scholarly journals Avaliação dos fatores de risco ambientais para quedas em idosos da comunidade: revisão narrativa de literatura /Assessment of environmental risk factors for falls in the elderly community: narrative literature review

2021 ◽  
Vol 5 (3) ◽  
pp. 387-402
Author(s):  
Karina Stella Aoki Ferreira ◽  
Anna Raquel Silveira Gomes
Keyword(s):  
Risk Factors ◽  
Environmental Risk ◽  
The Elderly ◽  
Environmental Risk Factors ◽  
Environmental Risks ◽  
Factores De Riesgo ◽  
Risk Of Falls ◽  
Narrative Literature Review ◽  
Extrinsic Risk ◽  
Risk Factors For Falls

Introdução: A identificação dos fatores de risco ambientais de quedas é determinante para a prevenção deste evento em idosos da comunidade. Objetivo: Apresentar as principais diretrizes para a avaliação dos riscos ambientais de quedas em idosos da comunidade. Método: Revisão narrativa de literatura com pesquisa bibliográfica realizada por meio de busca nas bases de dados LILACS, MEDLINE, SciELO e PubMed no período de agosto a novembro de 2018. Resultados: As diretrizes sobre riscos de quedas em idosos da comunidade recomendam a realização de avaliação multifatorial, incluindo fatores de risco intrínsecos e extrínsecos, com destaque para os fatores domiciliares. Diversas abordagens e ferramentas têm sido utilizadas para a avaliação do risco de quedas em idosos da comunidade.  Entre os instrumentos validados para a avaliação de riscos ambientais residenciais, a maioria requer visita domiciliar pelo profissional de saúde para ser aplicado. Conclusão: Avaliação multifatorial é fundamental para identificar os principais fatores de risco para quedas em idosos da comunidade. A identificação de perigos no domicílio é um dos requisitos fundamentais para uma avaliação eficiente.Palavras-chave: Acidentes por Quedas. Idosos. Avaliação de Risco. Riscos Ambientais. AbstractIntroduction: The identification of environmental risk factors for falls is crucial for the prevention of this event in the elderly in the community. Objective: To present the main guidelines for the assessment of the environmental risks of falls among elderly people in the community. Method: Narrative review of literature with bibliographic research carried out by searching the LILACS, MEDLINE, SciELO and PubMed databases from August to November 2018. Results: The guidelines on the risks of falls in the elderly in the community recommend carrying out multifactorial assessment, including intrinsic and extrinsic risk factors, with emphasis on household factors. Several approaches and tools have been used to assess the risk of falls in the elderly in the community. Among the validated instruments for assessing residential environmental risks, most require home visits by health professionals to be applied. Conclusion: Multifactorial assessment is essential to identify the main risk factors for falls in the elderly in the community. The identification of hazards at home is one of the fundamental requirements for an efficient assessment.Keywords: Accidental Falls. Aged, Risk Assessment. Environmental Risks. ResumenIntroducción: La identificación de los factores de riesgo ambientales para las caídas es crucial para la prevención de este evento en los ancianos de la comunidad. Objetivo: Presentar las principales pautas para la evaluación de los riesgos ambientales de caídas entre las personas mayores en la comunidad. Método: revisión narrativa de la literatura con investigación bibliográfica realizada mediante la búsqueda en las bases de datos LILACS, MEDLINE, SciELO y PubMed de agosto a noviembre de 2018. Resultados: las pautas sobre los riesgos de caídas en los ancianos en la comunidad recomiendan llevar a cabo evaluación multifactorial, incluidos los factores de riesgo intrínsecos y extrínsecos, con énfasis en los factores del hogar. Se han utilizado varios enfoques y herramientas para evaluar el riesgo de caídas en los ancianos de la comunidad. Entre los instrumentos validados para evaluar los riesgos ambientales residenciales, la mayoría requiere que se apliquen visitas domiciliarias de profesionales de la salud. Conclusión: la evaluación multifactorial es esencial para identificar los principales factores de riesgo de caídas en los ancianos de la comunidad. La identificación de los peligros en el hogar es uno de los requisitos fundamentales para una evaluación eficiente.Palabras clave: Accidentes por Caídas. Personas Mayores. Evaluación de Riesgos. Riesgos Ambientales.

