Microprocessor knee technology reduces odds of incurring an injurious fall for individuals with diabetic/dysvascular amputation

2021 ◽  
Author(s):  
Shane R. Wurdeman ◽  
Taavy A. Miller ◽  
Phillip M. Stevens ◽  
James H. Campbell
Keyword(s):  
Injurious Fall

scholarly journals The Impact of Weather and Seasons on Falls and Physical Activity among Older Adults with Glaucoma: A Longitudinal Prospective Cohort Study

Sensors ◽  
2021 ◽  
Vol 21 (10) ◽  
pp. 3415
Author(s):  
Hursuong Vongsachang ◽  
Aleksandra Mihailovic ◽  
Jian-Yu E ◽  
David S. Friedman ◽  
Sheila K. West ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Fall Prevention ◽  
Regression Models ◽  
Activity Promotion ◽  
Injurious Fall ◽  
Multivariable Regression ◽  
Multivariable Regression Models ◽  
The Impact ◽  
The Relationship

Understanding periods of the year associated with higher risk for falling and less physical activity may guide fall prevention and activity promotion for older adults. We examined the relationship between weather and seasons on falls and physical activity in a three-year cohort of older adults with glaucoma. Participants recorded falls information via monthly calendars and participated in four one-week accelerometer trials (baseline and per study year). Across 240 participants, there were 406 falls recorded over 7569 person-months, of which 163 were injurious (40%). In separate multivariable regression models incorporating generalized estimating equations, temperature, precipitation, and seasons were not significantly associated with the odds of falling, average daily steps, or average daily active minutes. However, every 10 °C increase in average daily temperature was associated with 24% higher odds of a fall being injurious, as opposed to non-injurious (p = 0.04). The odds of an injurious fall occurring outdoors, as opposed to indoors, were greater with higher average temperatures (OR per 10 °C = 1.46, p = 0.03) and with the summer season (OR = 2.69 vs. winter, p = 0.03). Falls and physical activity should be understood as year-round issues for older adults, although the likelihood of injury and the location of fall-related injuries may change with warmer season and temperatures.

scholarly journals Association Between Characteristics of Injurious Falls and Fall Preventive Interventions in Acute Medical and Surgical Units

2020 ◽  
Vol 75 (10) ◽  
pp. e152-e158
Author(s):  
Jacqueline Francis-Coad ◽  
Anne-Marie Hill ◽  
Angela Jacques ◽  
A Michelle Chandler ◽  
Phyllis A Richey ◽  
...  
Keyword(s):  
Physical Restraint ◽  
Case Series ◽  
The United States ◽  
Falls Prevention ◽  
Preventive Interventions ◽  
Lengths Of Stay ◽  
Injurious Falls ◽  
Surgical Units ◽  
Prevention Interventions ◽  
Injurious Fall

Abstract Background Hospital falls remain common and approximately 30% of falls in hospital result in injury. The aims of the study were the following: (i) to identify the association between fall interventions present at the time of the injurious fall and injurious faller characteristics and (ii) to identify the association between fall preventive interventions present at the time of the injurious fall and the injurious fall circumstances. Methods Secondary data analysis of deidentified case series of injurious falls across 24 acute medical/surgical units in the United States. Variables of interest were falls prevention interventions (physical therapy, bed alarm, physical restraint, room change, or a sitter) in place at the time of fall. Data were analyzed using logistic regression and hazard ratios. Results There were 1,033 patients with an injurious fall, occurrence peaked between Day 1 and Day 4, with 46.8% of injurious falls having occurred by Day 3 of admission. Injurious fallers with a recorded mental state change 24 hours prior to the fall were more likely to have a bed alarm provided (adjusted odds ratio [OR] 2.56, 95% confidence interval [CI] 1.61, 4.08) and receive a physical restraint as fall prevention interventions (adjusted OR 6.36, 95% CI 4.35, 9.30). Injurious fallers restrained fell later (stay Day 6) than those without a restraint (stay Day 4) (p = .007) and had significantly longer lengths of stay (13 days vs 9 days). Conclusions On medical/surgical units, injurious falls occur early following admission suggesting interventions should be commenced immediately. Injurious fallers who had a physical restraint as an intervention had longer lengths of stay.

