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Cited by 6,509

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Risk Factors for Falls among Elderly Persons Living in the Community

Tinetti, Mary E., Speechley, Mark, Ginter, Sandra F.·1988·New England Journal of Medicine
DOI 10.1056/nejm198812293192604
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Abstract

To study risk factors for falling, we conducted a one-year prospective investigation, using a sample of 336 persons at least 75 years of age who were living in the community. All subjects underwent detailed clinical evaluation, including standardized measures of mental status, strength, reflexes, balance, and gait; in addition, we inspected their homes for environmental hazards. Falls and their circumstances were identified during bimonthly telephone calls. During one year of follow-up, 108 subjects (32 percent) fell at least once; 24 percent of those who fell had serious injuries and 6 percent had fractures. Predisposing factors for falls were identified in linear-logistic models. The adjusted odds ratio for sedative use was 28.3; for cognitive impairment, 5.0; for disability of the lower extremities, 3.8; for palmomental reflex, 3.0; for abnormalities of balance and gait, 1.9; and for foot problems, 1.8; the lower bounds of the 95 percent confidence intervals were 1 or more for all variables. The risk of falling increased linearly with the number of risk factors, from 8 percent with none to 78 percent with four or more risk factors (P less than 0.0001). About 10 percent of the falls occurred during acute illness, 5 percent during hazardous activity, and 44 percent in the presence of environmental hazards. We conclude 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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Metadata

Authors
Tinetti, M. E., Speechley, M., & Ginter, S. F.
Venue
New England Journal of Medicine
Publisher
Massachusetts Medical Society
Published
1988-12-29
Volume
319
Issue
26
Pages
1701-1707
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
DOI
10.1056/nejm198812293192604
OpenAlex
W2121647405
Cited by
6,509
References
1
FWCI
156.03
Type
journal article
Language
en
Open access
closed

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