Occupational and environmental risk factors for falls among workers in the healthcare sector

Ergonomics ◽  
2010 ◽  
Vol 53 (4) ◽  
pp. 525-536 ◽  
Author(s):  
Sharla Drebit ◽  
Salomeh Shajari ◽  
Hasanat Alamgir ◽  
Shicheng Yu ◽  
Dave Keen
Keyword(s):  
Risk Factors ◽  
Environmental Risk ◽  
Environmental Risk Factors ◽  
Healthcare Sector ◽  
Risk Factors For Falls

scholarly journals Parkinson’s Disease and Symptomatic Osteoarthritis Are Independent Risk Factors of Falls in the Elderly

2019 ◽  
Vol 12 ◽  
pp. 117954411988493 ◽  
Author(s):  
Anneli Teder-Braschinsky ◽  
Aare Märtson ◽  
Marika Rosenthal ◽  
Pille Taba
Keyword(s):  
Risk Factors ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Knee Osteoarthritis ◽  
The Elderly ◽  
Control Group ◽  
Increased Risk ◽  
Symptomatic Knee ◽  
Risk Of Falls ◽  
Risk Factors For Falls

Objectives: Deteriorating functionality and loss of mobility, resulting from Parkinson’s disease, may be worsened by osteoarthritis, which is the most common form of joint disease causing pain and functional impairment. We assessed the association between symptomatic hip or knee osteoarthritis, falls, and the ability to walk among patients with Parkinson’s disease compared to a control group. Methods: A total of 136 patients with Parkinson’s disease in Southern Estonia and 142 controls with an average age of 76.8 and 76.3 years, respectively, were enrolled in a retrospective case-control study. Information on falls and related fractures during the previous year was collected from the patients with Parkinson’s disease and controls. Covariates included gender, age, mobility, duration of Parkinson’s disease, and fractures. Results: Patients with Parkinson’s disease were at an increased risk of falls compared to the control group, and for the higher risk of fractures. Symptomatic knee or hip osteoarthritis was a significant independent predictor of falls in both patients with Parkinson’s disease and controls. The higher risk for fractures during the previous year was demonstrated in symptomatic osteoarthritis. Risk factors for falls included also female gender, use of sleep pills, and the inability to walk 500 m. Conclusions: Symptomatic hip and knee osteoarthritis are risk factors for falls and related fractures among the elderly population with and without Parkinson’s disease. The inability to walk 500 m could be used as a simple predictive factor for the increased risk of falls among elderly populations.

Anemia in the Elderly and the Risk of Injurious Falls.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 1333-1333
Author(s):  
Mei S. Duh ◽  
Samir H. Mody ◽  
Patrick Lefebvre ◽  
Richard C. Woodman ◽  
Sharon Buteau ◽  
...  
Keyword(s):  
Risk Factors ◽  
Linear Trend ◽  
Head Injuries ◽  
The Elderly ◽  
Community Dwelling ◽  
Significant Linear Trend ◽  
Injurious Falls ◽  
Risk Of Falls ◽  
Increasing Risk ◽  
Risk Factors For Falls

