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      Clinical Interventions in Aging (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on prevention and treatment of diseases in people over 65 years of age. Sign up for email alerts here.

      36,334 Monthly downloads/views I 3.829 Impact Factor I 7.4 CiteScore I 1.83 Source Normalized Impact per Paper (SNIP) I 1.044 Scimago Journal & Country Rank (SJR)

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      Falls in the community-dwelling older adult: A review for primary-care providers

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          Abstract

          Falls in the elderly are an important independent marker of frailty. Up to half of elderly people over 65 experience a fall every year. They are associated with high morbidity and mortality and are responsible for greater than 20 billion dollars a year in healthcare costs in the United States. This article presents a review and guide for the primary care provider of the predisposing and situational risk factors for falls; comprehensive assessment for screening and tailored intervention; and discussion of single and multicomponent measures for fall prevention and management in the older person living in the community. Interventions for the cognitively impaired and demented elderly will also be addressed.

          Most cited references67

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          The timed "Up & Go": a test of basic functional mobility for frail elderly persons.

          D Podsiadlo, S. Richardson (1991)
          This study evaluated a modified, timed version of the "Get-Up and Go" Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital (mean age 79.5 years). The patient is observed and timed while he rises from an arm chair, walks 3 meters, turns, walks back, and sits down again. The results indicate that the time score is (1) reliable (inter-rater and intra-rater); (2) correlates well with log-transformed scores on the Berg Balance Scale (r = -0.81), gait speed (r = -0.61) and Barthel Index of ADL (r = -0.78); and (3) appears to predict the patient's ability to go outside alone safely. These data suggest that the timed "Up & Go" test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time. The test is quick, requires no special equipment or training, and is easily included as part of the routine medical examination.
          Article 0 comments Cited 573 times – based on 0 reviews     Review now
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            Guideline for the Prevention of Falls in Older Persons

            American Geriatrics Society, Geriatrics Society, American Academy Of … (2001)
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              Risk factors for recurrent nonsyncopal falls. A prospective study.

              M Nevitt, S. Cummings, S. Kidd … (1989)
              Falls are a major threat to the health of older persons. We evaluated potential risk factors for falls in 325 community-dwelling persons aged 60 years or older who had fallen during the previous year, then followed up weekly for 1 year to ascertain nonsyncopal falls and their consequences. Risk factors for having a single fall were few and relatively weak, but multiple falls were more predictable. In multivariate analyses, we found increased odds of two or more falls for persons who had difficulty standing up from a chair, difficulty performing a tandem walk, arthritis, Parkinson's disease, three or more falls during the previous year, and a fall with injury during the previous year, and for whites. The proportion of subjects with two or more falls per year increased from 0.10 for those with none or one of these risk factors to 0.69 for those with four or more risk factors. Among older persons with a history of a recent fall, the risk of multiple nonsyncopal falls can be predicted from a few simple questions and examinations.
              Article 0 comments Cited 185 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Interv Aging
                Journal ID (publisher-id): Clinical Interventions in Aging
                Title: Clinical Interventions in Aging
                Publisher: Dove Medical Press
                ISSN (Print): 1176-9092
                ISSN (Electronic): 1178-1998
                Publication date (Print): December 2007
                Publication date (Electronic): December 2007
                Volume: 2
                Issue: 4
                Pages: 545-553
                Affiliations
                [1 ]The Samuel Bronfman Department of Medicine, Mount Sinai School of Medicine, New York, New York, USA;
                [2 ]Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York, USA
                Author notes
                Correspondence: Theresa A Soriano, Box 1216, One Gustave Levy Place, New York, NY 10029, USA, Tel +1 212 241 4141, Fax +1 212 426 5108, Email theresa.soriano@ 123456mountsinai.org
                Article
                Publisher ID: cia-2-545
                DOI: 10.2147/CIA.S1080
                PMC ID: 2686332
                PubMed ID: 18225454
                SO-VID: 3f2f4e3c-2f41-4f5c-83ba-49f73d890e2c
                Copyright © © 2007 Dove Medical Press Limited. All rights reserved
                History
                Categories
                Subject: Review

                ScienceOpen disciplines: Health & Social care
                Keywords: falls,community-dwelling,review,elderly
                Data availability:
                ScienceOpen disciplines: Health & Social care
                Keywords: falls, community-dwelling, review, elderly

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