scholarly journals Balance and Gait Assessment and the Risk of Falls in Seniors During Hospitalization

2020 ◽  
Vol 9 (4) ◽  
pp. 127-131
Author(s):  
Beata Haor ◽  
◽  
Aleksandra Krychowiak ◽  
Agnieszka Królikowska ◽  
◽  
...  
Keyword(s):  
Fall Risk ◽  
The Elderly ◽  
Demographic Variables ◽  
Survey Method ◽  
Functional Fitness ◽  
Geriatric Syndromes ◽  
Risk Of Falling ◽  
Younger Age ◽  
Risk Of Falls ◽  
Lower Education

Introduction. Falls and mobility disorders are classified as large geriatric syndromes, which in turn lead to deficits in the functional fitness of the elderly. Aim. Fall risk analysis in the group of hospitalized seniors, including socio-demographic variables. Material and Methods. The research used the estimation and diagnostic survey method, the estimation scale technique and questionnaires. The research tool was the Tinetti questionnaire. The research was conducted among 100 seniors during their hospitalization. Results. Seniors in younger age categories, with higher education level, married and living with a family, scored higher on the Tinetti scale. Conclusions. Hospitalization, age advancement, lower education, single marital status and lonely household management by seniors significantly increased the risk of their falls. Gender was not a factor that significantly differentiated the risk of falling. (JNNN 2020;9(4):127–131) Key Words: fall, older adults, risk

scholarly journals Is functional fitness performance a useful predictor of risk of falls among community-dwelling older adults?

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Hsin-Hung Ho ◽  
I-Yao Fang ◽  
Yi-Chien Yu ◽  
Yi-Ping Huang ◽  
I-Ling Kuo ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Public Health Problem ◽  
Community Dwelling ◽  
Risk Scores ◽  
Functional Fitness ◽  
Risk Of Falling ◽  
Cross Sectional ◽  
Risk Of Falls ◽  
Community Dwelling Older Adults

Abstract Background Falls among older adults are a serious public health problem. Many studies indicate that positive functional fitness performance decreases the risk of falls. A limited amount of previous study has investigated the association between broad functional fitness and the fall risk. This study examines the associations between functional fitness and the risk of falling among community-dwelling older adults. Methods Three waves of cross-sectional data were collected from 2017 to 2019 in Taipei City, Taiwan. Six hundred sixty-five participants aged ≥65 years were randomly recruited from 12 districts of Taipei. Eight functional fitness tests (i.e., back scratch, chair-sit and-reach, 8-ft up-and-go, 30-s sit-to-stand, 30-s arm curl, 30-s single-leg stance, 2-min step, and hand grip strength tests) were performed to record the physical performance of older subjects. A Chinese version of the fall-risk questionnaire (FRQ) was used to calculate the fall risk scores. Linear regression and logistic regression were utilized to estimate the relationships of each functional fitness and fall risk. Result The results showed that 37.45% of older adults had a high risk of falling. It was found for each functional fitness that performance was linearly associated with the risk of falling. Moreover, older adults with low-performance levels in all functional fitness except back-scratching were more likely to have a higher risk of falling. Conclusions Our study indicated that functional fitness performance appears to provide valid predictive guidance for reducing the risk of falling among the older population.

scholarly journals Younger Age and Prognosis in Diverticulitis: A Nationwide Retrospective Cohort Study

2013 ◽  
Vol 27 (2) ◽  
pp. 95-98 ◽  
Author(s):  
Roshan Razik ◽  
Christopher A Chong ◽  
Geoffrey C Nguyen
Keyword(s):  
Cohort Study ◽  
The Elderly ◽  
Demographic Variables ◽  
Index Admission ◽  
Disease Course ◽  
Readmission Rates ◽  
Younger Patients ◽  
Male Predominance ◽  
Younger Age