Abstract Background: Anemia commonly occurs in the elderly (≥65), and has been associated with a number of adverse consequences. Thirty percent of the community-dwelling elderly fall annually and this risk increases to 50% by the age of 80. Serious injuries caused by a fall, such as fractures and head injuries, are sustained by about 10% of the elderly and often lead to functional disability, increased health care costs, and increased mortality. Identification of reversible risk factors is critical for the management of falls and related injuries. The purpose of the current study is to investigate whether anemia increases the risk of injurious falls (IF) in the elderly. Methods: Health claims data from over 30 health plans from 01/1999 through 04/2004 were used. Patients ≥65 years with ≥1 hemoglobin (Hb) measurement were selected. IF were defined as a fall claim followed by an injurious event claim within 30 days after the fall. Injurious events were defined as fractures of the hip, pelvis, femur, vertebrae, ribs, humerus, and lower limbs, Colle’s fracture, head injuries, or hematomas. An open-cohort design was employed to classify patients’ observation periods by: (1) by anemia status based on WHO criteria (< 12 g/dL for women; < 13 g/dL for men), and (2) by Hb level: <10, 10-<12, 12-<13, and ≥13 g/dL. The incidence rates (IF events / person-years of observation) were compared by anemia status and Hb levels, respectively. Subset analyses based on IF of the hip (including pelvis and femur) and the head were further conducted. The association of IF with anemia and Hb levels, respectively, was analyzed using both univariate and multivariate (adjusted for age, gender, health plan, comorbidities, concomitant medications) approaches. Results: Among the 47,530 study subjects, a statistically significant linear trend of increasing risk of falls (i.e., IF and non-IF events) with decreasing Hb was observed (p<.0001). The incidence of IF was 15.8, 14.0, 9.8, and 6.5 per 1,000 person-years for Hb levels of <10, 10-<12, 12-<13, and ≥13 g/dL, respectively (trend: p<.0001). Based on the univariate analysis, anemia increased the risk of IF by 1.66 times (95% CI: 1.41–1.95) compared to no anemia, and the effects of anemia on IF of the hip and head were more pronounced (rate ratio (RR)=2.25 [95% CI: 1.74–2.89] and 1.77 [95% CI: 1.22–2.55], respectively, (p<.01 for both)). Multivariate analysis revealed that Hb levels were significantly associated with the risk of IF (RR = 1.57, 1.48, 1.17 for Hb levels of <10, 10-<12, 12-<13 g/dL, respectively, compared to Hb≥ 13 g/dL), and the negative linear trend of the risk of IF by Hb levels remained statistically significant (p<.0001). In the subset of hip and head IF, the association with anemia was even stronger (Hip: RR=3.37, 1.83, 1.36 for Hb levels of <10, 10-<12, 12-<13 g/dL, respectively; Head: RR=1.65, 1.47, 1.18, respectively), with a statistically significant linear trend observed (Hip: p<.0001; Head: p=0.07). Anemia (esp. Hb < 10) had comparable risk to other well-known risk factors for falls such as Alzheimer’s disease, Parkinson’s disease, and osteoarthritis. Conclusion: Anemia was significantly and independently associated with an increasing risk for IF, especially IF to the hip and head, in elderly persons. Furthermore, the risk of IF increased as the anemia worsened. The impact of anemia correction on the risk of falls and IF needs to be evaluated.

scholarly journals Environmental risk factors, prevalence and consequences of falls in the elderly's home / Fatores de risco ambientais, prevalência e consequências de quedas no domicílio de idosos / Factores de riesgo ambiental, prevalencia y consecuencias..

2020 ◽  
Vol 9 ◽  
Author(s):  
Edivani Rodrigues dos Santos Gonçalves ◽  
Ana Carolina Macri Gaspar Vendramini ◽  
Akeisa Dieli Ribeiro Dalla Vechia ◽  
Rosemeiry Capriata Souza Azevedo ◽  
Annelita Almeida Oliveira Reiners
Keyword(s):  
Risk Factors ◽  
Environmental Risk ◽  
Environmental Risk Factors ◽  
Mato Grosso ◽  
Factores De Riesgo

Objetivo: identificar a prevalência de quedas, suas consequências e os fatores de risco ambientais para quedas de idosos residentes na comunidade. Metodologia: estudo transversal, com amostra por conveniência de 120 idosos cadastrados em uma equipe de Estratégia de Saúde da Família do município de Cuiabá, Mato Grosso, Brasil. A coleta de dados se deu por meio de entrevista no domicílio com a aplicação de um questionário sociodemográfico e outro sobre quedas e fatores de risco ambientais. Foi realizada uma análise descritiva. Resultados: A maioria dos idosos era do sexo masculino (73,33%), com idade entre 60-69 anos (52,50%). Uma parte deles (16,67%) relatou ter caído nos últimos 12 meses, e entre os que tiveram queda, resultaram em hematomas (94,44%) ou escoriações (72,22%). Os fatores de risco ambientais para quedas encontrados foram: ausência de piso antiderrapante no banheiro (70,00%); ausência de iluminação nos corredores que ligam ao banheiro (50,83%); revestimentos irregulares e tapetes soltos (27,50%). Conclusão: A prevalência de quedas foi 16,67%, das quais a maioria dos idosos teve consequências leves. O ambiente domiciliar encontrado apresentava fatores de risco potenciais para quedas.Descritores: Idoso. Acidentes por Quedas. Fatores de Risco.

Genetic and environmental risk factors in males for self-report externalizing traits in mid-adolescence and criminal behavior through young adulthood

2013 ◽  
Vol 43 (10) ◽  
pp. 2161-2168 ◽  
Author(s):  
K. S. Kendler ◽  
C. J. Patrick ◽  
H. Larsson ◽  
C. O. Gardner ◽  
P. Lichtenstein
Keyword(s):  
Risk Factors ◽  
Environmental Factors ◽  
Environmental Risk ◽  
Genetic Risk ◽  
Criminal Behavior ◽  
Environmental Risk Factors ◽  
Environmental Risks ◽  
The Self ◽  
Self Report ◽  
Equation Modeling

