Articoli di riviste: "Accidental falls"

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Chiara, Mussi, Galizia Gianluigi, Abete Pasquale, Morrione Alessandro, Maraviglia Alice, Noro Gabriele, Cavagnaro Paolo et al. "Unexplained Falls Are Frequent in Patients with Fall-Related Injury Admitted to Orthopaedic Wards: The UFO Study (Unexplained Falls in Older Patients)". Current Gerontology and Geriatrics Research 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/928603.

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To evaluate the incidence of unexplained falls in elderly patients affected by fall-related fractures admitted to orthopaedic wards, we recruited 246 consecutive patients older than 65 (mean age82±7years, range 65–101). Falls were defined “accidental” (fall explained by a definite accidental cause), “medical” (fall caused directly by a specific medical disease), “dementia-related” (fall in patients affected by moderate-severe dementia), and “unexplained” (nonaccidental falls, not related to a clear medical or drug-induced cause or with no apparent cause). According to the anamnestic features of the event, older patients had a lower tendency to remember the fall. Patients with accidental fall remember more often the event. Unexplained falls were frequent in both groups of age. Accidental falls were more frequent in younger patients, while dementia-related falls were more common in the older ones. Patients with unexplained falls showed a higher number of depressive symptoms. In a multivariate analysis a higher GDS and syncopal spells were independent predictors of unexplained falls. In conclusion, more than one third of all falls in patients hospitalized in orthopaedic wards were unexplained, particularly in patients with depressive symptoms and syncopal spells. The identification of fall causes must be evaluated in older patients with a fall-related injury.

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Antes, Danielle Ledur, Ione Jayce Ceola Schneider e Eleonora d'Orsi. "Mortality caused by accidental falls among the elderly: a time series analysis". Revista Brasileira de Geriatria e Gerontologia 18, n. 4 (dicembre 2015): 769–78. http://dx.doi.org/10.1590/1809-9823.2015.14202.

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Introduction : The worldwide increase in the elderly population has highlighted the importance of accidental falls and their consequences.Objective: To perform time-trend analysis of the mortality rate from accidental falls in (1) the city of Florianópolis (2) the state of Santa Catarina and (3) Brazil. Method : A time-series study of data from the Sistema de Informação sobre Mortalidade ("the Mortality Information System") was performed. The variation in mortality caused by accidental falls was estimated using the joinpoint regression method, based on the International Disease Classification (ICD-10), chapter XX, codes W00 to W15 and W17 to W19, from 1997 to 2010. Results : It was observed that in the most recent periods (2005/2008; 2002/2008; 2003/2008), there was a significant increase in mortality rates related to accidental falls in all three regions, and that these rates increased with advancing age. Conclusion : Strategies to prevent accidental falls among the elderly should be aimed, mainly, at those who are 80 and over, the age in which accidental falls result in higher death rates.

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Nagata, Hisao. "Accidental Falls and Social Issues". Equilibrium Research 71, n. 2 (2012): 110–14. http://dx.doi.org/10.3757/jser.71.110.

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Nevins, A., e R. Tideiksaar. "Accidental Falls of Elderly People". Gerontologist 30, n. 5 (1 ottobre 1990): 718–19. http://dx.doi.org/10.1093/geront/30.5.718a.

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Nakamura-Thomas, Hiromi, Makoto Kyougoku e Tore Bonsaksen. "Japanese Community-Living Older Adults’ Perceptions and Solutions Regarding Their Physical Home Environments". Home Health Care Management & Practice 31, n. 1 (26 settembre 2018): 16–22. http://dx.doi.org/10.1177/1084822318800697.

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This study examined perceived causes of accidental falls, the solutions implemented, and differences in scores on the Falls Efficacy Scale (FES) based on experiences of accidental falls, implementation of solutions, and experiences of problems in participants’ current environments. Data were collected individually from Japanese community-living older adults. Of the 41 participants, 71% experienced accidental falls, 41.5% implemented solutions, and 39.0% experienced problems in their current environments. Some solutions were implemented, including both appropriate and inappropriate ones. The FES scores differed significantly based on experiences of problems in participants’ current environments, suggesting that a consultation-style intervention would contribute toward improved FES scores among clients experiencing problems in their current environments.

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DeVincenzo, Doris K., e Sylvia Watkins. "Accidental Falls in a Rehabilitation Setting". Rehabilitation Nursing 12, n. 5 (10 settembre 1987): 248–52. http://dx.doi.org/10.1002/j.2048-7940.1987.tb01010.x.

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Senterre, Christelle, Alain Levêque, Lionel Di Pierdomenico, Michèle Dramaix-Wilmet e Magali Pirson. "Epidemiology of Injuries in Belgium: Contribution of Hospital Data for Surveillance". BioMed Research International 2014 (2014): 1–13. http://dx.doi.org/10.1155/2014/237486.

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Objectives. Investigating injuries in terms of occurrences and patient and hospital stay characteristics.Methods. 17370 stays, with at least one E code, were investigated based on data from 13 Belgian hospitals. Pearson’s chi-square and Kruskal-Wallis tests were used to assess the variations between distributions of the investigated factors according to the injury’s types.Results. Major injuries were accidental falls, transport injuries, and self-inflicted injuries. There were more men in the transport injuries group and the accidental falls group was older. For the transport injuries, there were more arrivals with the support of a mobile intensive care unit and/or a paramedic intervention team and a general practitioner was more implicated for the accidental falls. In three-quarters of cases, it was a primary diagnostic related to injury and poisoning which was made. The median length of stay was nearly equal to one week and for accidental falls, this value is three times higher. The median cost, from the social security point of view, for all injuries was equal to €1377 and there was a higher median cost within the falls group.Conclusion. This study based on hospitals data provides important information both on factors associated with and on hospital costs generated by injuries.

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AlSahlawi, Aysha, Gillian Morantz, Caroline Lacroix, Christine Saint-Martin e Roy W. R. Dudley. "Bilateral Parietal Skull Fractures in Infants Attributable to Accidental Falls". Pediatric Neurosurgery 56, n. 5 (2021): 424–31. http://dx.doi.org/10.1159/000516972.

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Introduction: Multiple skull fractures, including bilateral parietal skull fractures (BPSFs) in infants are considered to be suspicious for abusive head trauma (AHT). The aim of this report is to describe a series of BPSF cases in infants which occurred due to accidental falls. Methods: We searched our neuroradiology database for BPSF in infants (<1 year old) diagnosed between 2006 and 2019; we reviewed initial presentation, mechanisms of injury, clinical course, head imaging, skeletal survey X-rays, ophthalmology, social work and child abuse physicians (CAP) assessments, and long-term follow-up. “Confirmed accidental BPSF” were strictly defined as having negative skeletal survey and ophthalmology evaluation and a CAP conclusion of accidental injury. Results: Twelve cases of BPSF were found; 3 were confirmed to be accidental, with a mean age at presentation of 3 months. Two infants had single-impact falls, and 1 had a compression injury; all 3 had small intracranial hemorrhages. None had bruises or other injuries, and all remained clinically well. A literature search found 10 similar cases and further biomechanical evidence that these fractures can occur from accidental falls. Conclusion: While AHT should be kept in the differential diagnosis whenever BPSFs are seen, these injuries can occur as a result of accidental falls.

