Background: There are recommendations to prevent falls. Our goal is to determine, in older people, the knowledge and adherence to these recommendations, and to analyze the demographic characteristics and associated morbidity.
Methods: Observational study of prevalence and crossed association. The target population are older people living in the community. The subjects were randomly selected (n = 919) and interviewed about their knowledge and level of adherence to existing recommendations to prevent falls in older people, we also gathered information about their health problems and their demographic characteristics. A descriptive analysis was performed and compared the "more compliant" subjects with the rest of the participants. Using a multivariate analysis the association of adhesion with possible factors was found.
Results: 50.8% were unaware that there are physical exercises recommended to prevent falls and 22.0% that taking care of your feet can contribute to this end. The recommendations with greater adherence are those related to the bathroom, where 62.2% used the shower for personal hygiene and 83.5% use non-slip floor mat in the shower or bathtub. Variables associated with increased compliance are: presence of 3 or more health problems (OR: 1.6), age over 80 years (OR: 1.4), higher level of schooling (OR: 1.5) and unmarried individuals, widowed or divorced (OR: 1.4).
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BMC Geriatr
December 2024
ZHAW Zurich University of Applied Sciences, Winterthur Institute of Health Economics, Winterthur, Switzerland.
Background: Fall prevention programmes are essential interventions in societies with aging populations. This study assessed the fall rate and other health outcomes, as well as the cost-effectiveness of a home-based fall prevention programme for community-dwelling older people. In a single home visit, trained physical or occupational therapists performed fall risk assessments, eliminated environmental risk factors, and provided tailored exercises.
View Article and Find Full Text PDFBMJ Open Qual
December 2024
Internal Medicine, Division of Nursing Science, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Background: The effectiveness of implementing fall prevention interventions (FPI) among hospitalised adults exhibits variability. Our review explored implementation strategies for FPIs, how these strategies are operationalised and their impact on fall rates and adherence.
Methods: Databases were searched up to October 2024 for studies reporting the implementation of FPIs in hospitalised adults.
BMJ Open Qual
December 2024
DIALOG Programme, Surrey and Borders Partnership NHS Foundation Trust, Leatherhead, UK.
Falls in the inpatient units are the most frequently reported patient safety incidents and their consequences can be devastating. Risk factors for falls are broadly categorised into two factors-'extrinsic and intrinsic' and while the effect of functional mental health conditions on falls has not been extensively studied, older adults with dementia are at a higher risk of falling. Their impact could lead to delayed functional recovery, distress, increased length of hospital stays and an increased fear of falling.
View Article and Find Full Text PDFZ Gerontol Geriatr
December 2024
2. Med. Abteilung, Klinik Landstraße, Juchgasse 25, 1030, Wien, Österreich.
Background: Little is known about how younger and older hospitalized patients differ with respect to reasons for admission, comorbidities, diagnostics, treatment and intercurrent problems.
Objective: The aim of the study was to compare the previously named characteristics in the clinical profile of patients > 90 years old (nonagenarians) with a control group of patients 70-75 years old admitted to an emergency hospital department for internal medicine and cardiology.
Material And Method: The study included all consecutive nonagenarians and gender-matched control patients who were admitted during 2011.
Background: To analyse the epidemiological characteristics of orthopaedic trauma patients and thereby optimize healthcare resource allocation and improve treatment efficiency.
Materials And Methods: Relying on the hospital information system (HIS) database, we retrospectively analysed the epidemiological characteristics of orthopaedic trauma inpatients in our hospital between 2013 and 2022, including patient demographic information, causes of injury, location of injury and hospitalization costs.
Results: The median age of the patients was 36 (26-47) years old; the age stratification of the patients was highest in the proportion of patients aged 40-50 years old (29.
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