Search results for ‘Subject term:"older people"’ Sort:
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Use of information technology for falls detection and prevention in the elderly
- Authors:
- ATOYEB Oladele Ademola, STEWART Antony, SAMPSON June
- Journal article citation:
- Ageing International, 40(3), 2015, pp.277-299.
- Publisher:
- Springer
- Place of publication:
- New York
This research aims to clarify the arguments in the body of knowledge on IT use in fall prevention among the elderly, synthesize ideas to assist in the delivery of healthcare to prevent falls in older people and further add to the available body of knowledge. An extensive literature search was carried out and the information retrieved from the literature was synthesised into paragraphs using themes to structure the types of information technology used for falls prevention. The different modalities of IT used in falls prevention at the different places of care for each category were explored and inferences were drawn from the structured themes which summarized the major findings. The research found that there is potential ground for a wider use of the forms of IT used in falls prevention in the elderly in various settings and outlined the factors involved in this usage. With further refinements in larger studies, many of these forms of IT would be better explored and acceptance is likely guaranteed provided they are accessible and affordable. The need for IT use in fall prevention in the elderly is unavoidable with the trend in technology and the associated convenience. More work is needed to further define the effects of IT in falls prevention using larger prospective studies that will be more generalizable. Keywords (Publisher abstract)
Post-hospital falls incidence and risk factors among older adults: a systematic review and meta-analysis
- Authors:
- QIAN Xing Xing, et al
- Journal article citation:
- Age and Ageing, 51(1), 2022, p.afab209.
- Publisher:
- Oxford University Press
Background: Post-hospital falls constitute a significant health concern for older adults who have been recently discharged from the hospital. Objectives: To systematically summarise existing evidence on the incidence and risk factors for post-hospital falls among older adults. Methods: A systematic review and meta-analysis was conducted. Six electronic databases were searched to identify cohort studies investigating the incidence and risk factors for post-hospital falls in older adults. The incidence and risk factors for post-hospital falls were extracted. The meta-analysis was used to calculate pooled incidences and 95% confidence intervals (CI). The meta-regression and subgroup meta-analysis were conducted to explore sources of heterogeneity in incidence proportions across the eligible studies. A qualitative synthesis was performed for the post-hospital falls risk factors. Results: Eighteen studies from eight countries (n = 9,080,568) were included. The pooled incidence proportion of any and recurrent post-hospital falls was 14% (95% CI: 13%-15%) and 10% (95% CI: 5%-14%), respectively. Follow-up period, study quality, study country, setting, percentage of female subjects, percentage of subjects with previous falls and the primary data collection method for falls significantly contributed to the 64.8% of the heterogeneity in incidence proportions. Twenty-six risk factors for post-hospital falls were identified in the eligible studies, where biological factors were the most commonly identified factors. The highest risks were reported for previous falls, previous fractures, delirium and neurological diseases. Conclusion: The findings of this study suggested future post-hospital falls prevention should prioritise the needs of older adults with the dominant risk factors. Further investigations into the period-specific incidence and socioeconomic and environmental risk factors for post-hospital falls are also required. (Edited publisher abstract)
Muscle and bone strengthening and balance activities for general health benefits in adults and older adults: summary of a rapid evidence review for the UK Chief Medical Officers' update of the physical activity guidelines
- Authors:
- FOSTER Charlie, et al
- Publisher:
- Public Health England
- Publication year:
- 2018
- Pagination:
- 31
- Place of publication:
- London
Summarises a rapid evidence review of muscle and bone strengthening and balance activities (MBSBA) for general health benefits in adults and older adults and makes suggestions for implementation of the main findings for the public, practitioners and policy makers. The reviews highlight increasing evidence on strengthening and balance activities for general health benefits, and suggest that all adults and older adults should “undertake a programme of exercise at least twice per week that includes high intensity resistance training*, some impact exercise (running, jumping, skipping etc.) and balance training. The evidence also highlighted the variable impacts of different types of sport, physical activity or exercise. Specific consideration was given to different types of physical activities and exercise needed for particular ‘at-risk’ populations. This review identified studies suggesting that for the prevention of falls in people with a falls history and/or frailer older adult, those with a high risk of fracture, those in transition to frailty with poor strength and balance, and very frail older adults. (Edited publisher abstract)
A structured literature review to identify cost-effective interventions to prevent falls in older people living in the community
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2018
- Pagination:
- 156
- Place of publication:
- London
Summarises the findings from a literature review to identify cost-effective interventions in preventing falls in older people living in the community in England. The review was conducted to inform an economic model to estimate the return on investment of the cost effective interventions across communities in England. The review identified 26 studies, of which 12 were judged to be directly applicable. These included 6 types of interventions: exercise, home assessment and modifications, multifactorial programmes; medicines review and modification to drugs; cardiac pacing and expedited cataract surgery. Based on the evidence, the review recommends interventions to be included in the economic model. (Edited publisher abstract)
Falls prevention: access and acceptability to all?