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Kingma, Johannes, e Henk-Jan Ten Duis. "Severity of Injuries Due to Accidental Fall across the Life Span: A Retrospective Hospital-Based Study". Perceptual and Motor Skills 90, n. 1 (febbraio 2000): 62–72. http://dx.doi.org/10.2466/pms.2000.90.1.62.

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This retrospective study investigated injuries due to accidental fall across the life span for which 19,593 patients were admitted to the Emergency Unit of the Groningen University Hospital during the period 1990 through 1997. 64% of the accidental falls were found for those in the age range between 10 years and 59 years; however, the proportion of accidental falls with regard to other causes of injuries by age group were the highest in youngsters (infants up to 9 years old) and in elderly persons (over 60 years old), 43% or more of these patients having falls with injuries. The clinically treated patients had on the average a statistically greater Injury Severity Score (7.2) than the outpatients (2.4). The highest percentages of medically treated inpatients were the patients of 60 years and over. Their mean ISS score was about the same for elderly inpatients, but the percentage of clinical treatment increased with age as well as the mortality. 30% of the injuries were found in the lower extremities and 30% in the upper extremities. Bone fracture was statistically significantly the major (36%) injury followed by contusion (20%). 34% of the accidental falls occurred at home, and statistically significantly more females, 50 years of age and older, were injured than males.

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Copeland, Arthur R. "Accidental Death due to Falls at Work". American Journal of Forensic Medicine and Pathology 10, n. 1 (marzo 1989): 17–20. http://dx.doi.org/10.1097/00000433-198903000-00005.

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Tendas, A., L. Cupelli, M. M. Trawinska, L. Lentini, M. Giovannini, L. Scaramucci, M. Palombi et al. "Accidental falls in home care hematological patients". Supportive Care in Cancer 21, n. 8 (3 maggio 2013): 2087–89. http://dx.doi.org/10.1007/s00520-013-1828-1.

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Coll-Planas, Laura, Martina Kron, Silvia Sander, Ulrich Rißmann, Clemens Becker e Thorsten Nikolaus. "Accidental falls among community-dwelling older adults". Zeitschrift für Gerontologie und Geriatrie 39, n. 4 (agosto 2006): 277–82. http://dx.doi.org/10.1007/s00391-006-0396-0.

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Ong, Kevin L., Edmund Lau, Tara Moore e Michelle F. Heller. "Accidental falls involving medical implant re-operation". Injury 40, n. 10 (ottobre 2009): 1088–92. http://dx.doi.org/10.1016/j.injury.2009.05.007.

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Fischer, Barbara, Allison Midden, Aundrea Hoffmann, Lynn DeWitt, Kathryne Kohlman, Lindy Clemson, Katherine Sherman e Jane Mahoney. "Stepping Out: A Novel Pilot Falls Prevention Program for Individuals With Mild Cognitive Impairment". Innovation in Aging 4, Supplement_1 (1 dicembre 2020): 485. http://dx.doi.org/10.1093/geroni/igaa057.1568.

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Abstract Objectives: Falls are the leading source of accidental injury and hospitalization among adults over the age of 65. Relative to people with intact cognition, individuals with cognitive impairment are at increased risk for falls; however, few falls prevention programs exist to specifically reduce and prevent falls in this population. To address this issue, we developed a novel, multifactorial, cognitively-based falls prevention program, Stepping Out. Based on the popular and effective evidenced-based program, Stepping On, Stepping Out was modified and tailored to the learning needs of individuals with Mild Cognitive Impairment (MCI). We hypothesized that older adults with MCI would find the program understandable, and that program participants would demonstrate reduced falls. Methods: Sixteen veterans, mean age of 77.5, diagnosed with MCI and at increased risk for falls participated in Stepping Out. Falls were collected for the six months prior to intervention and the six months during and after program participation. All participants completed post-program evaluations. Falls incidence was compared using a Wilcoxon paired signed rank test. Results: Stepping Out was found to be feasible and comprehensible by all participants. Program participants exhibited significantly reduced falls, with median reduction of two falls (p = 0.0020), and a range of zero to 12 falls. Discussion: With appropriate modifications, individuals with MCI were able to benefit from a cognitively-based falls prevention program and to reduce accidental falls incidence. Falls are an important and feasible target to address among individuals with cognitive impairment.

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Gawrońska, Karolina, e Jacek Lorkowski. "Falls, Aging and Public Health – a Literature Review". Ortopedia Traumatologia Rehabilitacja 22, n. 6 (31 dicembre 2020): 397–408. http://dx.doi.org/10.5604/01.3001.0014.6044.

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Accidental falls in the elderly and their consequences are one of the leading causes of disability; they significantly reduce the quality of life and lead to loss of independence and impaired social functioning. This study presents selected issues regarding the causes of accidental falls and research tools for determining the risk of falls based on a review of the scientific literature available in English in the PubMed/ MEDLINE, Cochrane Library, Embase, Scopus, PEDro databases and in Polish in the Polish Medical Bibliography and Polish Scientific Journals Database of 2015–2020, covering original papers, systematic reviews and meta-analyses. The following keywords were used: public health, risk factors, accidental falls, fall-related injuries, elderly, geriatric assessment. A total of 65 publications were included in the analysis. We believe that the use of at least two different tools in the risk assessment should be encouraged in view of the complexity and multitude of the risk factors. An optimal approach to the problem assumes interdisciplinary collaboration of all medical staff in assessment, rehabilitation, as well as fall prevention strategies, which is the most economical method of treatment.

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Blackwood, Jennifer, e Kateri Rybicki. "Assessment of Gait Speed and Timed Up and Go Measures as Predictors of Falls in Older Breast Cancer Survivors". Integrative Cancer Therapies 20 (gennaio 2021): 153473542110064. http://dx.doi.org/10.1177/15347354211006462.

