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Why the elderly fal...
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Kallin, KristinaUmeå universitet,Geriatrik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university
(författare)
Why the elderly fall in residential care facilities, and suggested remedies.
- Artikel/kapitelEngelska2004
Förlag, utgivningsår, omfång ...
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-6953
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-6953URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-4859URI
Kompletterande språkuppgifter
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Språk:engelska
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Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Upprättat; 2004; 20070222 (andbra)
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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 och genrebeteckningar
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Accidental Falls/*statistics & numerical data
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Acute Disease/epidemiology
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Aged
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Aged; 80 and over
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Alcoholism/complications/epidemiology
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Chronic Disease/epidemiology
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Cohort Studies
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Delirium/complications/epidemiology
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Drug Therapy/adverse effects
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Environment Design
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Female
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Hip Fractures/prevention & control
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Humans
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Male
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Prospective Studies
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Protective Devices/adverse effects
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Residential Facilities
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Stroke/complications/epidemiology
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Sweden/epidemiology
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Syncope/complications/epidemiology
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Urinary Tract Infections/complications/epidemiology
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MEDICINE
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MEDICIN
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sjukgymnastik
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Physiotherapy
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Jensen, JaneUmeå universitet,Sjukgymnastik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university(Swepub:umu)jaje0001
(författare)
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Olsson, Lillemor LundinUmeå universitet,Sjukgymnastik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university(Swepub:umu)lilu0003
(författare)
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Nyberg, LarsUmeå universitet,Sjukgymnastik(Swepub:ltu)larnyb
(författare)
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Gustafson, YngveUmeå universitet,Geriatrik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university(Swepub:umu)yngu0001
(författare)
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Umeå universitetGeriatrik
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:The Journal of family practice53:1, s. 41-520094-35091533-7294
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