: 2328: 2321: 2313: 2309: 2304: 2299: 2294: 2289: 2285: 2281: 2277: 2274:Rapp (2014). 2270: 2262: 2258: 2254: 2250: 2247:(6): 274–80. 2246: 2242: 2235: 2227: 2223: 2219: 2215: 2211: 2207: 2200: 2192: 2188: 2184: 2180: 2176: 2172: 2165: 2157: 2151: 2143: 2139: 2134: 2129: 2124: 2119: 2115: 2111: 2107: 2103: 2099: 2092: 2084: 2080: 2076: 2072: 2068: 2064: 2060: 2056: 2049: 2041: 2037: 2032: 2027: 2023: 2019: 2015: 2011: 2007: 2003: 1999: 1992: 1984: 1980: 1976: 1972: 1967: 1962: 1958: 1954: 1950: 1946: 1942: 1938: 1934: 1927: 1919: 1915: 1910: 1905: 1901: 1897: 1893: 1889: 1885: 1881: 1877: 1869: 1861: 1857: 1852: 1847: 1842: 1837: 1833: 1829: 1825: 1818: 1804: 1800: 1796: 1792: 1788: 1787:NIHR Evidence 1784: 1778: 1764:on 2018-07-20 1760: 1756: 1752: 1747: 1742: 1738: 1734: 1730: 1723: 1716: 1708: 1704: 1700: 1696: 1692: 1688: 1681: 1673: 1669: 1664: 1659: 1655: 1651: 1647: 1643: 1639: 1635: 1631: 1624: 1616: 1612: 1607: 1602: 1598: 1594: 1590: 1582: 1580: 1571: 1567: 1562: 1557: 1553: 1549: 1545: 1541: 1537: 1529: 1514:on 2017-12-31 1510: 1503: 1497: 1489: 1485: 1480: 1475: 1471: 1467: 1463: 1459: 1455: 1451: 1447: 1440: 1438: 1436: 1434: 1426: 1423: 1417: 1415: 1413: 1404: 1400: 1396: 1392: 1388: 1381: 1373: 1369: 1365: 1357: 1349: 1345: 1340: 1335: 1331: 1327: 1323: 1319: 1315: 1308: 1300: 1296: 1292: 1288: 1284: 1280: 1276: 1272: 1265: 1263: 1254: 1250: 1245: 1240: 1236: 1232: 1228: 1221: 1213: 1209: 1205: 1199: 1195: 1188: 1174: 1170: 1166: 1159: 1150: 1145: 1141: 1137: 1133: 1127: 1119: 1115: 1111: 1107: 1102: 1097: 1093: 1089: 1085: 1078: 1070: 1066: 1059: 1057: 1049: 1043: 1034: 1030: 1022: 1013: 1011: 1006: 1003: 999: 991: 989: 979: 970: 966: 962: 953: 941: 937: 934: 933: 924: 920: 917: 914: 911: 907: 903: 900: 896: 895: 886: 883: 880: 879: 878: 870: 867: 862: 849: 846: 843:Sedative and 842: 839: 836: 833: 830: 827: 823: 820: 818: 817:reaction time 815:Visual motor 814: 813: 812: 800: 796: 792: 791:Zimmer frames 788: 784: 780: 776: 773: 769: 765: 761: 758: 754: 750: 747: 743: 740: 736: 731: 727: 726: 721: 714: 709: 702: 698: 685: 681: 679: 676: 673: 670: 668: 665: 663: 660: 658: 655: 654: 652: 647: 644: 643: 641: 635: 632: 629: 625: 621: 617: 616: 614: 609: 606: 603: 600: 597: 594: 593: 591: 586: 585:reaction time 582: 581: 579: 574: 570: 566: 562: 558: 554: 550: 549: 547: 546: 540: 538: 524: 520: 517: 515: 512: 510: 507: 505: 502: 501: 499: 494: 491: 488: 487:neck of femur 484: 480: 477: 474: 473: 471: 470: 464: 461: 457: 452: 443: 441: 437: 433: 429: 425: 420: 417: 412: 408: 404: 400: 396: 392: 383: 374: 365: 356: 347: 338: 337:Motor-vehicle 329: 315: 308: 296: 289: 279: 268: 264: 261: 259: 255: 250: 246: 241: 236: 224: 221: 206: 203:December 2022 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1110:0098-7484 994:Economics 956:Screening 923:vitamin D 826:parachute 806:Diagnosis 795:Grab bars 782:obstacles 746:handrails 738:accident. 730:luminance 602:Sedatives 555:disease, 504:Pneumonia 479:Fractures 436:vitamin D 399:mortality 395:morbidity 328:Poisoning 258:Specialty 195:talk page 45:talk page 2511:Injuries 2361:19228831 2312:25241278 2261:26168776 2142:28489888 2102:PLOS ONE 2083:13118673 2040:21045097 1983:27652715 1975:24687239 1966:10754476 1918:29114830 1860:34988356 1755:25432016 1707:22071817 1672:24760166 1615:29710141 1570:29114830 1488:32885841 1403:78199547 1348:22972103 1299:19526374 1291:16137297 1253:16364930 1173:21328754 1118:20085959 1016:Research 947:Hospital 768:traction 764:friction 757:Doorways 646:Dementia 634:Bifocals 620:glaucoma 456:taxonomy 364:Drowning 2501:Falling 2396:3205267 2352:2664994 2303:4179843 2286:: 105. 2226:2709546 2191:3205267 2133:5425174 2110:Bibcode 2075:9588366 2031:3107709 1909:5818787 1851:8712242 1746:7388865 1663:4183251 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"Falls in older adults"
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CDC fact sheet
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Emergency medicine
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Accidental deaths


Poisoning
Motor-vehicle
Falls

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