BACKGROUND: Traditionally regarded as a disease of the elderly, the incidence of diverticulitis of the colon has been on the rise, especially in younger cohorts. These patients have been found to experience a more aggressive disease course with more frequent hospitalization and greater need for surgical intervention.OBJECTIVE: To characterize factors that portend a poor prognosis in patients diagnosed with diverticulitis; in particular, to evaluate the role of demographic variables on disease course.METHODS: Using the Canadian Institute for Health Information Discharge Abstract Databases, readmission rates, length of stay, colectomy rates and mortality rates in patients hospitalized for diverticulitis were examined. Data were stratified according to age, sex and comorbidity (as defined by the Charlson index).RESULTS: In the cohort ≤30 years of age, a clear male predominance was apparent. Colectomy rate in the index admission, stratified according to age, demonstrated a J-shaped curve, with the highest rate in patients ≤30 years of age (adjusted OR 2.3 [95% CI 1.62 to 3.27]) compared with the 31 to 40 years of age group. In-hospital mortality increased with age. Cumulative rates of readmission at six and 12 months were 6.8% and 8.8%, respectively.CONCLUSION: In the present nationwide cohort study, younger patients (specifically those ≤30 years of age) were at highest risk for colectomy during their index admission for diverticulitis. It is unclear whether this observation was due to more virulent disease among younger patients, or surgeon and patient preferences.

scholarly journals Falls among patients with hypertension - preliminary study

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
N Swiatoniowska-Lonc ◽  
E Jaciow ◽  
J Polanski ◽  
B Jankowska-Polanska
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
High Risk ◽  
Ischemic Heart Disease ◽  
Beta Blockers ◽  
The Elderly ◽  
Ischemic Heart ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
The Impact

Abstract Funding Acknowledgements Type of funding sources: None. Background. Falls among the elderly are a major cause of injury, significant disability and premature death. Hypotension is a potential risk factor for falls in older adults, especially patients with hypertension (HTN) taking antihypertensive drugs. Furthermore, the cardiovascular benefit of treatment of hypertension in older patients is clear, findings from observational studies have raised concerns that antihypertensive therapies in the elderly might also induce adverse effects, including injurious falls.  In spite of the large number of issues related to this topic, the analysis of the causes of falls is insufficient. The aim of the study was to assess the frequency of falls and the impact of selected variables on the occurrence of risk of falls among patients with HTN. Material and methods. 100 patients, including 55 women, with HTN (mean age 69.4 ± 3.29 years) were enrolled into the study. The Tinetti test was used to assess the risk of falls. Sociodemographic and clinical data were obtained from the hospital register. Results. 89% of patients had a high risk of falls and 11% were prone to falls. The average number of falls during the last year in the study group was 1.86 ± 2.82 and in 30% of cases the fall was the cause of hospitalization. Single-factor analysis of the influence of selected variables on the risk of falls showed that higher values of SBP (-0.27; p = 0.007), DBP (-0.279; p = 0.005) and younger age of patients decrease the risk of falls (-0.273; p = 0.006). The linear regression model showed that independent predictors increasing the risk of falling are: use of diuretics (β=4.192; p < 0.001), co-occurrence of ischemic heart disease (β=4.669; p = 0. 007) and co-occurrence of heart failure (β=3.494; p = 0.016), and predictors reducing the risk of falling patients with hypertension are: the use of beta-blockers (β= -4.033; p = 0.013) and higher DBP value (β= -0.123; p = 0.016). Conclusions. Patients with HTN have a high risk of falling. Independent determinants increasing the risk of falling patients with HTN are the use of diuretics and the co-occurrence of ischemic heart disease or heart failure, while beta-blockers and a higher DBP value are factors reducing the risk of falling. Fall risk assessment and implementation of fall prevention should be carried out in everyday practice.

scholarly journals Faktor Resiko Jatuh pada Lansia di Unit Pelayanan Primer Puskesmas Medan Johor

