The effect of falls and fall injuries on functioning in community-dwelling older persons.

@article{Tinetti1998TheEO,
  title={The effect of falls and fall injuries on functioning in community-dwelling older persons.},
  author={Mary Tinetti and C. S. D. Williams},
  journal={The journals of gerontology. Series A, Biological sciences and medical sciences},
  year={1998},
  volume={53 2},
  pages={
          M112-9
        }
}
  • M. Tinetti, C. Williams
  • Published 1 March 1998
  • Medicine
  • The journals of gerontology. Series A, Biological sciences and medical sciences
BACKGROUND Several preventive strategies have proven effective at reducing the occurrence and rate of falling. It remains to be determined, however, whether, and to what extent, falls and/or fall injuries are independent determinants of adverse functional outcomes in older persons. METHODS A probability sample of 1,103 community-dwelling persons over age 71 years was followed for 3 years. The 957 cohort members (87%) who participated in at least one follow-up interview while residing in the… 
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References

SHOWING 1-10 OF 35 REFERENCES
Risk factors for falls among elderly persons living in the community.
TLDR
It is concluded that falls among older persons living in the community are common and that a simple clinical assessment can identify the elderly persons who are at the greatest risk of falling.
Risk factors for injurious falls: a prospective study.
TLDR
It is suggested that neuromuscular and cognitive impairment, as well as the circumstances of falls, affect the risk of injury when a fall occurs.
A multifactorial intervention to reduce the risk of falling among elderly people living in the community.
TLDR
The multiple-risk-factor intervention strategy resulted in a significant reduction in the risk of falling among elderly persons in the community and among persons who had the targeted risk factors for falling, as compared with the control group.
Fear of falling and fall-related efficacy in relationship to functioning among community-living elders.
TLDR
The strong independent association between self-efficacy and function found in this study suggests that clinical programs in areas such as prevention, geriatric evaluation and management, and rehabilitation should attempt simultaneously to improve physical skills and confidence.
Mortality, disability, and falls in older persons: the role of underlying disease and disability.
TLDR
Multiple falls in older persons increase risk of functional impairment and may indicate underlying conditions that increase risk-of-death.
Health Care Utilization and Functional Status in the Aged Following a Fall
TLDR
One-time fallers and, especially repeated fallers, were at greater risk of subsequent hospitalization, nursing home admission, and frequent physician contact than were nonfallers, after controlling for age, sex, self-perceived health status, and difficulties with activities of daily living.
Predictors and prognosis of inability to get up after falls among elderly persons.
TLDR
The frequency of inability to get up and the short- and long-term morbidity associated with this inability suggest the need for preventive and treatment efforts.
Preventing disability and falls in older adults: a population-based randomized trial.
TLDR
The results suggest that a modest, one-time prevention program appeared to confer short-term health benefits on ambulatory HMO enrollees, although benefits diminished by the second year of follow-up.
Do Falls Predict Institutionalization in Older Persons?
TLDR
It is suggested that multiple falls should be regarded as an important sentinel event to alert caregivers to the presence of underlying disease and disability that may require intervention.
Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study.
TLDR
There was no sex difference in fall rate but men were more likely than women to fall outside and at greater levels of activity and subsequent mortality was increased among women who fell but not to significant levels.
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