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Background: Older breast cancer survivors are at an increased risk of loss of postural balance and accidental falls, however, the ability of clinical mobility measures to predict falls has not been determined. The purpose of this study was to examine the prognostic ability, sensitivity, and specificity to predict accidental falls in measures of gait speed and functional mobility in older breast cancer survivors. Methods: Thirty-four breast cancer survivors 65 years and older performed 3 measures of gait speed (GS) (usual, fast, dual-task) and Timed Up and Go (TUG) (TUG, TUG-Cognitive, TUG-Manual). Follow-up calls were made 3 months after testing to track falls. Results: The area under the curve (AUC) was below 0.5 for all GS measures, indicating poor predictive ability and all GS measures had low sensitivity and specificity to predict falls. All TUG measures had AUC values above 0.5. The cutoff score with the best sensitivity/specificity to predict falls was: TUG-Cognitive = 11.32 seconds, Sens = 0.64, Spec = 0.80; TUG-Manual = 9.84 seconds, Sens = 0.71, Spec = 0.65. Conclusion: When assessing fall risk in older breast cancer survivors, performance on the TUG and TUG-Cognitive are able to predict falls.

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Fhon, Jack Roberto Silva, Suzele Cristina Coelho Fabrício-Wehbe, Thais Ramos Pereira Vendruscolo, Renata Stackfleth, Sueli Marques e Rosalina Aparecida Partezani Rodrigues. "Accidental falls in the elderly and their relation with functional capacity". Revista Latino-Americana de Enfermagem 20, n. 5 (ottobre 2012): 927–34. http://dx.doi.org/10.1590/s0104-11692012000500015.

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AIM: This study aimed to determinate the prevalence of falls in the elderly and its relationship with the functional capacity. METHOD: This is an epidemiological and cross-sectional study; a two-stage cluster sample of 240 male and female subjects aged over 60 years was used. Data were collected from November 2010 to February 2011. The following questionnaires were used: socio-demographic profile, assessment of falls, Functional Independence Measure, Lawton and Brody Scale. Significance was set at 0.05. To identify the occurrence of falls and their relation with functional capacity, the prevalence ratio and prevalence odds ratios were used, as well as multiple logistic regression. RESULTS: Average age was 73.5 years (±8.4); 25% 80 years or more, with preponderance of female gender; 48.8% attended school between 1-4 years. The average was 1.33 falls (±0.472), with prevalence in women and elderly between 60 and 79 years old; the most frequently sites were the backyard and bathroom. Strong correlation between the level of functional independence and instrumental activities and age was found, but no relation between elderly victims of falls and the gender and age variables. CONCLUSION: Women who suffered falls related to functional independence were predominant, which can be prevented through elderly health promotion strategies, a policy that serves to offer living conditions to people in the aging process.

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Wang, Hongwei, Yuan Zhang, Qiang Xiang, Xuke Wang, Changqing Li, Hongyan Xiong e Yue Zhou. "Epidemiology of traumatic spinal fractures: experience from medical university–affiliated hospitals in Chongqing, China, 2001–2010". Journal of Neurosurgery: Spine 17, n. 5 (novembre 2012): 459–68. http://dx.doi.org/10.3171/2012.8.spine111003.

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Object The main objective of this study was to analyze the epidemiological data obtained from patients with traumatic spinal fracture at 2 university-affiliated hospitals in Chongqing, China. Methods The authors retrospectively reviewed the hospital records of all patients who suffered traumatic spinal fracture and were treated at Xinqiao Hospital and Southwest Hospital (both affiliated with The Third Military Medical University) between January 2001 and December 2010. The demographic characteristics, injury characteristics, and clinical outcomes of patients over this 10-year period were compared. Results A total of 3142 patients (mean age 45.7 years, range 1–92 years) with traumatic spinal fractures were identified; 65.5% of the patients were male. The peak frequency of these injuries occurred in the 31- to 40-year-old age group. Accidental falls and traffic accidents were the most common causes of spinal fractures (58.9% and 20.9%, respectively). Traffic accidents tended to occur in younger patients, whereas accidental falls tended to occur in older patients. The most common area of fracture was the thoracolumbar spine (54.9%). Cervical spinal fractures were significantly more common in patients injured in traffic accidents, while lumbar spinal fractures were more common in accidental fall patients. Using the American Spinal Injury Association (ASIA) classification, 479 (15.3%) patients were classified as having ASIA A injuries; 913 (29.1%), ASIA B, ASIA C, or ASIA D; and 1750 (55.7%), ASIA E. ASIA A injuries were more common in patients who suffered thoracic spinal fractures (15.09%) than in those with fractures in other areas of the spine. A total of 954 (30.4%) patients had associated nonspinal injuries. Of these patients, 389 (40.78%) suffered a thoracic injury, and 191 (20.02%) sustained a head and neck injury. The length of hospitalization differed significantly between the accidental falls from high heights and falls from low heights, as did the mean cost of hospitalization (p < 0.05), but no significant difference was found between accidental falls from high heights and traffic accidents (p > 0.05). The length of hospitalization differed significantly among the 3 groups according to the ASIA classification, as did the mean cost of hospitalization (p < 0.05). Of patients with incomplete lesions, 39.3% improved 1 or more grades in ASIA classification during hospitalization. Conclusions Accidental falls emerged as the leading cause of traumatic spinal fracture in this study, and the numbers of fall-induced and sports-related injuries increased steadily with age. These results indicate that there should be increased concern for the consequences of fall- and sports-related injuries among the elderly.

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Lungren, Matthew P., David Smith, James E. Carpenter e Richard E. Hughes. "FALL-RELATED ROTATOR CUFF TEARS". Journal of Musculoskeletal Research 10, n. 02 (giugno 2006): 75–81. http://dx.doi.org/10.1142/s0218957706001728.

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Tears of the rotator cuff tendons may occur as a result of tendon degeneration or from a single traumatic event but commonly a combination of these factors are in play. Rotator cuff tendon degeneration and accidental falls are both known to increase in incidence with increasing age. No study to date has sought to investigate the characteristic of accidental falls as a significant cause of injury in the rotator cuff tear population. We developed a 25 multi-step item questionnaire to investigate the source of injury in sixty rotator cuff tear patients. The majority, 32/60 (53.3%), reported a fall associated with their rotator cuff tear. The tears nearly always occurred on the same side as the fall. Most falls resulting in cuff tears were to the side and front rather than backwards. Our findings highlight that falls are the leading cause of injury in the rotator cuff tear patient population and describe characteristics of the previously under-recognized fall-related rotator cuff tear population.

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Mundell, Benjamin, Hilal Maradit Kremers, Sue Visscher, Kurtis Hoppe e Kenton Kaufman. "Direct medical costs of accidental falls for adults with transfemoral amputations". Prosthetics and Orthotics International 41, n. 6 (22 giugno 2017): 564–70. http://dx.doi.org/10.1177/0309364617704804.

