The DOI matches its Crossref record; 67 of the 67 references it cites were found in a registry or an index.
The Patient Who Falls: “It's Always a Trade-off”
Open accessAbstract
Falls are common health events that cause discomfort and disability for older adults and stress for caregivers. Using the case of an older man who has experienced multiple falls and a hip fracture, this article, which focuses on community-living older adults, addresses the consequences and etiology of falls; summarizes the evidence on predisposing factors and effective interventions; and discusses how to translate this evidence into patient care. Previous falls; strength, gait, and balance impairments; and medications are the strongest risk factors for falling. Effective single interventions include exercise and physical therapy, cataract surgery, and medication reduction. Evidence suggests that the most effective strategy for reducing the rate of falling in community-living older adults may be intervening on multiple risk factors. Vitamin D has the strongest clinical trial evidence of benefit for preventing fractures among older men at risk. Issues involved in incorporating these evidence-based fall prevention interventions into outpatient practice are discussed, as are the trade-offs inherent in managing older patients at risk of falling. While challenges and barriers exist, fall prevention strategies can be incorporated into clinical practice.
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Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540
Risk Factors for Falls among Elderly Persons Living in the Community
Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988) · New England Journal of Medicine · doi:10.1056/nejm198812293192604 · Cited by 6,509
Self-citationThe Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2003) · Medical Care · doi:10.1097/01.mlr.0000093487.78664.3c · Cited by 6,359
Clinician’s Guide to Prevention and Treatment of Osteoporosis
Cosman, F., de Beur, S. J., LeBoff, M. S., Lewiecki, E. M., Tanner, B., Randall, S., & Lindsay, R. (2014) · Osteoporosis International · doi:10.1007/s00198-014-2794-2 · Cited by 4,149
Interventions for preventing falls in older people living in the community
Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L., & Lamb, S. E. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007146.pub3 · Cited by 3,966
Performance‐Oriented Assessment of Mobility Problems in Elderly Patients
Tinetti, M. E. (1986) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1986.tb05480.x · Cited by 3,352
Self-citationKatz, S. (1963) · JAMA · doi:10.1001/jama.1963.03060120024016 · Cited by 2,421
The CAGE Questionnaire: Validation of a New Alcoholism Screening Instrument
MAYFIELD, D., MCLEOD, G., & HALL, P. (1974) · American Journal of Psychiatry · doi:10.1176/ajp.131.10.1121 · Cited by 2,249
Guideline for the Prevention of Falls in Older Persons
Society, A. G., Society, G., Of, A. A., & On Falls Prevention, O. S. P. (2001) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2001.49115.x · Cited by 2,242
Cited by
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., Deruyter, F., Eng, J. J., Fisher, B., Harvey, R. L., et al. (2016) · Stroke · doi:10.1161/str.0000000000000098 · Cited by 3,293
Risk factors for falls among older adults: A review of the literature
Ambrose, A. F., Paul, G., & Hausdorff, J. M. (2013) · Maturitas · doi:10.1016/j.maturitas.2013.02.009 · Cited by 1,888
Hospitalization-Associated Disability: “She Was Probably Able to Ambulate, but I’m Not Sure”
Covinsky, K. E., Pierluissi, E., & Johnston, C. B. (2011) · JAMA · doi:10.1001/jama.2011.1556 · Cited by 934
Adverse drug reactions in special populations – the elderly
Davies, E. A., & O'Mahony, M. S. (2015) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.12596 · Cited by 604
Assessment and Management of Fall Risk in Primary Care Settings
Phelan, E. A., Mahoney, J. E., Voit, J. C., & Stevens, J. A. (2015) · Medical Clinics of North America · doi:10.1016/j.mcna.2014.11.004 · Cited by 317
Metadata
- Authors
- Tinetti, M. E., & Kumar, C.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2010-01-20
- Volume
- 303
- Issue
- 3
- Pages
- 258
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2124822907
- Cited by
- 982
- References
- 67
- FWCI
- 149.42
- Type
- journal article
- Language
- en
- Open access
- bronze
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
