Falls Prevention Horizon Scanning Bulletin Volume 2 Issue 12

14/12/2012
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Depressive symptoms may predict falls in older Taiwanese people

14/12/2012

Source: Age and Ageing, 2012, 41(5) p. 606-612

Follow this link for abstract

Date of publication: September 2012

Publication type: Journal article

In a nutshell: This study investigated depressive symptoms in older, community-dwelling adults in Taiwan, to see if they had any effect on the prevalence of falls. The participants were tested for their sensorimotor, balance and mobility and then followed up over two years. Depressive symptoms were common in older people, and were associated with an increased risk of falls. Findings suggest that falls prevention strategies should include interventions for depression along with those for strength, balance and maximising vision.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for the full text of this article. Follow this link to find your local NHS Library.


Does neck pain influence sensorimotor function in the elderly?

14/12/2012

Source: Archives of Gerontology and Geriatrics, 2012, 55(3) p. 667-672

Follow this link for abstract

Date of publication: November 2012

Publication type: Journal article

In a nutshell: In this study, 20 people with neck pain and 20 people without (the control group), each consisting of over 65s from the community, were tested for various sensorimotor functions. Those with neck pain were found to function worse in the tests after controlling for effects of age and comorbidities, which may mean information from the cervical spine may be altered going to the body. These findings may inform falls prevention and management programmes.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Exercise for patients with osteoporosis: trunk strengthening for falls prevention

14/12/2012

Source: PM&R, 2012, 4(11) p. 882-888

Follow this link for abstract

Date of publication: November 2012

Publication type: Journal article

In a nutshell: Exercise is part of the management of patients with osteoporosis and is associated with better quality of life and lower risk of future fracture. An exercise programme needs to address flexibility, muscle strength, core stability and gait steadiness, which also need to be individualised. To address falls and fractures, an exercise programme should include balance and lower extremity training. The SPEED programme can also improve extensor strength, the level of physical activity and locomotion, and reduce back pain and the fear and risk of falls.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for full text of the article. Follow this link to find your local NHS Library.


Identifying high risk fallers in residential care facilities

14/12/2012

Source: Archives of Gerontology and Geriatrics, 2012, 55(3) p. 690-695

Follow this link for abstract

Date of publication: November-December 2012

Publication type: Journal article

In a nutshell: This study aimed to develop a simple screen using easily collectable measures to identify older people in residential care facilities at a high risk of falls. Fallers and non-fallers were observed for baseline recordings on medical history, medication use, cognition, function and behaviour, and then falls and injuries were recorded over six months. Fallers were found to have worse function, cognition, behaviour and balance and also took more medication. Falling in the past year and antidepressant use were also associated with increased chance of falling. This tool may assist in guiding the development and targeting of interventions to prevent falls.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of this article. Follow this link for your local NHS Library.


Use of Predict FIRST to predict falls in stroke patients

14/12/2012

Source: Clinical Rehabilitation, 2012, 26 (12)

Follow this link for abstract

Date of publication: November 2012

Publication type: Journal article

In a nutshell: The Prediction of Falls In Rehabilitation Settings Tool (Predict FIRST) can be used alongside motor function to identify those most at risk of falls in the six weeks following a stroke. This study compared this tool to the real falls frequency to test its accuracy. While Predict FIRST has the ability to make good predictions, it was found to underestimate the risk of falls overall.

Length of publication: 1 page

Some important notes:  Please contact your local NHS Library for the full text of this article. Follow this link to find your local NHS Library.


NICE advice aims to improve commissioning of hip fracture services

14/12/2012

Source: NICE website

Follow this link for information

Date of publication: November 2012

Publication type: NICE press release

In a nutshell: Nice has issued a new guide to support the commissioning of hip fractures services. This guide can be used with liaison and/or integration with related services, such as falls prevention.

Length of publication: 1 page


An exercise intervention to prevent falls in Parkinson’s sufferers

14/12/2012

Source: BMC Health Services Research, 2012, 12(426)

Follow this link for abstract

Date of publication: November 2012

Publication type: Journal article

In a nutshell: People with Parkinson’s experience frequent and recurrent falls, which may have devastating consequences. There is therefore an urgent need to identify cost-effective interventions to reduce these falls. This evaluation compared an exercise intervention with usual care for Parkinson’s sufferers. It found that while there was no difference in total healthcare or social care cost, analyses indicate a larger study would probably find the exercise intervention more cost effective than usual care.

Length of publication: 19 pages

Some important notes: Please contact your local NHS Library for full text of the article. Follow this link to find your local NHS Library.


Inpatient fall prevention: use of in-room webcams

14/12/2012

Source: Journal of Patient Safety

Follow this link for abstract

Date of publication: Online November 2012

Publication type: Journal article

In a nutshell: This study used webcams in medical units to compare effectiveness at identifying falls risk with and without the cameras, which were connected to a central monitoring system. A significant difference was found in fall rate per 1000 admissions, but no significant difference was found per 1000 patient days. A low consent rate (20.7%) hindered the investigation. Further research is required on patient acceptance of this form of intervention, as well as effectiveness in preventing falls indifference types of medical units and age groups.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Development of STEADI: a falls prevention resource for health providers

14/12/2012

Source: Health Promotion Practice

Follow this link for abstract

Date of publication: Online November 2012

Publication type: Journal article

In a nutshell: In America, falls trauma in the over 65s are a leading cause of injury death and hospital visits, many of which are preventable. An individual approach has been found to be a most effective falls intervention. This study investigates a falls prevention toolkit known as STEADI (Stopping Elderly Accidents, Deaths and Injuries), reviewing literature and conducting in-depth interviews with healthcare providers to show its development.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of this article. Follow this link to find your local NHS Library.


Identifying older people at high risk of future falls

14/12/2012

Source: Emergency Medicine Journal

Follow this link for abstract

Date of publication: Online November 2012

Publication type: Journal article

In a nutshell: A simple, two item screening tool has been developed in Australia, measuring people over 70 years old with a history of falls for their physical status, medical and fall history and use of community services. The tool can accurately discriminate between fallers and non-fallers, and could possibly identify high-risk individuals who may benefit from further help after discharge.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Further dissemination

14/12/2012

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