2020 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
Vitri Rohima ◽  
Iwan Rusdi ◽  
Evi Karota
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Intrinsic Factor ◽  
The Elderly ◽  
Situational Factor ◽  
Extrinsic Factor ◽  
Risk Of Falling ◽  
Chi Square ◽  
Risk Of Falls ◽  
Falls In Elderly

ABSTRAKLatar Belakang: Lansia merupakan tahap akhir pertumbuhan kehidupan manusia yang mengalami perubahan fisik maupun psikososial, dan salah satu aspek penting perubahan itu adalah resiko jatuh. Resiko jatuh pada lansia dipengaruhi oleh faktor intrinsik, faktor ekstrinsik, dan faktor situasional. Tujuan: penelitian ini untuk mengetahui hubungan resiko jatuh dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Metode: Penelitian ini merupakan studi deskriptif korelasi terhadap 70 responden lansia. Pengumpulan data dilakukan dengan menggunakan kuisioner faktorfaktor penyebab resiko jatuh dan kejadian resiko jatuh pada klien lansia. Hasil: umumnya klien berusia 60-74 (51%), beragama Islam (81%), dan keluarga tinggal serumah lebih dari 2 orang 84%. Hasil penelitian menunjukkan faktor penyebab resiko jatuh lansia terutama dari faktor situasional 26%, faktor intrinsik 17% dan tidak ada dari faktor ekstrinsik (0%). Berdasarkan kejadian resiko jatuh pada lansia adalah 46% beresiko tinggi, 36% beresiko rendah, dan 18% tidak beresiko. Hasil uji chi square menunjukkan adanya hubungan yang signifikan dari faktor intrinsik p=0,000, faktor ekstrinsik p=0,000 dan faktor situasional p=0,004 terhadap kejadian resiko jatuh. Kesimpulan: faktor-faktor resiko jatuh berhubungan dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Hasil penelitian ini dapat menjadi masukan bagi pelayanan kesehatan khususnya pelayanan asuhan keperawatan untuk meningkatkan edukasi kepada klien lansia dan keluarganya tentang dengan resiko jatuh dan pelayanan kesehatan dapat melakukan pengembangan program kegiatan pencegahan resiko jatuh pada lansia.Kata Kunci: Lansia, resiko jatuh, kejadian resiko jatuhRisk for Full Factor among the Elders in Puskesmas Medan Johor ABSTRACTBackground: Elderly is a process of human life experiencing various physical and psychosocial changes, and one important aspect due to these changes is the risk of falling among the elders. It is influenced by intrinsic, extrinsic, and situational factors. Aim: The purpose of this study was to determine the relationship between the risk of falls and the incidence of falls in elderly clients who visit to the Health Center. Method: This study is a descriptive study of correlation to 70 elderly people at the Puskesmas Medan Johor. The data were collected by using questionnaires of risk factors of fall and risk incidence of falls on the elders. Result: Demographic data are generally the elders aged 60-74 years (51%), Moslem (81%), family live at home more than 2 person (84%). The results of the study showed that the risk factor of falling elderly mainly from situational factor (26%), intrinsic factor (17%) and extrinsic factor (0%). Meanwhile, based on the risk incidence of falling on the elderly clients, the result is high risk (46%), low risk (36%), and no risk of fall (18%). The chi square test shows that there is significant correlation of intrinsic factor p=0.000, extrinsic factor p=0.000 and situational factor p=0.004 to fall risk event. Conclusion: There is a relationship between falling risk factors and the incidence of falls in elderly clients at the Puskesmas Medan Johor. This study provide recommendations for health services, especially nursing care services to provide education to elderly clients and their families related to the risk of falls in the elderly and the health centers can develop prevention programs to reduce the risk of falls in the elderly.Keywords: Elderly, a risk factor for falling, the risk of falling

Evaluation of the Fall Risk of Orthopedic Trauma Surgery Patients by Establishing a Fall Risk Score and a Procedure Instruction in Clinical Routine