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Background: Active individuals with transfemoral amputations are provided a microprocessor-controlled knee with the belief that the prosthesis reduces their risk of falling. However, these prostheses are expensive and the cost-effectiveness is unknown with regard to falls in the transfemoral amputation population. The direct medical costs of falls in adults with transfemoral amputations need to be determined in order to assess the incremental costs and benefits of microprocessor-controlled prosthetic knees. Objective: We describe the direct medical costs of falls in adults with a transfemoral amputation. Study design: This is a retrospective, population-based, cohort study of adults who underwent transfemoral amputations between 2000 and 2014. Methods: A Bayesian structural time series approach was used to estimate cost differences between fallers and non-fallers. Results: The mean 6-month direct medical costs of falls for six hospitalized adults with transfemoral amputations was US$25,652 (US$10,468, US$38,872). The mean costs for the 10 adults admitted to the emergency department was US$18,091 (US$-7,820, US$57,368). Conclusion: Falls are expensive in adults with transfemoral amputations. The 6-month costs of falls resulting in hospitalization are similar to those reported in the elderly population who are also at an increased risk of falling. Clinical relevance Estimates of fall costs in adults with transfemoral amputations can provide policy makers with additional insight when determining whether or not to cover a prescription for microprocessor-controlled prosthetic knees.

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Ohde, Sachiko, Mineko Terai, Osamu Takahashi, Aya Oizumi, Miwako Takekata e Tsuguya Fukui. "4. Accidental Falls and Prevention Program among Inpatients". Nihon Naika Gakkai Zasshi 101, n. 12 (2012): 3396–403. http://dx.doi.org/10.2169/naika.101.3396.

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Lee, Kai H. "Epidemiology of Facial Fractures Secondary to Accidental Falls". Asian Journal of Oral and Maxillofacial Surgery 21, n. 1-2 (marzo 2009): 33–37. http://dx.doi.org/10.1016/s0915-6992(09)80018-6.

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Syrjälä, Pirjo, Heikki Luukinen, Juhani Pyhtinen e Uolevi Tolonen. "Neurological diseases and accidental falls of the aged". Journal of Neurology 250, n. 9 (settembre 2003): 1063–69. http://dx.doi.org/10.1007/s00415-003-0152-y.

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Muggenthaler, H., M. Hubig, A. Meierhofer e G. Mall. "Slip and tilt: modeling falls over railings". International Journal of Legal Medicine 135, n. 1 (9 ottobre 2020): 245–51. http://dx.doi.org/10.1007/s00414-020-02432-8.

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AbstractFalls over railings are frequent case scenarios forensic experts are confronted with. An important issue is the differentiation of accidental and non-accidental falling scenarios. From a biomechanical point of view, this is a challenging task and should be addressed in a multifactorial approach. This work presents a simplified mechanical model in terms of a cranked rod that can be used in cases without relevant dynamic components in terms of pushing or jumping. If the anti-slip and the anti-tilt condition are violated, the possibility for a person to get over a railing should be assumed and investigated in more detail. Because our approach also involves uncertainties, the formulae should be understood to be part of a multifactorial approach. Numerical simulation, experimental reconstruction, injury pattern, and trace analysis can yield additional substantial connecting facts.

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Fronczek, Judith, e Roger W. Byard. "Accidental adult deaths involving ladders: A forensic perspective". Medicine, Science and the Law 60, n. 1 (23 ottobre 2019): 16–18. http://dx.doi.org/10.1177/0025802419879269.

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A retrospective study was undertaken of autopsy cases at the Forensic Science South Australia state mortuary over a 20-year period from January 1999 to December 2018 for all cases aged ≥18 years where a ladder was mentioned in the death scene description and/or police reports. Twelve cases were identified, all of whom were male, with an average age of 56 years (range 21–83 years). The most frequent cause of death was a fall from a ladder ( n = 8; 66%), followed by electrocution ( n = 4; 33%). The falls were associated with deaths from blunt injuries, impalement and laceration. The age range of those who fell was 47–83 years (average 66 years). The three of the four deaths associated with electrocutions involved contact with power lines or live electrical wires; the remaining case involved a sharp metal ladder base cutting through a live power lead. The age range of those who were electrocuted was 21–43 years (average 35 years) – significantly younger than those who had died from falls ( p < 0.05). The increase in mean age of the population with increasing popularity of home maintenance activities may result in more cases of lethal falls involving ladders presenting for forensic assessment.

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Cardoso, Leticia Silveira, Letice Dalla Lana, Cynthia Fontella Sant’Anna, Josefine Busanello, Valdecir Zavarese da Costa e Marta Regina Cezar-Vaz. "Acidentes por quedas: assistência profissional na estratégia saúde da família". Revista Recien - Revista Científica de Enfermagem 10, n. 32 (15 dicembre 2020): 194–204. http://dx.doi.org/10.24276/rrecien2020.10.32.194-204.

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O acidente por queda representa a terceira maior causa de morte no país, fomentando ações multiprofissionais de promoção, proteção e recuperação da saúde. O estudo objetivou conhecer a assistência dos profissionais da Estratégia Saúde da Família nos acidentes por quedas. Trata-se de um estudo exploratório, descritivo-analítico, transversal ao processo de trabalho de 72 profissionais vinculados a oito equipes de Saúde da Família de um município da fronteira oeste do Rio Grande do Sul. As entrevistas foram gravadas, digitalizadas e organizadas em um banco de dados no formato de texto. Os dados foram processados no software IRAMUTEC e analisados pela classificação hierárquica descendente, análise de similitude e nuvem de palavras. Os resultados mostram que os profissionais realizam atendimento das vítimas de acidentes por quedas, de forma diferenciada na assistência e gerência, com ênfase na resolutividade, na pessoa idosa e na continuidade do cuidado na Rede de Atenção à Saúde.Descritores: Acidentes por Quedas, Estratégia Saúde da Família, Equipe de Assistência ao Paciente. Fall accidents: professional assistance in the family health strategyAbstract: Fall accidental represent the third leading cause of death in the country, promoting multiprofessional actions to promote, protect and recover health. The study aimed to know the assistance of professionals of the Family Healht Strategy in falls accidental. This is a exploratory, descripive-analytical study, transversal to the work process of 72 professionals linked to eight Family Health Teams in a municipality on the western dorder of Rio Grande do Sul. The interviews were recorded, digitized and organize in a data base in the IRAMUTEC software and analyzed by descending hierarchical classification, similarity analysis and word cloud. The results show that professionals perform care for victms the falls accidental, in a diferente way in care and managemente, with na emphasis on resolvability, the elderly and continuity of care in the Health Care Network.Descriptors: Accidental Falls, Family Health Strategy, Patient Care Team. Accidentes por caídas: asistencia profesional en la estrategia de salud familiarResumen: Los accidentes por caídas representan la tercera causa de muerte en el país, fomentando acciones multiprofesionales para promover, proteger y recuperar la salud. El estúdio tuvo como objetivo conocer la assistencia de profesionales de la Estrategia de Salud Familiar en accidentes por caídas. Este es um estúdio exploratório, descripptivo-analítico, transversal al proceso de trabajo de 72 profesionales vinculados a ocho equipos de salud familiar de um município en la frontera oeste del Rio Grande do Sul. Las entrevistas fueron grabadas, digitalizadas y organizadas en un base de datos em formato de texto. Los datos se procesaron en el software IRAMUTEC y se analizaron mediante clasificación jerárquica descendente, análisis de similitude y nuble de palavras. Los resultados muestran que los profesionales brindan atención a las víctimas de accidentes debido a caídas, de uma manera diferene en la atención y el manejo, com énfasis en la resolubilidad, los ancianos y la continuidad de la atención en la Red de Atención Médica.Descriptores: Accidentes por Caídas, Estrategia de Salud Familiar, Grupo de Atención al Paciente.