- Authors:
- MANTHORPE Jill, MORIARTY Jo
- Journal article citation:
- Working with Older People, 21(2), 2017, pp.72-81.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the equalities' dimension of falls prevention services in light of the Equality Act 2010 and its protected characteristics. Research and policy are discussed in light of the Act and public services’ duties to be aware of their responsibilities. Design/methodology/approach: An initial research review was undertaken in 2012 and updated in 2016. Findings: The research on falls prevention services does not always collect data on users of the service and services do not always collect data about their users that would enable them to build a picture of their users in line with the Equality Act 2010. Practical implications: Services and commissioners will need to be able to show that the services funded by the public purse are accessible, acceptable and appropriate to the UK’s increasingly diverse older population. This paper describes some of the existing resources and research papers that contain elements of attention to the protected characteristics of the Equality Act 2010. Originality/value: This is an update on a research review undertaken in 2012. (Edited publisher abstract)
Drug cessation in complex older adults: time for action
- Authors:
- van der CAMMEN Tischa J.M., et al
- Journal article citation:
- Age and Ageing, 43(1), 2014, pp.20-25.
- Publisher:
- Oxford University Press
Background: general opinion is growing that drug cessation in complex older patients is warranted in certain situations. From a clinical viewpoint, drug cessation seems most warranted in four situations, i.e., falls, delirium, cognitive impairment and end-of-life situations. To date, little information about the effects of drug cessation in these four situations is available. Objectives: To identify the effects and effectiveness of drug cessation on falls, delirium and cognitive impairment. For end-of-life situations, we reviewed cessation of inappropriate drug use. Methods: Electronic databases were searched using MeSH terms and relevant keywords. Studies published in English were included if they evaluated the effects of drug cessation in older persons, aged ≥65 years, with falls, delirium or cognitive impairment; or cessation of inappropriate drug use in end-of-life situations. Results: The authors selected seven articles for falls, none for delirium, two for cognition and two for end-of-life situations. Withdrawal of psychotropics reduced fall rate; a prescribing modification programme for primary care physicians reduced fall risk. Withdrawal of psychotropics and a systematic reduction of polypharmacy resulted in an improvement of cognition. Very little rigorous research has been conducted on reducing inappropriate medications in patients approaching end of life. Conclusion: Little research has focussed on drug cessation. Available studies showed a beneficial impact of cessation of psychotropic drugs on falls and cognitive status. More research in this field is needed. The issue of systematic drug withdrawal in end-of-life cases is controversial, but is increasingly relevant in the face of rising numbers of older people of this clinical status. (Publisher abstract)
Flooring as an intervention to reduce injuries from falls in healthcare settings: an overview
- Authors:
- DRAHOTA Amy, GAL Diane, WINDSOR Julie
- Journal article citation:
- Quality in Ageing, 8(1), March 2007, pp.3-9.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This overview assesses the status of research on flooring in health care settings to reduce the incidence of injury resulting from falls. A comprehensive literature search, carried out in conjunction with a Cochrane Systematic Review on hospital environments for patient health-related outcomes, identified the available evidence. Searches were also conducted in Medline and Scopus specifically to identify studies on flooring types, falls, and injuries. Reference lists of relevant studies and reviews were scanned and relevant authors were approached for further information. It is concluded that flooring should be considered as a possible intervention for reducing injuries from falls, however, more rigorous and higher quality research is needed to identify the most appropriate materials for use.
Risk factors for falls: a central role in prevention
- Authors:
- RUBENSTIEN Laurence Z., JOSEPHSON Karen R.
- Journal article citation:
- Generations, 26(4), Winter 2002, pp.15-21.
- Publisher:
- American Society on Aging
This American article reviews the risk factors for falls, highlighting the findings of relevant research. Goes on to discusses how identification of these risk factors is the core of a multidimensional fall evaluation.
SCIE research briefing 1: preventing falls in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
- Edition:
- Rev. ed.
A web-based briefing providing a concise summary of the current knowledge base on preventing falls of older people in residential homes. Coverage includes ethical considerations, views of service users and carers, implications for practice and innovative practice examples. Also highlights additional contacts and resources. The briefing was commissioned by the Social Care Institute for Excellence (SCIE).
Understanding the role of social factors in recovery after hip fractures: a structured scoping review
- Authors:
- AUAIS Mohammad, et al
- Journal article citation:
- Health and Social Care in the Community, 27(6), 2019, pp.1375-1387.
- Publisher:
- Wiley
Poor recovery among older adults with hip fractures can occur despite successful surgical repair and rehabilitation, suggesting other factors might play a role in recovery, such as social factors. The aim of this scoping review was to provide an overview of the literature on the role of social factors in older adult's recovery after hip fracture. This review followed the York Framework and its modifications and recent reporting guidelines. Two independent researchers searched main medical databases (CINAHL, EMBASE, Medline, PsycINFO and the Cochrane libraries) from inception to June 2017, for studies investigating social factors and recovery post hip fracture. Studies were excluded if they were qualitative, perspective papers or if participants were < 65 years or they were not living in the community. This study screened 2,503 unique abstracts in total and 19 studies fulfilled the inclusion criteria. Social factors investigated in the included studies were social support, socioeconomic factors and living arrangement. This study classified outcomes in the studies into three subgroups: physical functional recovery, mortality and other outcomes (pain, hospital length of stay and quality of life). This study found evidence that social support and socioeconomic factors (e.g. socioeconomic status) were significantly associated with an increase in functional recovery, a decrease in mortality and other outcomes, but conflicting evidence was found for the effect of one's living arrangement. Only two included studies were randomised controlled trials. To conclude, social factors, such as social support and socioeconomic status, affect physical functional recovery and mortality in older adults with hip fractures. However, this is an under researched area that lacks rigorously designed studies and would benefit from more studies with rigorous designs. (Edited publisher abstract)