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Sökning: onr:"swepub:oai:DiVA.org:umu-6953" > Why the elderly fal...

Why the elderly fall in residential care facilities, and suggested remedies.

Kallin, Kristina, (författare)
Umeå universitet, Geriatrik
Jensen, Jane, (författare)
Umeå universitet, Sjukgymnastik
Olsson, Lillemor Lundin, (författare)
Umeå universitet, Sjukgymnastik
visa fler...
Nyberg, Lars, (författare)
Umeå universitet, Sjukgymnastik
Gustafson, Yngve, (författare)
Umeå universitet, Geriatrik
Lundin-Olsson, Lillemor, (författare)
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university
visa färre...
Umeå universitet Medicinska fakulteten. Institutionen för samhällsmedicin och rehabilitering. Geriatrik. (creator_code:org_t)
Umeå universitet Medicinska fakulteten. Institutionen för samhällsmedicin och rehabilitering. Sjukgymnastik. (creator_code:org_t)
2004
Engelska.
Ingår i: The Journal of family practice. - 0094-3509. ; 53:1, s. 41-52
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • OBJECTIVE: To study precipitating factors for falls among older people living in residential care facilities. DESIGN: Prospective cohort study. SETTING: Five residential care facilities. PARTICIPANTS: 140 women and 59 men, mean age +/- SD 82.4 +/- 6.8 (range, 65-97). MEASUREMENTS: After baseline assessments, falls in the population were tracked for 1 year. A physician, a nurse, and a physiotherapist investigated each event, and reached a consensus concerning the most probable precipitating factors for the fall. RESULTS: Previous falls and treatment with antidepressants were found to be the most important predisposing factors for falls. Probable precipitating factors could be determined in 331 (68.7%) of the 482 registered falls. Acute disease or symptoms of disease were judged to be precipitating, alone or in combination in 186 (38.6%) of all falls; delirium was a factor in 48 falls (10.0%), and infection, most often urinary tract infection, was a factor in 38 falls (7.9%). Benzodiazepines or neuroleptics were involved in the majority of the 37 falls (7.7%) precipitated by drugs. External factors, such as material defects and obstacles, precipitated 38 (7.9%) of the falls. Other conditions both related to the individual and the environment, such as misinterpretation (eg, overestimation of capacity or forgetfulness), misuse of a roller walker, or mistakes made by the staff were precipitating factors in 83 (17.2%) of falls. CONCLUSION: Among older people in residential care facilities, acute diseases and side effects of drugs are important precipitating factors for falls. Falls should therefore be regarded as a possible symptom of disease or a drug side effect until proven otherwise. Timely correction of precipitating and predisposing factors will help prevent further falls.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  (hsv//swe)
MEDICAL AND HEALTH SCIENCES  (hsv//eng)

Nyckelord

MEDICINE
MEDICIN
sjukgymnastik
Physiotherapy
Accidental Falls/*statistics & numerical data
Acute Disease/epidemiology
Aged
Aged; 80 and over
Alcoholism/complications/epidemiology
Chronic Disease/epidemiology
Cohort Studies
Delirium/complications/epidemiology
Drug Therapy/adverse effects
Environment Design
Female
Hip Fractures/prevention & control
Humans
Male
Prospective Studies
Protective Devices/adverse effects
Residential Facilities
Stroke/complications/epidemiology
Sweden/epidemiology
Syncope/complications/epidemiology
Urinary Tract Infections/complications/epidemiology

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