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Farragher, Janine, Tasleem Rajan, Ernest Chiu, Ozkan Ulutas, George Tomlinson, Wendy L. Cook e Sarbjit V. Jassal. "Equivalent Fall Risk in Elderly Patients on Hemodialysis and Peritoneal Dialysis". Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 36, n. 1 (gennaio 2016): 67–70. http://dx.doi.org/10.3747/pdi.2014.00163.

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♦ BackgroundAccidental falls are common in the hemodialysis (HD) population. The high fall rate has been attributed to a combination of aging, kidney disease-related morbidity, and HD treatment-related hazards. We hypothesized that patients maintained on peritoneal dialysis (PD) would have fewer falls than those on chronic HD. The objective of this study was to compare the falls risk between cohorts of elderly patients maintained on HD and PD, using prospective data from a large academic dialysis facility.♦ MethodsPatients aged 65 years or over on chronic in-hospital HD and PD at the University Health Network were recruited. Patients were followed biweekly, and falls occurring within the first year recorded. Fall risk between the 2 groups was compared using both crude and adjusted Poisson lognormal random effects modeling.♦ResultsOut of 258 potential patients, 236 were recruited, assessed at baseline, and followed biweekly for falls. Of 74 PD patients, 40 (54%) experienced 86 falls while 76 out of 162 (47%) HD patients experienced a total of 305 falls (crude fall rate 1.25 vs 1.60 respectively, odds ratio [OR] falls in PD patients 0.78, 95% confidence interval [CI] 0.61 – 0.92, p = 0.04). After adjustment for differences in comorbidity, number of medications, and other demographic differences, PD patients were no less likely to experience accidental falls than HD patients (OR 1.63, 95% CI 0.88 – 3.04, p = 0.1).♦ ConclusionsWe conclude that accidental falls are equally common in the PD population and the HD population. These data argue against post-HD hypotension as the sole contributor to the high fall risk in the dialysis population.

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Brandis, Susan J., e Amanda T. Tuite. "Falls prevention: partnering occupational therapy and general practitioners." Australian Health Review 24, n. 1 (2001): 37. http://dx.doi.org/10.1071/ah010037.

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The Falls STOP project was a partnership between general practitioners (GPs) and occupational therapists with thecommon goal to reduce accidental falls in the elderly. A home visiting service was implemented that included theorganisation of home modifications, education on falls prevention strategies and referral to other community services.The pilot demonstrated some valuable benefits to sixty-eight clients referred to the program by twenty GPs. A numberof resources were developed such as a falls risk questionnaire completed by patients while waiting to see the doctor, anda falls prevention educational booklet. A significant challenge for future preventative programs is rousing the interestof a larger group of referring doctors, and promoting the benefits of shared care arrangements with occupationaltherapists that target specific health issues such as falls in the elderly.

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Tinsley, Elizabeth. "Minor injuries and ailments. 5: Falls and accidental injury". Journal of Health Visiting 4, n. 5 (2 maggio 2016): 254–57. http://dx.doi.org/10.12968/johv.2016.4.5.254.

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Mathis, Robert D., Stephen H. Levine e Sue Phifer. "AN ANALYSIS OF ACCIDENTAL FREE FALLS FROM A HEIGHT". Journal of Trauma: Injury, Infection, and Critical Care 34, n. 1 (gennaio 1993): 123–26. http://dx.doi.org/10.1097/00005373-199301000-00023.

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Thomsen, Mikkel Jacobi, Matthew Liston, Merete Grothe Christensen, Peter Vestergaard e Rogerio Hirata. "A Combination of Web-based and In-Person Training Reduced Fall Accidents in Older Adults During the COVID-19 Pandemic". Iproceedings 8, n. 1 (24 agosto 2022): e41105. http://dx.doi.org/10.2196/41105.

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Background Fall accidents in older adults are associated with reduced quality of life, personal health issues, and earlier deaths. Previous studies have found that both physical and cognitive parameters influence the risk of falling in older adults. During the COVID-19 pandemic lockdown (2020-2021) in Denmark, web-based training was the safest option for training, although its effectiveness was uncertain. Objective The purpose of this stratified, block randomized trial was to examine the effect of two types of web-based and in-person training—salsa dance and regular fitness circuit—in two training groups in comparison with a control group. Methods A total of 78 older adults (9 male and 69 female; mean age 70.4, SD 4.4 years; mean height 165.2, SD 6.8 cm; and mean weight 65.7, SD 11.9 kg) completed the 6-months training period: dance (n=25), fitness (n=23), and control group (n=30). Accidental falls were registered during the follow-up test. Participants in the two training groups were assigned to 1-hour training sessions twice a week for 6 months. Prior to the pandemic, training was administered by a skilled instructor at an activity center in the municipality or a dance studio. Following the pandemic, dance training was administered through a web-based meeting platform, whereas fitness training was guided by a video. Adherence to the training was collected weekly. Participants in the control group were encouraged to continue their everyday life. Results Both intervention groups had fewer accidental falls during the 6 months intervention compared with the control group (control group: 9 falls; dance: 4 falls, fitness: 0 falls; chi-square: P<.05). In total, adherence to fitness training was 72.6%, and it was 86.9% for dance. However, adherence to the web-based dance training was 95% (342 dance training hours of possible 360 dance training hours). Conclusions A combination of a 6-months web-based and in-person training (for dance and fitness) reduced the number of accidental falls in older adults. Trial Registration ClinicalTrials.gov NCT03683849; https://clinicaltrials.gov/ct2/show/NCT03683849

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Dolan, Hanne, Janet Pohl, Keenan Pituch e David Coon. "PERCEIVED BALANCE IS ASSOCIATED WITH SELF-REPORTED FALLS IN COMMUNITY-DWELLING OLDER ADULTS". Innovation in Aging 7, Supplement_1 (1 dicembre 2023): 597–98. http://dx.doi.org/10.1093/geroni/igad104.1955.