scholarly journals Predicting First-Time Injurious Falls in Older Men and Women Living in the Community: Development of the First Injurious Fall Screening Tool

2019 ◽  
Vol 20 (9) ◽  
pp. 1163-1168.e3 ◽  
Author(s):  
Stina Ek ◽  
Debora Rizzuto ◽  
Amaia Calderón-Larrañaga ◽  
Erika Franzén ◽  
Weili Xu ◽  
...  
Keyword(s):  
Community Development ◽  
Screening Tool ◽  
Older Men ◽  
Men And Women ◽  
Injurious Falls ◽  
Injurious Fall ◽  
Fall Screening ◽  
First Time ◽  
Older Men And Women

Determinants, circumstances and consequences of injurious falls among older women living in the community

2020 ◽  
pp. injuryprev-2019-043499
Author(s):  
Elizabeth A Phelan ◽  
Eileen Rillamas-Sun ◽  
Lisa Johnson ◽  
Michael J LaMonte ◽  
David M Buchner ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Older Women ◽  
Cardiovascular Health ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Logistic Regression Models ◽  
The Past ◽  
Injurious Falls ◽  
Injurious Fall

ObjectiveTo identify the risk factors of women who fell with injury relative to women who did not fall or fell without injury and to describe the circumstances and consequences of injurious and non-injurious falls.MethodsWe analysed 5074 older women from the Objective Physical Activity and Cardiovascular Health Study who prospectively tracked their falls using a 13-month calendar. Women with a reported fall were phone interviewed about fall-related details, including injuries. Risk factors were identified from surveys and clinical home visits. Logistic regression models were used to calculate adjusted ORs and 95% CIs for injurious falls relative to not falling or falling without injury. Circumstances of injurious and non-injurious falls were compared.ResultsAt least one fall was experienced by 1481 (29%) participants. Of these, 1043 were phone interviewed, of whom 430 (41%) reported at least one injurious fall. Relative to not falling, the risk factor most strongly associated with experiencing an injurious fall was having fallen ≥2 times (OR 4.0, CI 2.7 to 5.8) in the past year. Being black was protective for fall-related injury (OR 0.6, CI 0.4 to 0.9). No strong associations in risk factors were observed for injurious relative to non-injurious falls. Injurious falls were more likely to occur away from and outside of the home (p<0.05). Over half of those who injured self-managed their injury.ConclusionFalling repeatedly is a powerful risk factor for injurious falls. Those who have fallen more than once should be prioritised for interventions to mitigate the risk of an injurious fall.

scholarly journals The Whitehorse NoFalls trial: effects on fall rates and injurious fall rates

2010 ◽  
Vol 39 (6) ◽  
pp. 728-733 ◽  
Author(s):  
M. P. Fitzharris ◽  
L. Day ◽  
S. R. Lord ◽  
I. Gordon ◽  
B. Fildes
Keyword(s):  
Injurious Fall ◽  
Fall Rates

Classification of Injurious Fall Severity in Hospitalized Adults

2020 ◽  
Vol 75 (10) ◽  
pp. e138-e144
Author(s):  
Zoe Burns ◽  
Srijesa Khasnabish ◽  
Ann C Hurley ◽  
Mary Ellen Lindros ◽  
Diane L Carroll ◽  
...  
Keyword(s):  
Quality Indicators ◽  
Functional Impairment ◽  
The United States ◽  
Wrist Fracture ◽  
National Database ◽  
Major Category ◽  
Injurious Fall ◽  
Nursing Quality Indicators ◽  
Nursing Quality

