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Author Van Nieuwenhuizen, Roos C. ♦ Van Dijk, Nynke ♦ Van Breda, Fenna G. ♦ Scheffer, Alice C. ♦ Korevaar, Johanna C. ♦ Van Der Cammen, Tischa J. ♦ Lips, Paul ♦ Goslings, Johannes C. ♦ de Rooij, Sophia E.
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Philosophy & psychology ♦ Psychology ♦ Social sciences ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Physiology & related subjects ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human physiology ♦ Personal health & safety ♦ Incidence & prevention of disease ♦ Pharmacology and therapeutics ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Musculoskeletal Diseases ♦ Nervous System Diseases ♦ Male Urogenital Diseases ♦ Wounds and Injuries ♦ Diseases ♦ Therapeutics ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Mental Disorders ♦ Psychiatry and Psychology ♦ Musculoskeletal and Neural Physiological Phenomena ♦ Biological Sciences ♦ Persons ♦ Persons ♦ Health Care Facilities, Manpower, and Services ♦ Health Care Quality, Access, and Evaluation ♦ Environment and Public Health ♦ Health Care
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Accidental Falls ♦ Statistics & Numerical Data ♦ Prevention & Control ♦ Age Factors ♦ Aged ♦ Confidence Intervals ♦ Emergency Service, Hospital ♦ Female ♦ Fractures, Bone ♦ Etiology ♦ Humans ♦ Hypotension, Orthostatic ♦ Complications ♦ Logistic Models ♦ Male ♦ Mood Disorders ♦ Odds Ratio ♦ Osteoporosis ♦ Polypharmacy ♦ Postural Balance ♦ Physiology ♦ Prevalence ♦ Prospective Studies ♦ Risk Factors ♦ Secondary Prevention ♦ Questionnaires ♦ Urinary Incontinence ♦ Vision, Low ♦ Journal Article ♦ Research Support, Non-u.s. Gov't
Abstract OBJECTIVE: Falls in older people are a common presenting complaint. Knowledge of modifiable risk factors may lead to a more tailored approach to prevent recurrent falls and/or fractures. We investigated prevalence of 8 modifiable risk factors for recurrent falling and/or a serious consequence of the fall among older patients visiting the emergency department after a fall with the Combined Amsterdam and Rotterdam Evaluation of Falls Triage Instrument (CTI), a self-administrated questionnaire that consists of questions concerning demographics, possible cause(s) of the fall, and questions relating to (modifiable) risk factors for falling. METHODS: After treatment for their injuries, 1077 consecutive patients 65 years or older visiting the accident and emergency department due to a fall were evaluated by the CTI. The following were assessed: impaired vision, mobility disorder, fear of falling, mood disorder, high risk of osteoporosis, orthostatic hypotension, incontinence, and polypharmacy. RESULTS: The percentage of respondents who returned the questionnaire was 59.3%. The mean (SD) age was 78.5 (7.5) years, and 57.8% experienced a fall with serious consequences. There were 60.9% of patients with a recurrent fall versus 51% with a first fall who experienced with a serious consequence (P = .025). Age and risk factors mobility disorder (odds ratio [OR], 1.9; 95% confidence interval [CI], 1.1-3.3), high risk of osteoporosis (OR, 2.0; 95% CI, 1.2-3.2), incontinence (OR, 1.7; 95% CI, 1.0-2.7), fear of falling (OR, 2.2; 95% CI, 1.3-3.7), and orthostatic hypotension (OR, 2.4; 95% CI, 1.4-4.2) were independently associated with a recurrent fall. Age and high risk of osteoporosis were the only risk factors predicting a serious consequence of a fall (OR, 4.6; 95% CI, 2.9-7.2). CONCLUSIONS: Age and 5 modifiable risk factors assessed with the CTI were independently associated with a recurrent fall. Only high risk of osteoporosis was associated with a serious consequence.
Description Country affiliation: Netherlands
Author Affiliation: van Nieuwenhuizen RC ( Department of Traumatology, Academic Medical Center, Amsterdam, The Netherlands.)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2010-11-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 28
Issue Number 9


Source: WHO-Global Index Medicus