2019 ◽  
Vol 157 (04) ◽  
pp. 440-444
Author(s):  
Christian Lycke ◽  
Hartmut Bork ◽  
Birgit Feindt ◽  
Ulrich J. A. Spiegl ◽  
Christoph Josten ◽  
...  
Keyword(s):  
Risk Score ◽  
Fall Risk ◽  
Trauma Surgery ◽  
Individual Risk ◽  
Risk Of Falling ◽  
Clinical Routine ◽  
Risk Of Falls ◽  
The Individual ◽  
Orthopedic Trauma Surgery ◽  
Risk Categories

AbstractThis article examines the risk of falls of orthopaedic surgery patients on admission to hospital. For this purpose, an internal clinical fall risk score was developed, which divides the patients into three risk categories. Subsequently, the validity of the score was recorded and possibilities for reducing the individual risk of falling were pointed out. The results show that the score can identify patients at high risk of falling on admission.

Subjective Hearing Difficulty and Fall Risk

2020 ◽  
Vol 29 (3) ◽  
pp. 384-390
Author(s):  
Robin E. Criter ◽  
Megan Gustavson
Keyword(s):  
Risk Factor ◽  
Hearing Aids ◽  
Fall Risk ◽  
The Elderly ◽  
Community Dwelling ◽  
Timed Up And Go ◽  
Functional Balance ◽  
Risk Of Falls ◽  
Hearing Difficulty ◽  
Recent Falls

Purpose Hearing loss is a risk factor for falls. The purpose of this study was to investigate the relation between subjective hearing difficulty and risk of falls. Method Community-dwelling older adults, aged 60 years and older, completed a case history; three questionnaires, including the Hearing Handicap Inventory for the Elderly (HHIE), Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABC); and one functional balance measure, the Timed Up and Go (TUG) test. Pearson and Spearman correlations were calculated, and average scores were plotted according to group and HHIE score category for DHI, ABC, TUG, the number of medications, and the number of recent falls. Results Seventy-four participants were included in this analysis: 28 nonaudiology patients, 18 audiology patients with hearing aids, and 28 audiology patients without hearing aids. Significant positive correlations were noted between HHIE and DHI scores for audiology patients without hearing aids and between HHIE score and number of recent falls for audiology patients with hearing aids. When average scores were plotted for DHI, ABC, TUG, the number of medications, and the number of recent falls according to group and category, there were clear trends toward increased fall risk as HHIE score categories increased (i.e., mild to moderate to severe) based on previously used criteria. Conclusions Overall, a trend was noticed such that, for increasing HHIE score categories, fall risk increased. Significant correlations existed between HHIE score and some of the measures used to indicate fall risk (i.e., DHI score, number of recent falls). Future fall risk research should investigate subjective hearing difficulty as a risk factor, as well as pure-tone audiometric thresholds.

scholarly journals Teeth and Covariates: Association with Risk of Falls

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Shivani Kohli ◽  
Aaron Lam Wui Vun ◽  
Christopher Daryl Philip ◽  
Cassamally Muhammad Aadil ◽  
Mahenthiran Ramalingam
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Short Version ◽  
Risk Of Falling ◽  
Oral Rehabilitation ◽  
Geriatric Population ◽  
Number Of Teeth ◽  
Significant Difference ◽  
Risk Of Falls

