Epidemiology of falls and osteoporotic fractures: a systematic review
TLDR
Fall rates are higher in women than in men in Western community-dwelling populations and lower in East Asian populations.Abstract:
Background and methods
Fractures in elderly populations result from the combination of falls and osteoporosis. We report a systematic review of studies indexed in PubMed reporting annual rates of low-trauma falls and associated osteoporotic fractures among older community-dwelling people (age ≥ 50 years). An osteoporotic fracture was defined as either a fracture resulting from a low-impact fall in subjects with clinical osteoporosis, a fall resulting in an investigator-defined osteoporotic fracture, or a fall resulting in a low-trauma fracture. Rates are presented using descriptive statistics. Meta-analysis was conducted for statistically homogeneous data sets.read more
Citations
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Medical Costs of Fatal and Nonfatal Falls in Older Adults.
Curtis S. Florence,Gwen Bergen,Adam Atherly,Elizabeth R. Burns,Judy A. Stevens,Cynthia Drake +5 more
TL;DR: To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time, a database of hospital admissions and accident and emergency department visits is constructed.
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The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults
TL;DR: Exercise programmes designed to prevent falls in older adults seem also to prevent injuries caused by falls, including the most severe injuries.
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Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta-analysis
Suey S.Y. Yeung,Suey S.Y. Yeung,Esmee M. Reijnierse,Vivien K Pham,M.C. Trappenburg,Wen Kwang Lim,Carel G. M. Meskers,Andrea B. Maier,Andrea B. Maier +8 more
TL;DR: The positive association between sarcopenia with falls and fractures in older adults strengthens the need to invest in sarc Openia prevention and interventions to evaluate its effect on falls and fracture.
Journal ArticleDOI
Comparisons of Interventions for Preventing Falls in Older Adults: A Systematic Review and Meta-analysis.
Andrea C. Tricco,Andrea C. Tricco,Sonia M. Thomas,Areti Angeliki Veroniki,Jemila S. Hamid,Elise Cogo,Lisa Strifler,Lisa Strifler,Paul A. Khan,Reid Robson,Kathryn M. Sibley,Kathryn M. Sibley,Heather MacDonald,John J. Riva,Kednapa Thavorn,Kednapa Thavorn,Charlotte Wilson,Jayna Holroyd-Leduc,Gillian D. Kerr,Fabio Feldman,Sumit R. Majumdar,Susan B. Jaglal,Wing Hui,Sharon E. Straus,Sharon E. Straus +24 more
TL;DR: Exercise alone and various combinations of interventions were associated with lower risk of injurious falls compared with usual care, and choice of fall-prevention intervention may depend on patient and caregiver values and preferences.
A comparison of hipfracture incidence among native Japanese, Japanese Amemricans, and American caucasians
TL;DR: Although diet and other cultural attributes of the Oahu group have become more westernized than the Okinawan population, there were no detectable differences in hip fracture rates between Oahu and Okinawa Japanese.
References
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Risk factors for falls among elderly persons living in the community.
TL;DR: 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.
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Risk factors for recurrent nonsyncopal falls. A prospective study.
TL;DR: Risk factors for having a single fall were few and relatively weak, but multiple falls were more predictable, and 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, and a fall with injury during the previous year were found.
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The costs of fatal and non-fatal falls among older adults
TL;DR: Fall related injuries among older adults, especially among older women, are associated with substantial economic costs, and implementing effective intervention strategies could appreciably decrease the incidence and healthcare costs of these injuries.
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Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home
TL;DR: Among older people living in the community falls are a strong predictor of placement in a skilled-nursing facility; interventions that prevent falls and their sequelae may therefore delay or reduce the frequency of nursing home admissions.
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Medical Expenditures for the Treatment of Osteoporotic Fractures in the United States in 1995: Report from the National Osteoporosis Foundation
TL;DR: Although the majority of U.S. health care expenditures for the treatment of osteoporotic fractures were for white women, one‐fourth of the total was borne by other population subgroups.