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Abstract Accidental falls are a significant health threat among older adults. Approximately 30% of adults age 65 and older suffer one or more falls each year. Most accidental falls are preventable, and older adults’ engagement in fall prevention is imperative. Limited research suggest that older adults do not use the term “fall risk” to describe their risk for falls. Instead, they commonly use the term “balance problems.” The aim of this study was to examine how perceived balance problems is associated with self-reported falls in the past month after controlling for known predictors of falls among older adults. The Health Belief Model and the concept of perceived susceptibility served as the theoretical framework. A cross-sectional secondary analysis using data from a subsample of independently living participants (N = 7499) from the National Health and Aging Trends Study from year 2015 was conducted, with 10.3% of the sample reporting a fall. Multiple logistic regression analysis revealed that the odds of reporting a fall in the past month were 3.4 times (p < .001) greater for participants who reported having a balance problem compared to those who did not. In contrast, fear of falling and perceived memory problems were not uniquely associated with falls. Using a mobility device, reporting pain, poor self-rated health status, depression, and anxiety scores were also associated with falling. Older adults’ perceived balance problem is strongly associated with their fall risk. A focus on balance instead of fall risk may improve older adults’ engagement in fall prevention.

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Slade, Susan C., David L. Carey, Anne-Marie Hill e Meg E. Morris. "Effects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with meta-analysis". BMJ Open 7, n. 11 (novembre 2017): e017864. http://dx.doi.org/10.1136/bmjopen-2017-017864.

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IntroductionFalls are a major global public health problem and leading cause of accidental or unintentional injury and hospitalisation. Falls in hospital are associated with longer length of stay, readmissions and poor outcomes. Falls prevention is informed by knowledge of reversible falls risk factors and accurate risk identification. The extent to which hospital falls are prevented by evidence-based practice, patient self-management initiatives, environmental modifications and optimisation of falls prevention systems awaits confirmation. Published reviews have mainly evaluated community settings and residential care facilities. A better understanding of hospital falls and the most effective strategies to prevent them is vital to keeping people safe.ObjectivesTo evaluate the effectiveness of falls prevention interventions on reducing falls in hospitalised adults (acute and subacute wards, rehabilitation, mental health, operating theatre and emergency departments). We also summarise components of effective falls prevention interventions.Methods and analysisThis protocol has been registered. The systematic review will be informed by Cochrane guidelines and reported according to the Preferred Reporting Items for Systematic review and Meta-Analysis statement. Inclusion criteria: randomised controlled trials, quasi-randomised trials or controlled clinical trials that evaluate falls prevention interventions for use by hospitalised adults or employees. Electronic databases will be searched using key terms including falls, accidental falls, prevention, hospital, rehabilitation, emergency, mental health, acute and subacute. Pairs of independent reviewers will conduct all review steps. Included studies will be evaluated for risk of bias. Data for variables such as age, participant characteristics, settings and interventions will be extracted and analysed with descriptive statistics and meta-analysis where possible. The results will be presented textually, with flow charts, summary tables, statistical analysis (and meta-analysis where possible) and narrative summaries.Ethics and disseminationEthical approval is not required. The systematic review will be published in a peer-reviewed journal and disseminated electronically, in print and at conferences. Updates will guide healthcare translation into practice.Trail registration numberPROSPERO 2017: CRD 42017058887. Available fromhttps://www.crd.york.ac.uk/prospero

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Kingma, Johannes, e Henk-Jan Ten Duis. "Injuries Due to School Sports Accidents in 4 to 13-Yr.-Old Children". Perceptual and Motor Skills 90, n. 1 (febbraio 2000): 319–25. http://dx.doi.org/10.2466/pms.2000.90.1.319.

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505 kindergarten and primary school children from 4 to 13 years of age were treated for school sports injuries during the period 1990–1997. The incidence of injuries increased statistically significantly from .5 per 1,000 children 4- to 5-yr.-old to 4.8 injured children per 1,000 in 12- to 13-yr.-old. 59% of the injuries involved upper extremities; 35% of these were in the wrist region. 33.5% of the injuries were of the lower extremities, with 50% being of the feet and 36.4% of the ankle. Accidental falls were the main situation (53%) in which school sport accidents occurred. Nearly 65% of these accidental falls occurred at the ground level; the remaining accidents (35%) occurred when the child was working on an apparatus, e.g., parallel bars, balancing beam, side horse. The 4- to 5-yr.-old children were the most vulnerable to accidental fall (67%). A statistically significant increase in injuries in ball sports was observed from 4- to 5-yr.-olds (0%) to the 12- to 13-yr.-olds (28%).

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Crump, Casey, Kristina Sundquist, Marilyn A. Winkleby e Jan Sundquist. "Mental disorders and risk of accidental death". British Journal of Psychiatry 203, n. 4 (ottobre 2013): 297–302. http://dx.doi.org/10.1192/bjp.bp.112.123992.

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BackgroundLittle is known about accidental death risks among psychiatric patients.AimsTo examine this issue in the most comprehensive study to date.MethodNational cohort study of all Swedish adults (n = 6 908 922) in 2001–2008.ResultsThere were 22 419 (0.3%) accidental deaths in the total population, including 5933 (0.9%) accidental deaths v. 3731 (0.6%) suicides among psychiatric patients (n = 649 051). Of persons who died from accidents, 26.0% had any psychiatric diagnosis v. 9.4% in the general population. Accidental death risk was four- to sevenfold among personality disorders, six- to sevenfold among dementia, and two- to fourfold among schizophrenia, bipolar disorder, depression or anxiety disorders, and was not fully explained by comorbid substance use. Strong associations were found irrespective of sociodemographic characteristics, and for different types of accidental death (especially poisoning or falls).ConclusionsAll mental disorders were strong independent risk factors for accidental death, which was substantially more common than suicide.

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Stubbs, Brendon. "Do nurses and their assistants hold the key to reducing falls in institutionalized older adults?" International Psychogeriatrics 23, n. 7 (13 dicembre 2010): 1189–90. http://dx.doi.org/10.1017/s104161021000236x.

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In general medicine, falls among older adults and the consequences of such falls have been the focus of a plethora of empirical and scholarly research efforts. This is for good reason since falls are the leading cause of accidental death in older adults and are a major cause of morbidity and mortality (Currie, 2006). It is estimated that between a third and a half of adults aged over 65 years fall each year (Lim et al., 2001). The cost to healthcare systems is significant; for example, in the U.S.A. non-fatal falls cost between $16 billion and $19 billion per annum (Stevens et al., 2006). Despite advances in general medicine, there is a relative dearth of empirical data on the incidence of falls in older adults.

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Skog, Ole-Jørgen. "Alcohol consumption and mortality rates from traffic accidents, accidental falls, and other accidents in 14 European countries". Addiction 96, n. 1 (15 febbraio 2001): 49–58. http://dx.doi.org/10.1080/09652140020021170.