Purpose. Falls occur commonly in geriatric populations and undesirably influence their life, morbidity, and mortality. The aim of this study was to analyze the association between the number of teeth present among the elderly population and covariates in relation to the risk of falls. Materials and Methods. This study was conducted at various old age homes in the Klang Valley region of Malaysia involving the geriatric population aged 60 years and above. A detailed questionnaire consisting of sociodemographic data including sex, age, household income, and dental variables such as the number of teeth and chewing difficulty was obtained. The Tinetti test (TT) was used to evaluate the patients’ ability to walk, to maintain postural balance, and to determine their risk of falling. The short version of the Geriatric Depression Scale was used to assess depression among the participants, and the Barthel Scale was used to analyze the subject’s ability to perform the activities of daily living (ADL). Results. Statistically significant association was observed in relation to the number of teeth present and risk of falls (p<0.05). Subjects who had 19 teeth or less in total had moderate to highest risk of falls (p=0.001) in comparison with subjects who had 20 teeth or more. Those aged 70 years and above showed the highest risk of falls (p=0.001) in comparison with the subjects aged between 60 and 69 years. Subjects with depression (p=0.03) and presence of illness related to fall showed statistically significant difference (p=0.001) in comparison with those who did not suffer from the same. Compromised ADL (p=0.001) (which included ability to perform several tasks like indoor mobility, climbing stairs, toilet use, and feeding) and low monthly income (p=0.03) was also observed among subjects who had higher risk of falls. Conclusion. According to the results achieved, there was a high statistically significant association observed between the number of teeth present, age, depression, ADL, and presence of illness in relation to the risk of falling among the geriatric population. Henceforth, oral rehabilitation of elderly patients with less number of teeth may reduce their risk of falls.

scholarly journals Hubungan Fungsi Kognitif Dengan Risiko Jatuh Pada Lanjut Usia Di Panti Sosial Tresna Werdha Budi Sejahtera Banjarbaru

2020 ◽  
Vol 10 (1) ◽  
pp. 402-413
Author(s):  
Suci Martha Aprilia ◽  
Dhian Ririn Lestari ◽  
Kurnia Rachmawati
Keyword(s):  
Cognitive Function ◽  
The Elderly ◽  
Social Institution ◽  
P Value ◽  
Risk Of Falling ◽  
Chi Square ◽  
Cross Sectional ◽  
Risk Of Falls ◽  
Chi Square Test ◽  
Simple Logistic

Latar Belakang: Jatuh padaalansia merupakanahal yangasering terjadi. Kejadian jatuh padaalansia dapat disebabkan oleh perubahan fungsi organatubuh. Salah satu perubahan fungsi organ yang terjadi adalahaperubahan fungsianeuron yang dapat menyebabkan gangguan fungsi kognitif.Tujuan: Mengetahui hubungan fungsi kognitif dengan risiko jatuh pada lanjut usia di PantiaSosialaTresna Werdha BudiaSejahteraaBanjarbaru.Metode: Penelitianaini menggunakan metode observasional dan survei denganapendekatanaCross Sectional. Pengumpulanadata dilakukanadengan menggunakanaMini MentalaState Examinationa(MMSE) pada fungsi kognitif dengan mengadopsi dari penelitian sebelumnya dan TimeaUp andaGo Testa (TUG) padaarisikoa jatuh. Pengambilanasampel dengan totalasamplingasebanyak 63 orang. Metodeaanalisis data menggunakan uji chi square dan untuk mencari nilai OR dengan  Regresi logistik sederhana.Hasil: Terdapat hubungan fungsi kognitif dan risikoajatuh padaausia lanjutadi PantiaSosial TresnaaWerdha BudiaSejahteraaBanjarbaru (p value = 0,000, OR = 7,58 kali).Diskusi: Penurunan fungsi kognitif pada lansia menjadiasalah satuafaktorarisiko penyebabameningkatnyaarisiko jatuhapadaalansia. Diharapkanaperawat danalanjut usiaauntuk memperhatikanafungsi kognitifaagar dapatamenurunkanarisiko jatuhapada lanjutausia.KataaKunci: fungsiakognitif, lanjut usia, risikoajatuh Abstract Introduction: Falling on the elderly is a common thing. Falling events in the elderly can be caused by changes in bodily organs. One change in organ function that occurs is a change in the function of neurons that can cause impaired cognitive function.Objective: To determine the relationship of cognitive function with the risk of falling in the elderly at the Panti Sosial Tresna Werdha Budi Sejahtera Banjarbaru. Method: This study used observational methods and surveys with a cross-sectional approach. Data collection was done by using MiniaMental StateaExaminationa(MMSE) on cognitive function by adopting from previous research and Time Up and Go Test (TUG) on the risk of falling. Sampling with a total sampling of 63 people. The method of data analysis used the chi-square test and to find the OR value with simple logistic regression.Results: There is a relationship between cognitive function and the risk of falling in the elderly at the Tresna Werdha Social Institution Budi Banjarbaru Prosperous (p-value = 0.000, OR = 7.58 times).Discussion: Decreasing cognitive function in the elderly is one of the risk factors for increasing the risk of falls in the elderly. It is expected that nurses and the elderly to pay attention to cognitive function to reduce the risk of falling in the elderly. Keywords: cognitive function, elderly, risk of falling

