scholarly journals Incidence of and Risk Factors for Falls Following Hip Fracture in Community-dwelling Older Adults

2005 ◽  
Vol 85 (7) ◽  
pp. 648-655 ◽  
Author(s):  
Anne Shumway-Cook ◽  
Marcia A Ciol ◽  
William Gruber ◽  
Cynthia Robinson
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Hip Fracture ◽  
Functional Status ◽  
Functional Independence ◽  
Medical Problem ◽  
Community Dwelling ◽  
Self Report ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

Abstract Background and Purpose. Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. The purpose of this study was to determine the incidence of and risk factors for falls 6 months following hospital discharge for a fall-related hip fracture in older adults. Subjects. Ninety of 100 community-dwelling older adults (≥65 years of age) hospitalized for a fall-related hip fracture provided data for this study. Methods. An observational cohort study used interviews and medical records to obtain information on demographics, prefracture health, falls, and functional status. Self-report of falls and performance-based measures of balance and mobility were completed 6 months after discharge. Results. A total of 53.3% of patients (48/90) reported 1 or more falls in the 6 months after hospitalization. Older adults who fell following discharge had greater declines in independence in activities of daily living and lower performance on balance and mobility measures. Prefracture fall history and use of a gait device predicted postdischarge falls. Discussion and Conclusion. Falls following hip fracture can be predicted by premorbid functional status.

Risk factors for falls in homebound community‐dwelling older adults

2019 ◽  
Vol 36 (6) ◽  
pp. 772-778 ◽  
Author(s):  
Yunchuan (Lucy) Zhao ◽  
Jenny Alderden ◽  
Bonnie Lind ◽  
Jennifer Stibrany
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Community Dwelling ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

Naturally Occurring Expressive Suppression is Associated with Lapses in Instrumental Activities of Daily Living Among Community-Dwelling Older Adults

2019 ◽  
Vol 25 (7) ◽  
pp. 718-728 ◽  
Author(s):  
Yana Suchy ◽  
Madison A. Niermeyer ◽  
Emilie I. Franchow ◽  
Rosemary E. Ziemnik
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Independence ◽  
Community Dwelling ◽  
Self Report ◽  
Expressive Suppression ◽  
Instrumental Activities ◽  
Lower Accuracy ◽  
Community Dwelling Older Adults

AbstractObjectives: Expressive suppression (i.e., effortful regulation of overt affect) has a deleterious impact on executive functioning (EF). This relationship has potential ramifications for daily functioning, especially among older adults, because a close relationship exists between EF and functional independence. However, past research has not directly examined whether expressive suppression impacts instrumental activities of daily living (IADL). The present study examined this association among older adults. Methods: One hundred ten community-dwelling older adults completed a self-report measure of acute (past 24 hr) and chronic (past 2 weeks) expressive suppression, a timed test of IADL, and the Behavioral Dyscontrol Scale as a measure of EF. Results: High chronic expressive suppression was related to slow IADL performance beyond covariates (age, IQ, depression), but only for individuals with low EF. High acute expressive suppression was associated with lower accuracy on IADL tasks beyond covariates (IQ, depression), but this association was fully explained by EF. Conclusions: The current results suggest that expressive suppression is associated with less efficient and more error-prone IADL performance. EF fully accounted for the relationship between acute expressive suppression and IADL performance, showing that suppression is a risk factor for both poorer EF performance and functional lapses in daily life. Furthermore, individuals with weaker EF may be particularly vulnerable to the effect of chronic expressive suppression. (JINS, 2019, 25, 718–728)

Risk factors for falls in terms of attention during gait in community-dwelling older adults

2018 ◽  
Vol 18 (8) ◽  
pp. 1267-1271
Author(s):  
Tadatoshi Inoue ◽  
Kenji Kamijo ◽  
Kenzo Haraguchi ◽  
Akihiro Suzuki ◽  
Misako Noto ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Community Dwelling ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

scholarly journals Dynamic Performance-exposure Algorithm for Falling Risk Assessment and Fall Prevention in Community-dwelling Older Adults

2021 ◽  
Author(s):  
Catarina Pereira ◽  
Hugo Rosado ◽  
Gabriela Almeida ◽  
Jorge Bravo
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
High Risk ◽  
Fall Prevention ◽  
Dynamic Performance ◽  
Community Dwelling ◽  
Low Risk ◽  
Falling Risk ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

Abstract Background: Several models and algorithms were designed to identify older adults at risk of falling supported on an intrinsically and extrinsically traditional approach. However, the dynamic interaction between multiple risk factors for falls must be considered. The present study aimed to design a dynamic performance-exposure algorithm for falling risk assessment and fall prevention in community-dwelling older adults.Methods: The study involved 1) a cross-sectional survey assessing retrospective falls, performance-related risk factors for falls (sociodemographic such as gender and age, cognitive, health conditions, body composition, physical fitness, and dual-task outcomes), exposure risk factors (environmental hazards and (in)physical activity), and performance-exposure risk factors (affordance perception), and 2) follow-up survey assessing prospective falls. Participants were Portuguese community dwellings (≥ 65 years). Data were reported based upon descriptive statistics, curve estimation regression, binary logistic regression, and ROC curve.Results: The selected and ordered outcomes included in the algorithm and respective cutoffs were: (1) falls in previous year (high risk: n>1, moderated: n=1, low risk: n=0); (2) health conditions (high risk: n >3, moderated: n=3, low risk: n<3); (3) multidimensional balance (high risk: score <32 points, moderated risk: 32 points ≤ score ≤33 points, low risk: score>33); (4) lower body strength (high risk: rep/30s< 11, moderated risk: 11≤ rep/30s ≤14, low risk: rep/30s >4); (5) perceiving action boundaries (high risk: overestimation bias, moderated risk: not applied, low risk: underestimation bias); (6) fat body mass (high risk: % fat >38, moderated risk: 37≤ % fat ≤38, low risk: % fat <7); (7) environmental hazards (high risk: n>5, moderated risk: n=5, low risk: n<5); (8) rest period (high risk: hours/day >4.5, moderated risk: 4≤ hours/day ≤4.5, low risk: hours/day <4); (9) physical activity metabolic expenditure (high risk: MET-min/week <2300 or >5200, moderated risk: 2300≤ MET-min/week <2800, low risk: 2800≤ MET-min/week ≤5200).Conclusions: Results demonstrated a dynamic relationship between older adults’ performance capacity and the exposure to falls opportunity, supporting the build algorithm’s conceptual framework. Fall prevention measures should consider the above factors that most contribute to the individual risk of falling, relative weights, and their distance from low-risk value, as proposed in the dynamic algorithm.

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