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Skog, Ole-Jørgen. "Alcohol consumption and mortality rates from traffic accidents, accidental falls, and other accidents in 14 European countries". Addiction 96, n. 1s1 (febbraio 2001): 49–58. http://dx.doi.org/10.1046/j.1360-0443.96.1s1.4.x.

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Cho, Ok-Hee, e Jeongeun Yoon. "Epidemiology of Accidental Injuries at Home and Related Risk Factors for Mortality among Older Adults in South Korea: A Retrospective Cohort Study". Medicina 60, n. 4 (3 aprile 2024): 593. http://dx.doi.org/10.3390/medicina60040593.

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Background and Objectives: Accidental home injuries among older adults are increasing globally, but reporting is limited. This study aims to establish foundational data for program development and policies to prevent accidental injuries at home in older adults by using data on the occurrence of accidental injuries at home and analyzing the risk factors of mortality due to accidental injuries among adults aged 65 years and older. Materials and Methods: This retrospective study used data from the community-based Severe Trauma Survey in South Korea. This study identified general, injury-related, and treatment-related characteristics of older adults who were transported to the emergency department with accidental injuries at home. Single-variable and multiple logistic regression analyses were used to identify risk factors for mortality after injury. Results: The majority of older adults in this study who experienced accidental injuries at home were aged 75 to 84 (42.8%) and female (52.8%), with 1465 injured from falls and slips (68.0%). Risk factors for mortality included older age (≥85 years) (ORs 2.25, 95% CI 1.47–3.45), male sex (ORs 1.60, 95% CI 1.15–2.20), mechanism of injury (falls or slips vs. contact injury, ORs 6.76, 95% CI 3.39–13.47; airway obstruction vs. contact injury, ORs 13.96, 95% CI 6.35–30.71), higher severity (moderate vs. mild, ORs 2.56, 95% CI 1.45–4.54; severe vs. mild, ORs 12.24, 95% CI 6.48–23.12; very severe vs. mild, ORs 67.95, 95% CI 38.86–118.81), and receiving a blood transfusion (ORs 2.14, 95% CI 1.24–3.67). Conclusions: Based on these findings, the home and community environments where older adults live should be inspected and monitored, and in-home accidental injury prevention strategies should be developed tailored to the characteristics of older adults’ risk factors and their injury-related characteristics.

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Shapiro, Evelyn. "Hospital Use by Elderly Manitobans Resulting From An Injury". Canadian Journal on Aging / La Revue canadienne du vieillissement 7, n. 2 (1988): 125–33. http://dx.doi.org/10.1017/s0714980800007364.

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ABSTRACTThe results of examining all hospitalizations of the elderly consequent to injury in one Canadian province indicate that 66.3% were for accidental falls and 21.3% were for “other accidents” and for adverse effects of therapeutic regimens. Nursing home residents were significantly more likely to be hospitalized for falls than community dwellers but very elderly institutionalized females, who comprise 40% of the nursing home population, used significantly fewer days than their community peers.

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Coats, Brittany, e Susan S. Margulies. "Potential for head injuries in infants from low-height falls". Journal of Neurosurgery: Pediatrics 2, n. 5 (novembre 2008): 321–30. http://dx.doi.org/10.3171/ped.2008.2.11.321.

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Object Falls are the most common accident scenario in young children as well as the most common history provided in child abuse cases. Understanding the biomechanics of falls provides clinicians with objective data to aid in their diagnosis of accidental or inflicted trauma. The objective of this study was to determine impact forces and angular accelerations associated with low-height falls in infants. Methods An instrumented anthropomorphic infant surrogate was created to measure the forces and 3D angular accelerations associated with falls from low heights (0.3–0.9 m) onto a mattress, carpet pad, or concrete. Results Although height significantly increased peak angular acceleration (αp), change in peak-to-peak angular velocity, time duration associated with the change in velocity, and peak impact force (Fp) for head-first drops onto a carpet pad or concrete, none of these variables were significantly affected by height when dropped onto a mattress. The αp was not significantly different for drops onto a carpet pad and concrete from 0.6 or 0.9 m due to compression of the carpet pad. Surprisingly, sagittal αp was equaled or surpassed by axial αp. Conclusions These are the first 3D angular acceleration and impact force data available for head impact in infants from low-height falls. A future study involving a computational model of the infant head will use the loads measured in this study to predict the probability of occipital skull fracture on impact from head-first low-height falls. Together, these studies will provide data that will aid clinicians in the evaluation of accidental and inflicted head injuries, and will contribute to the design of safer environments for children.

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Casati, Alberto, Stefano Granieri, Stefania Cimbanassi, Elisa Reitano e Osvaldo Chiara. "Falls from Height. Analysis of Predictors of Death in a Single-Center Retrospective Study". Journal of Clinical Medicine 9, n. 10 (30 settembre 2020): 3175. http://dx.doi.org/10.3390/jcm9103175.

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Falls from height (FFH) represent a distinct form of blunt trauma in urban areas. This study aimed to identify independent predictors of in-hospital mortality after accidental or intentional falls in different age groups. We conducted a retrospective study of all patients consecutively admitted after a fall in eight years, recording mechanism, intentionality, height of fall, age, site, classification of injuries, and outcome. We built multivariate regression models to identify independent predictors of mortality. A total of 948 patients with 82 deaths were observed. Among the accidental falls, mortality was 5.2%, whereas intentional jumpers showed a mortality of 20.4%. The death rate was higher for increasing heights, age >65, suicidal attempts, and injuries with AIS ≥3 (Abbreviated Injury Scale). Older patients reported a higher in-hospital mortality rate. Multivariate analysis identified height of fall, dynamic and severe head and chest injuries as independent predictors of mortality in the young adults’ group (18–65 years). For patients aged more than 65 years, the only risk factor independently related to death was severe head injuries. Our data demonstrate that in people older than 65, the height of fall may not represent a predictor of death.

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Hegeman, Judith, Bart J. F. van den Bemt, Jacques Duysens e Jacques van Limbeek. "NSAIDs and the Risk of Accidental Falls in the Elderly". Drug Safety 32, n. 6 (maggio 2009): 489–98. http://dx.doi.org/10.2165/00002018-200932060-00005.

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Mallmann, Danielli Gavião, Darleni Rosa Tambara, Karina Silveira de Almeida Hammerschmidt e Beatriz Franchini. "Causalidade das quedas em idosos". Revista de Enfermagem UFPE on line 3, n. 4 (20 settembre 2009): 1177. http://dx.doi.org/10.5205/reuol.581-3802-1-rv.0304200950.