BackgroundExternalizing traits or behaviors are typically assessed by self-report scales or criminal records. Few genetically informative studies have used both methods to determine whether they assess the same genetic or environmental risk factors.MethodWe examined 442 male Swedish twin pairs with self-reported externalizing behaviors at age 16–17 years [externalizing traits (EXT), self-reported delinquency (SRD), impulsivity (IMP), grandiosity (GRD) and callousness (CLS)] and criminal behavior (CB) from the National Suspect Registry from age 13 to 25 years. Multivariate structural equation modeling was conducted with Mx.ResultsThe best-fit model contained one genetic, one shared environmental and two non-shared environmental common factors, and variable specific genetic and non-shared environmental factors. The risk for CB was influenced substantially by both genetic (a2 = 0.48) and familial–environmental factors (c2 = 0.22). About one-third of the genetic risk for CB but all of the shared environmental risk was indexed by the self-report measures. The degree to which the individual measures reflected genetic versus familial–environmental risks for CB varied widely. GRD and CLS were correlated with CB mainly through common genetic risk factors. SRD and CB covaried largely because of shared familial–environmental factors. For EXT and IMP, observed correlations with CB resulted in about equal parts from shared genetic and shared familial–environmental factors.ConclusionsIn adolescence, measures of grandiose and callous temperament best tap the genetic liability to CB. Measures of antisocial behaviors better index familial–environmental risks for CB. A substantial proportion of the genetic risk to CB was not well reflected in any of the self-report measures.

scholarly journals Testing the specificity of environmental risk factors for developmental outcomes

2021 ◽  
Author(s):  
Giacomo Bignardi ◽  
Edwin S. Dalmaijer ◽  
Duncan Astle
Keyword(s):  
Risk Factors ◽  
Environmental Risk ◽  
Developmental Outcomes ◽  
Tobacco Consumption ◽  
Environmental Risk Factors ◽  
Environmental Risks ◽  
Developmental Theories ◽  
Behavior Outcomes ◽  
Uk Millennium Cohort Study ◽  
The Uk

Developmental theories often assume that specific kinds of environmental risks lead to specific outcomes. Canonical Correlation Analysis was used to test whether 28 developmental outcomes (measured at 11-15 years) share the same early environmental risk factors (measured at 0-3 years), or whether specific outcomes are associated with specific risks. Data from the UK Millennium Cohort Study (N = 10,376, 51% Female, 84% White) were used. A single environment component was mostly sufficient for explaining cognition and parent-rated behavior outcomes. In contrast, adolescents’ alcohol and tobacco consumption were specifically associated with their parents’, and child-rated mental health was weakly associated with all risks. These findings suggest that with some exceptions, many different developmental outcomes share the same early environmental risk factors.

SILENT ATRIAL FIBRILLATION AS A RISK FACTOR FOR FALLS IN THE ELDERLY

2021 ◽  
pp. 117-121
Author(s):  
А.В. Турушева ◽  
Е.В. Фролова ◽  
Ю.М. Петросян ◽  
Р.Д. Думбадзе
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
At Risk ◽  
Old Age ◽  
Fold Increase ◽  
The Elderly ◽  
Risk Of Falls ◽  
Patients At Risk ◽  
Risk Factors For Falls ◽  
Study Participants

Падения повышают риск травм, инвалидизации и смертности пожилых людей. Фибрилляция предсердий (ФП) является одним из факторов риска падений в пожилом возрасте, тем не менее, связь между «скрытой» ФП и падениями не исследована. В исследование были включены пациенты 60 лет и старше (n=131), находившиеся на лечении в Городском гериатрическом медикосоциальном центре. Диагностированная ранее ФП была выявлена у 13,7 % (n=18) участников исследования, «скрытая» ФП - у 11,5 % (n=15). Обе формы ФП были ассоциированы с четырехкратным увеличением частоты падений в пожилом возрасте: (95 % ДИ) 4,26 (1,18-15,40) для ранее выявленной ФП и 4,56 (1,25-16,66) для «скрытой» ФП. Скрининг ФП позволил выявить на 16,9 % (95 % ДИ 6,7-26,8 %; p<0,001) больше пациентов, находящихся в группе риска падений. Таким образом, «скрытая» ФП, как и ранее диагностированная, являются независимыми факторами риска падений. Проведение скрининга ФП позволяет выявлять большее число пожилых пациентов, находящихся в группе риска падений. Falls increase the risk of injury, disability, and death in the elderly. Atrial fibrillation (AF) is one of the risk factors for falls in old age, however, the relationship between «silent» AF and falls has not been investigated. The study included patients (n=131) from 60 years and older who admitted in the City geriatric medical and social center. Previously diagnosed AF was detected in 13,7 % (n=18) of the study participants, and «silent» AF was detected in 11,5 % (n=15). Both forms of AF were associated with a 4-fold increase in the incidence of falls in old age: (95 % CI) 4,26 (1,18-15,40) for previously detected AF and 4,56 (1,25-16,66) for «silent» AF. AF screening revealed 16,9 % (95 % CI 6,7-26,8 %; p<0,001) more patients at risk of falls. Thus, «silent» AF, as well as previously diagnosed, are independent risk factors for falls. Conducting AF screening allows to identify more elderly patients who are at risk of falls.

