Falls risk and functional decline in older fallers discharged directly from emergency departments.
Identifieur interne : 003E19 ( Main/Exploration ); précédent : 003E18; suivant : 003E20Falls risk and functional decline in older fallers discharged directly from emergency departments.
Auteurs : Melissa A. Russell [Australie] ; Keith D. Hill ; Irene Blackberry ; Lesley L. Day ; Shyamali C. DharmageSource :
- The journals of gerontology. Series A, Biological sciences and medical sciences [ 1079-5006 ] ; 2006.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Adulte d'âge moyen (MeSH), Chutes accidentelles (statistiques et données numériques), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Prévalence (MeSH), Service hospitalier d'urgences (MeSH), Sujet âgé (MeSH), Études transversales (MeSH).
- MESH :
- statistiques et données numériques : Chutes accidentelles.
- Activités de la vie quotidienne, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Mâle, Prévalence, Service hospitalier d'urgences, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- MESH :
- statistics & numerical data : Accidental Falls.
- Activities of Daily Living, Aged, Cross-Sectional Studies, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Prevalence, Risk Factors.
Abstract
BACKGROUND
There is currently no standard approach to falls risk assessment and management for older fallers presenting to the emergency department (ED) who are discharged directly home. Hence, this study was conducted to describe the prevalence of falls risk factors associated with older fallers presenting to the ED and to identify the factors associated with postdischarge decline in function in this group.
METHODS
This cross-sectional study was performed with 300 community-dwelling individuals, aged 60 years or older, admitted to the ED following a fall, and discharged directly home. A home-based assessment after ED discharge was performed, which included the prevalence of falls risk factors, identification of functional decline, and objective measurements of balance, gait, depression, and falls efficacy.
RESULTS
Fall-related injuries were sustained by 91% (95% confidence interval [CI], 87.2%-94.0%) of participants presenting to the ED. The most common falls risk factors identified in the home assessment were polypharmacy (79.0%, 95% CI, 73.9%-83.5%), home hazards (76.0%, 95% CI, 70.8%-80.7%), decreased balance (61.3%, 95% CI, 55.6%-66.9%), and arthritis (61.3%, 95% CI, 55.6%-66.9%). A decline in function was reported by 35% of participants (95% CI, 29.6%-40.7%). Sustaining a fracture, functional independence before the fall, being female, depression, and slower Timed Up and Go (TUG) scores were associated with a decline in function (p <.05).
CONCLUSION
Older fallers discharged directly from the ED have a high prevalence of falls risk factors and are at risk of functional decline.
DOI: 10.1093/gerona/61.10.1090
PubMed: 17077205
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Falls risk and functional decline in older fallers discharged directly from emergency departments.</title><author><name sortKey="Russell, Melissa A" sort="Russell, Melissa A" uniqKey="Russell M" first="Melissa A" last="Russell">Melissa A. Russell</name><affiliation wicri:level="1"><nlm:affiliation>Bachelor of Physiotherapy, National Ageing Research Institute, Poplar Road, Parkville, Victoria, Australia. m.russell@nari.unimelb.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Bachelor of Physiotherapy, National Ageing Research Institute, Poplar Road, Parkville, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Hill, Keith D" sort="Hill, Keith D" uniqKey="Hill K" first="Keith D" last="Hill">Keith D. Hill</name></author><author><name sortKey="Blackberry, Irene" sort="Blackberry, Irene" uniqKey="Blackberry I" first="Irene" last="Blackberry">Irene Blackberry</name></author><author><name sortKey="Day, Lesley L" sort="Day, Lesley L" uniqKey="Day L" first="Lesley L" last="Day">Lesley L. Day</name></author><author><name sortKey="Dharmage, Shyamali C" sort="Dharmage, Shyamali C" uniqKey="Dharmage S" first="Shyamali C" last="Dharmage">Shyamali C. Dharmage</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:17077205</idno><idno type="pmid">17077205</idno><idno type="doi">10.1093/gerona/61.10.1090</idno><idno type="wicri:Area/Main/Corpus">003C99</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">003C99</idno><idno type="wicri:Area/Main/Curation">003C99</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">003C99</idno><idno type="wicri:Area/Main/Exploration">003C99</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Falls risk and functional decline in older fallers discharged directly from emergency departments.</title><author><name sortKey="Russell, Melissa A" sort="Russell, Melissa A" uniqKey="Russell M" first="Melissa A" last="Russell">Melissa A. Russell</name><affiliation wicri:level="1"><nlm:affiliation>Bachelor of Physiotherapy, National Ageing Research Institute, Poplar Road, Parkville, Victoria, Australia. m.russell@nari.unimelb.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Bachelor of Physiotherapy, National Ageing Research Institute, Poplar Road, Parkville, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Hill, Keith D" sort="Hill, Keith D" uniqKey="Hill K" first="Keith D" last="Hill">Keith D. Hill</name></author><author><name sortKey="Blackberry, Irene" sort="Blackberry, Irene" uniqKey="Blackberry I" first="Irene" last="Blackberry">Irene Blackberry</name></author><author><name sortKey="Day, Lesley L" sort="Day, Lesley L" uniqKey="Day L" first="Lesley L" last="Day">Lesley L. Day</name></author><author><name sortKey="Dharmage, Shyamali C" sort="Dharmage, Shyamali C" uniqKey="Dharmage S" first="Shyamali C" last="Dharmage">Shyamali C. Dharmage</name></author></analytic><series><title level="j">The journals of gerontology. Series A, Biological sciences and medical sciences</title><idno type="ISSN">1079-5006</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (statistics & numerical data)</term><term>Activities of Daily Living (MeSH)</term><term>Aged (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Emergency Service, Hospital (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Prevalence (MeSH)</term><term>Risk Factors (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Chutes accidentelles (statistiques et données numériques)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Prévalence (MeSH)</term><term>Service hospitalier d'urgences (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Chutes accidentelles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Emergency Service, Hospital</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Prévalence</term><term>Service hospitalier d'urgences</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>There is currently no standard approach to falls risk assessment and management for older fallers presenting to the emergency department (ED) who are discharged directly home. Hence, this study was conducted to describe the prevalence of falls risk factors associated with older fallers presenting to the ED and to identify the factors associated with postdischarge decline in function in this group.