Carolee A Devito

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BACKGROUND Among elderly persons, falls account for 87% of all fractures and are contributing factors in many nursing home admissions. This study evaluated the effect of an easily implemented, low-intensity exercise program on the incidence of falls and the time to first fall among a clinically defined population of elderly men and women. METHODS This(More)
BACKGROUND Enrollment in Medicare health maintenance organizations (HMOs) is encouraged because of the expectation that HMOs can help slow the growth of Medicare costs. However, Medicare HMOs, which are paid 95 percent of average yearly fee-for-service Medicare expenditures, are increasingly believed to benefit from the selective enrollment of healthier(More)
OBJECTIVE To evaluate the association between selected chronic medical conditions (CMCs) and fall injury events at home among community-dwelling older persons. DESIGN Population-based case-control study. SETTING The general community. PARTICIPANTS Persons aged 65 and older living at home, excluding those using a wheelchair; 467 cases and 691 control(More)
OBJECTIVE To determine if home environmental hazards increase the risk of fall injury events among community-dwelling older persons. DESIGN Population-based case-control study. SETTING South Miami Beach, Florida. PARTICIPANTS 270 persons aged 65 years and older who sought treatment at six area hospitals for injuries resulting from falls within the(More)
BACKGROUND Falls are among the leading causes of injuries and deaths. Results from a number of studies have suggested that a community-based exercise program may be effective in improving lower body strength, although some have shown only limited improvements. However, the impact of these programs on gait and balance are equivocal. Further, studies that(More)
Falls are a leading cause of death from injury among older persons in the United States, and about one in three older persons falls each year. Yet, reliable estimates of the incidence of fall injury events in a population-based setting are not readily available. Therefore, the authors analyzed population-based surveillance data, between July 1985 and June(More)
OBJECTIVE To determine if alcohol use is a risk factor for fall injury events among community-dwelling older persons. DESIGN Case-control study. SETTING South Miami Beach, Florida. PARTICIPANTS 320 persons 65 or older who sought treatment at six area hospitals for injuries resulting from falls; 609 controls, matched for sex and age, selected randomly(More)
This study compares use of the hospice benefit in Medicare fee-for-service (FFS) and Medicare risk-health maintenance organization (HMO) options in South Florida in 1992. A higher percentage of deaths occurred in hospice in the HMO option than in the FFS option. Compared to individuals in the FFS option, HMO-enrolled hospice users had longer lengths of(More)