Environmental risk factors for falls

2010 ◽  
pp. 151-160
Author(s):  
Stephen R. Lord ◽  
Catherine Sherrington ◽  
Hylton B. Menz ◽  
Jacqueline C. T. Close
Keyword(s):  
Risk Factors ◽  
Environmental Risk ◽  
Environmental Risk Factors ◽  
Risk Factors For Falls

scholarly journals Risk factors for falls in the elderly: an integrative review / Fatores de risco para quedas em idosos: uma revisão integrativa / Factores de riesgo para caídas en ancianos: una revisión integrativa

2019 ◽  
Vol 7 (4) ◽  
pp. 67
Author(s):  
Aglauvanir Soares Barbosa ◽  
Débora Brenna Costa De Almeida ◽  
Silvia Mara Rocha Bezerra ◽  
Sarah Maria De Sousa Feitoza
Keyword(s):  
Risk Factors ◽  
The Elderly ◽  
Integrative Review ◽  
Factores De Riesgo ◽  
Risk Factors For Falls

Objetivo: descrever as produções científicas, sobre queda em idosos e as complicações causadas em virtude das quedas. Métodos: Trata-se de uma revisão integrativa da literatura, com busca nas seguintes bases de dados: MEDLINE, LILACS, Pubmed, Scielo e Scopus, entre setembro a novembro de 2016, utilizando o cruzamento dos descritores controlados: “Enfermagem”, “Idoso”, “Acidente por queda”, “prevenção de acidentes” e “promoção da saúde”. Resultados: foram utilizados 12 artigos. Todos foram pesquisas feitas no Brasil e publicados nos seguintes periódicos: LILACS (3), SCIELO (5), Scopus (3), e PubMed (1). Quanto ao tipo de metodologia, sete estudos foram do tipo transversais, quatro de coorte e um de caso controle. Conclusão: Se faz necessário a elaboração de planos terapêuticos mais apropriados, que deverão ser orientadas individualmente à população idosa e seus familiares, pelos profissionais da saúde como uma importante ferramenta de prevenção de quedas e suas complicações.Descritores: Enfermagem; Idoso; Acidentes por quedas; Prevenção de acidentes; Promoção da saúde.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN RESIKO JATUH PADA LANSIA DI BPPLU KOTA BENGKULU TAHUN 2017

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Ravika Ramlis
Keyword(s):  
Risk Factors ◽  
Soft Tissues ◽  
Healing Process ◽  
The Elderly ◽  
Guidance And Counseling ◽  
Extrinsic Factors ◽  
Physical Discomfort ◽  
Related Risk ◽  
Risk Of Falls ◽  
Risk Factors For Falls

The incidence of falls in the elderly group may cause injury to the soft tissues and fractures of the thigh or wrist and even result in death. In addition, the State also can cause a variety of health problems including: pain, physical discomfort, the limitations of mobilization, and the slow healing process so that it will have an impact towards kondisilansia, where they will experience the problem of addiction to perform daily activities.Research methods the research design used was descriptive analytic. The study tried to gather information on factor-related risk factors for falls in the elderly include factor intrinsic, extrinsic, and circumstantial. The sample in this study is the whole elderly in BPPLU city of Bengkulu , namely an amount of 60 people. The method of sampling in this research are the total sampling.The results showed that there is a relationship between the intrinsic risk factors for falls in the elderly in Bengkulu City Year 2017 BPPLU. There is a relationship between extrinsic factors with risk of falls in the elderly in Bengkulu City Year 2017 BPPLU. Researchers suggest to the BPPLU can be a cornerstone of the implementation of the programme of activities, coaching, guidance and counseling in an attempt to increase knowledge about the factors factors that are associated with the risk of falls in the elderly.

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