Conceptualizing a dynamic fall risk model including intrinsic risks and exposures

17/10/2017

Source: Journal of the American Medical Directors Association, 2017, Online

Follow this link for the abstract

Date of publication: September 2017

Publication type: Journal article

In a nutshell: Falls are a major cause of injury and disability in older people, and can lead to various health and social consequences. Accurately understanding and identifying a person’s fall risk is needed to design and provide individual prevention measures, but current fall-risk models are weak compared to risk models for other specialities. Current models, for example, consider risk factors to be stable over time, not reflecting real-life experience. This study therefore posits a dynamic fall-risk model linking time and context. This may lead to the development of new fall prevention interventions.

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.

Advertisements

Reducing falls can help trusts improve patient experience and reduce costs

17/08/2017

Source: NHS Improvement, 2017

Follow this link for the article

Date of publication: July 2017

Publication type: Website

In a nutshell: This report from NHS Improvement provides a picture of the scale of inpatient falls and the benefits to the NHS if the rate in hospitals was reduced. It followed the successful completion of their collaboration between 19 trusts to adopt improvement methodologies and creating a learning community to discuss changes. Results include the observation that older patients represent 77% of total falls, but 87% of total costs – reducing this group by around 25-30% could result in annual savings of up to £170m.

Length of publication: 1 page


The effectiveness of intervention programs for preventing patients from falls

16/06/2017

Source: Kontakt, 2017, online

Follow this link for the abstract

Date of publication: May 2017

Publication type: Journal article

In a nutshell: This is a review article to summarise the conclusions of different studies about the effectiveness of hospital fall prevention programmes from the last five years. Twelve studies made it into the final review, and the most mentioned strategy was education of patients and staff. Effectiveness depends on factors like compliance, leadership, team training and IT support, amongst others.

Length of publication: 1 page

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


Dopamine depletion in Parkinsons alters brain processing, impairing gait automaticity

18/04/2017

Source: NeuroImage, 2017, Vol 152 p. 207-220

Follow this link for the abstract

Date of publication: May 2017

Publication type: Journal article

In a nutshell: Impairments in motor automaticity cause patients with Parkinson’s disease to rely on attentional resources during gait, resulting in greater motor variability and a higher risk of falls. Although dopaminergic circuitry is known to play an important role in motor automaticity, little evidence exists on the neural mechanisms underlying the breakdown of locomotor automaticity in Parkinson’s disease. Overall, this study demonstrates that dopamine ameliorates gait automaticity in Parkinson’s disease by altering striatal, limbic and cerebellar processing, thereby informing future therapeutic avenues for gait and falls prevention.

Length of publication: 13 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.


Preoperative Falls Predict Postoperative Falls, Functional Decline, and Surgical Complications

19/10/2016

Source: EBioMedicine, 2016, online

Follow this link for the abstract

Date of publication: August 2016

Publication type: Journal article

In a nutshell: Falls are common and linked to morbidity. This study’s objectives were to characterize postoperative falls, and determine whether preoperative falls independently predicted postoperative falls (primary outcome), functional dependence, quality of life, complications, and readmission. It concluded that falls are common after surgery, and preoperative falls herald postoperative falls and other adverse outcomes. A history of preoperative falls should be routinely ascertained.

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.


CSP launches updated Falls Prevention Economic Model online

15/09/2016

Source: Chartered Society of Physiotherapists, 2016, online

Follow this link for the article

Date of publication: August 2016

Publication type: Website news item

In a nutshell: The latest version of the Falls Prevention Economic Model, with fresh data and research, is now live on the CSP’s website. It shows that across the UK there is potential to save 160,000 falls each year, equating to a cost saving of £25.2 million to NHS services. The CSP has produced a detailed guide to accompany the relaunched model. The guide includes examples of people using the model and is also available on the society’s website.

Length of publication: 1 page