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This cross-sectional study was performed with 300 community-dwelling individuals, aged 60 years or older, admitted to the ED following a fall, and discharged directly home. A home-based assessment after ED discharge was performed, which included the prevalence of falls risk factors, identification of functional decline, and objective measurements of balance, gait, depression, and falls efficacy.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Fall-related injuries were sustained by 91% (95% confidence interval [CI], 87.2%-94.0%) of participants presenting to the ED. The most common falls risk factors identified in the home assessment were polypharmacy (79.0%, 95% CI, 73.9%-83.5%), home hazards (76.0%, 95% CI, 70.8%-80.7%), decreased balance (61.3%, 95% CI, 55.6%-66.9%), and arthritis (61.3%, 95% CI, 55.6%-66.9%). A decline in function was reported by 35% of participants (95% CI, 29.6%-40.7%). Sustaining a fracture, functional independence before the fall, being female, depression, and slower Timed Up and Go (TUG) scores were associated with a decline in function (p <.05).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Older fallers discharged directly from the ED have a high prevalence of falls risk factors and are at risk of functional decline.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17077205</PMID><DateCompleted><Year>2006</Year><Month>12</Month><Day>07</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1079-5006</ISSN><JournalIssue CitedMedium="Print"><Volume>61</Volume><Issue>10</Issue><PubDate><Year>2006</Year><Month>Oct</Month></PubDate></JournalIssue><Title>The journals of gerontology. Series A, Biological sciences and medical sciences</Title><ISOAbbreviation>J Gerontol A Biol Sci Med Sci</ISOAbbreviation></Journal><ArticleTitle>Falls risk and functional decline in older fallers discharged directly from emergency departments.</ArticleTitle><Pagination><MedlinePgn>1090-5</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is currently no standard approach to falls risk assessment and management for older fallers presenting to the emergency department (ED) who are discharged directly home. Hence, this study was conducted to describe the prevalence of falls risk factors associated with older fallers presenting to the ED and to identify the factors associated with postdischarge decline in function in this group.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This cross-sectional study was performed with 300 community-dwelling individuals, aged 60 years or older, admitted to the ED following a fall, and discharged directly home. A home-based assessment after ED discharge was performed, which included the prevalence of falls risk factors, identification of functional decline, and objective measurements of balance, gait, depression, and falls efficacy.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Fall-related injuries were sustained by 91% (95% confidence interval [CI], 87.2%-94.0%) of participants presenting to the ED. The most common falls risk factors identified in the home assessment were polypharmacy (79.0%, 95% CI, 73.9%-83.5%), home hazards (76.0%, 95% CI, 70.8%-80.7%), decreased balance (61.3%, 95% CI, 55.6%-66.9%), and arthritis (61.3%, 95% CI, 55.6%-66.9%). A decline in function was reported by 35% of participants (95% CI, 29.6%-40.7%). Sustaining a fracture, functional independence before the fall, being female, depression, and slower Timed Up and Go (TUG) scores were associated with a decline in function (p <.05).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Older fallers discharged directly from the ED have a high prevalence of falls risk factors and are at risk of functional decline.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Russell</LastName><ForeName>Melissa A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Bachelor of Physiotherapy, National Ageing Research Institute, Poplar Road, Parkville, Victoria, Australia. m.russell@nari.unimelb.edu.au</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hill</LastName><ForeName>Keith D</ForeName><Initials>KD</Initials></Author><Author ValidYN="Y"><LastName>Blackberry</LastName><ForeName>Irene</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Day</LastName><ForeName>Lesley L</ForeName><Initials>LL</Initials></Author><Author ValidYN="Y"><LastName>Dharmage</LastName><ForeName>Shyamali C</ForeName><Initials>SC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Gerontol A Biol Sci Med Sci</MedlineTA><NlmUniqueID>9502837</NlmUniqueID><ISSNLinking>1079-5006</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="Y">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>11</Month><Day>2</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>12</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>11</Month><Day>2</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17077205</ArticleId><ArticleId IdType="pii">61/10/1090</ArticleId><ArticleId IdType="doi">10.1093/gerona/61.10.1090</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Blackberry, Irene" sort="Blackberry, Irene" uniqKey="Blackberry I" first="Irene" last="Blackberry">Irene Blackberry</name><name sortKey="Day, Lesley L" sort="Day, Lesley L" uniqKey="Day L" first="Lesley L" last="Day">Lesley L. Day</name><name sortKey="Dharmage, Shyamali C" sort="Dharmage, Shyamali C" uniqKey="Dharmage S" first="Shyamali C" last="Dharmage">Shyamali C. Dharmage</name><name sortKey="Hill, Keith D" sort="Hill, Keith D" uniqKey="Hill K" first="Keith D" last="Hill">Keith D. Hill</name></noCountry><country name="Australie"><noRegion><name sortKey="Russell, Melissa A" sort="Russell, Melissa A" uniqKey="Russell M" first="Melissa A" last="Russell">Melissa A. Russell</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Bois/explor/PoplarV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003E19 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003E19 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Bois
|area= PoplarV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:17077205
|texte= Falls risk and functional decline in older fallers discharged directly from emergency departments.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:17077205" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a PoplarV1
| This area was generated with Dilib version V0.6.37. |  |