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Objective: to identify the predisposing factors in the literature falls in the elderly. Methods: this was about a review in databases Scientific Electronic Library Online (SciELO) and Google Scholar (Google Scholar) and the library collection of UNIPAMPA, using the descriptors: falls and falls in the elderly. Inclusion criteria were: 1) Publication of the period 2000-2009, 2) publication which deals expressly falls in the elderly, and the exclusion criteria: 1) Publications International, 2) Subjects of falls in older people focused on specificity. Results: we found 16 articles on the subject proposed the review, which were used for preparing the same, and two books on the subject. The inadequate environment presents itself as one of the most significant factors in the occurrence of falls, in addition to changes resulting from age and use of medications. Conclusion: falls interfere with the quality of life to undermine the day-day limit of the elderly when the outputs of some activities of daily living. There are prevention methods that can be used to avoid the drop, as the organization's environment. Descriptors: accidental falls; aged; causality.

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Uthayakumar R., Rama V e Sabitha Devi C. "Epidemiologies of Fatal Ground Level Falls in Autopsies Conducted in A Tertiary Care Hospital: A cross sectional Study". Indian Journal of Forensic Medicine & Toxicology 18, n. 1 (18 gennaio 2024): 147–51. http://dx.doi.org/10.37506/kty65s31.

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Background: Falls are the second leading cause of unintentional injury deaths worldwide. Falls not only causes Mortality, but also Morbidity resulting in disabilities and loss of productivity. Death due to falls not only occurs in victims falling from a height but also in Ground level falls.Aim: To study the age and sex distribution, place, surface, time, and outcome of fatal accidental Ground LevelFalls.Methods: The present study was carried out as a descriptive study in which medico legal autopsies of 115 victims of ground level fall victims were included. Lettule’s method of en masse removal of viscera and dissection of organs was used for conducting medico legal autopsy. The Collected data was entered in MS excel and analysed.Conclusion: The current study revealed that most victims of ground level falls were more than 50 years of age and indoor falls were more common than outdoor falls.62% of the victims had suffered head injury. Effective fall prevention programmes should be framed to reduce the number of people who fall.

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O'Reilly, James T. "The elder, the fall, and the U.S. government: reducing injury and death from accidental falls." International Journal for Consumer and Product Safety 2, n. 3 (settembre 1995): 133–42. http://dx.doi.org/10.1080/09298349508945753.

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Milutinovic, Dragana, Mirjana Martinov-Cvejin e Svetlana Simic. "Patients' falls and injuries during hospitalization as quality indicators of work in hospitals". Medical review 62, n. 5-6 (2009): 249–57. http://dx.doi.org/10.2298/mpns0906249m.

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The number of patients' falls and injuries happening during their hospital treatment is a good quality indicator of safety of in-patients. A fall is of multifactorial etiology, and its causes are usually classified into intrinsic and extrinsic factors. According to Jenise Morse there are three categories of falls among inpatients: accidental, non-anticipated physiologic and anticipated physiologic fall. Fall induced injuries in clinical and hospital settings are mostly categorized into five groups: no injury, minor injury, moderate injury, severe injury and lethal injury. The number of in-patient falls can be reduced by implementing a prevention programme in order to improve the quality of the specific health care and health care in general. The key preventive strategies aimed at safe and efficient health care include: a regular assessment of the risk for falls using predictive scales, visual identification of patients at high risk for falls, communication with patients and education of patients, their family members and staff about fall prevention interventions.

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Oliver, David. "Preventing falls and falls-injuries in hospitals and long-term care facilities". Reviews in Clinical Gerontology 17, n. 2 (maggio 2007): 75–91. http://dx.doi.org/10.1017/s0959259808002451.

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Falls are predominantly a problem of older people. In the UK, people over 65 currently account for around 60% of admissions and 70% of bed days in hospitals. There are approximately half a million older people in long-term care settings – many with frailty and multiple long-term conditions. The proportion of the population over 65 years is predicted to rise 25% by 2025, and that over 80 by 50%, with a similar increase in those with dependence for two or more activities of daily living. Despite policies to drive care to the community, it is likely that the proportion of older people in hospitals and care homes will therefore increase. Accidental falls are the commonest reported patient/resident safety incidents. Similar demographic trends can be seen in all developed nations, so that the growing problem of fall prevention in institutions is a global challenge. There has been far more focus in falls-prevention research on older people in ‘community’ settings, but falls are a pressing issue for hospitals and care homes, and a threat to the safety of patients and residents, even if a relatively small percentage of the population is in those settings at any one time.

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Mathi Priyanka, K. Paul, e K. Kumar. "A Review on Recent Developments on Detection of Fall". Journal of Trends in Computer Science and Smart Technology 5, n. 2 (giugno 2023): 119–35. http://dx.doi.org/10.36548/jtcsst.2023.2.002.

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Remote patient monitoring has always been a difficult problem in the medical field. Fall detection during monitoring is essential because falls are unexpected behaviors that can seriously affect a person's health, particularly those who are older. Accidental falls have moved to the top of the lists of general health issues in the past few decades. A fall detection system, with the emerging development of the technology, aims to decrease the number of deaths, injuries and the economic burden on the healthcare system. This study presents an in-depth analysis of the latest published research on vision-based detection of falls. It also covers the merits, demerits, and challenges of the previous works of vision-based fall detection, and the future scope of the research is also summarized.

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Perego, Francesca, Beatrice De Maria, Laura Bagnara, Valeria De Grazia, Mauro Monelli, Matteo Cesari e Laura Adelaide Dalla Vecchia. "The Dilemma of Falls in Older Persons: Never Forget to Investigate the Syncope". Medicina 57, n. 6 (15 giugno 2021): 623. http://dx.doi.org/10.3390/medicina57060623.

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Background and objectives: Falls represent a major cause of morbidity, hospitalizations, and mortality in older persons. The identification of risk conditions for falling is crucial. This study investigated the presence of syncope as a possible cause of falls in older persons admitted to a Sub-Acute Care Unit (SACU) with a diagnosis of accidental fall after initial management in an emergency department and acute hospitalization. Materials and methods: A retrospective monocentric study of patients aged ≥65 years, consecutively admitted to a SACU with a diagnosis of fall-related trauma. All patients underwent a complete assessment of the index event and clinical status. Patients were categorized into three groups according to the identified cause of falls: (1) transient loss of consciousness (T-LOC), (2) unexplained fall (UF), and (3) definite accidental fall (AF). Results: A total of 100 patients were evaluated. T-LOC was present in 36 patients, UF in 37, and AF in 27. Of the 36 patients with T-LOC, a probable origin was identified in most cases (n = 33, 91%), 19 subjects (53%) had orthostatic hypotension, 9 (25%) a cardiac relevant disturbance, 2 (6%) a reproduced vaso-vagal syncope, 2 (6%) severe anemia, and 1 (3%) severe hypothyroidism. The T-LOC group was older and more clinically complex than the other groups. Conclusion: In older patients who recently experienced a fall event, the prevalence of syncope is relevant. In frail and clinically complex patients with falls, the identification of the underlying cause is pivotal and can be achieved through prolonged monitoring and a comprehensive assessment of the person.

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