Abstract Background Many hospital systems in the United States report injurious inpatient falls using the National Database of Nursing Quality Indicators categories: None, Minor, Moderate, Major, and Death. The Major category is imprecise, including injuries ranging from a wrist fracture to potentially fatal subdural hematoma. The purpose of this project was to refine the Major injury classification to derive a valid and reliable categorization of the types and severities of Major inpatient fall-related injuries. Methods Based on published literature and ranking of injurious fall incident reports (n = 85) from a large Academic Medical Center, we divided the National Database of Nursing Quality Indicators Major category into three subcategories: Major A—injuries that caused temporary functional impairment (eg, wrist fracture), major facial injury without internal injury (eg, nasal bone fracture), or disruption of a surgical wound; Major B—injuries that caused long-term functional impairment or had the potential risk of increased mortality (eg, multiple rib fractures); and Major C—injuries that had a well-established risk of mortality (eg, hip fracture). Based on the literature and expert opinion, our research team reached consensus on an administration manual to promote accurate classification of Major injuries into one of the three subcategories. Results The team tested and validated each of the categories which resulted in excellent interrater reliability (kappa = .96). Of the Major injuries, the distribution of Major A, B, and C was 40.3%, 16.1%, and 43.6%, respectively. Conclusions These subcategories enhance the National Database of Nursing Quality Indicators categorization. Using the administration manual, trained personnel can classify injurious fall severity with excellent reliability.

scholarly journals Predictors for functional decline after an injurious fall: a population-based cohort study

2020 ◽  
Author(s):  
Stina Ek ◽  
Debora Rizzuto ◽  
Weili Xu ◽  
Amaia Calderón-Larrañaga ◽  
Anna-Karin Welmer
Keyword(s):  
Cohort Study ◽  
Functional Status ◽  
Negative Impact ◽  
Community Dwelling ◽  
Living Alone ◽  
Related Factors ◽  
Self Rated Health ◽  
Injurious Falls ◽  
Injurious Fall ◽  
Physically Inactive

Abstract Background The functional consequences of injurious falls are well known. However, studies of the factors that can modify trajectories of disability after an injury from a fall are scarce. Aims We aimed to investigate whether sociodemographic and health-related factors may impact this association. Methods The study population consisted of 1426 community-dwelling older adults (≥ 60 years) from the SNAC-K cohort study in Stockholm, Sweden. Functional status over 12 years of follow-up was assessed using the number of limitations in basic and instrumental activities of daily living. Sex, cohabitation status, physical activity, and self-rated health were assessed at baseline. Injurious falls were defined as falls requiring healthcare and were assessed over 3 years starting at baseline. Data were analyzed using linear-mixed effects models. Results The fastest increase in the number of disabilities was observed in those who had endured an injurious fall and were living alone (β coefficient = 0.408; p < 0.001), been physically inactive (β coefficient = 0.587; p < 0.001), and had poor self-rated health (β coefficient = 0.514; p < 0.001). The negative impact of these factors was more pronounced among fallers compared to non-fallers. Discussion Living alone, being physically inactive, and having poor self-rated health magnifies the negative effect of an injurious fall on functional status. Among individuals who endure an injurious fall, the heterogeneity in long-term functional status is substantial, depending on the individuals’ characteristics and behaviors. Conclusions These findings emphasize the need for a person-centered approach in care provision and can guide secondary prevention within health care.

Strength of Improvement Recommendations From Injurious Fall Investigations

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Olivia Paulik ◽  
Jamie Hallen ◽  
Samuel Lapkin ◽  
Heidi Green ◽  
Ritin Fernandez
Keyword(s):  
Injurious Fall

scholarly journals Exercise and risk of injurious fall in home-dwelling elderly

2008 ◽  
Vol 67 (2-3) ◽  
pp. 235-244 ◽  
Author(s):  
Sari Iinattiniemi ◽  
Jari Jokelainen ◽  
Heikki Luukinen
Keyword(s):  
Injurious Fall
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