scholarly journals The Oral Anticoagulants Administration in Elderly Patients with Geriatric Syndromes: What's New?

2020 ◽  
Vol 16 (6) ◽  
pp. 984-993
Author(s):  
N. M. Vorobyeva ◽  
O. N. Tkacheva
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Patients ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
The Elderly ◽  
Evidence Base ◽  
Geriatric Syndromes ◽  
Consensus Document ◽  
Venous Thromboembolic ◽  
Risk Of Falls

The administration of oral anticoagulants in elderly patients with geriatric syndromes such as senile asthenia syndrome, falls and high risk of falls, dementia, polymorbidity, polypharmacy are discussed in the article. The evidence base for the anticoagulants taking in patients with atrial fibrillation aged ≥75, ≥80, ≥85 and ≥90 years, in patients with atrial fibrillation and various geriatric syndromes, as well as in elderly patients with venous thromboembolic complications and frailty syndrome is presented. Most studies indicate significant advantages of direct oral anticoagulants (dabigatran, rivaroxaban, apixaban, and edoxaban) over the vitamin K antagonist warfarin in elderly patients with geriatric syndromes. An updated version of the FORTA consensus document, which aims to optimize the prescription of medicines for the elderly, is also presented. Apixaban has a FORTA-A safety class and is the safest oral anticoagulant in elderly patients.

Efektivitas Hendrich Fall Scale (HFS) dan Morse Fall Scale (MFS) dengan Penilaian Risiko Jatuh pada Lansia

2021 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Maita Sarah ◽  
Elyani Sembiring
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Fall Risk ◽  
The Elderly ◽  
Total Sample ◽  
Risk Of Falling ◽  
Moderate Risk ◽  
Chi Square ◽  
Fall Risk Assessment ◽  
Risk Of Fall

The goal of understanding fall risk in the elderly, prevention and protection is to improve clinical and care satisfaction. Another anticipatory method that can be used to predict falling conditions is the assessment of the risk of falling in the elderly. The Hendrich Fall Scale (HFS) and Morse Fall Scale (MFS) are a form of assessment to anticipate the risk of falling in the elderly in nursing homes for patients. The aim is to determine the effectiveness of the Hendrich Fall Scale and the Morse Fall Scale with an assessment of the Risk of Fall in the Elderly. The research design used in this study is a longitudinal comparative design. The total sample in this study was 40 elderly. This research was conducted at the Nursing Home Foundation Guna Budi Bakti Medan Labuhan. Data collection using the Hendrich Fall Scale and Morse Fall Scale. Data analysis using Chi Square. Fall risk assessment using the Hendrich Fall Scale (HFS), elderly people with a high risk of falling (25.0%), moderate risk of falling (65.0%). Fall risk assessment used the Morse Fall Scale (MFS), the elderly who had a high risk of falling (39.1%), moderate risk of falling (47.8%). It is recommended that seniors at risk of falling should be assessed using the MFS instrument.

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