Risk indicators for falls in institutionalized frail elderly.

Abstract:

:The aim of this study was to identify individual predisposing risk indicators for falls in a sample of institutionalized frail elderly in southern Germany. The design was a prospective observational study with a 1-year follow-up (October 1998-September 1999). The study population included 472 long-term-care residents whose mean age was 84 years; 77% were female. Risk indicators for accidental falls were analyzed by using logistic regression. Residents were found to have an incidence density rate of falls of 2,558 per 1,000 resident-years. Multiple logistic regression analysis revealed short-term memory loss, transfer assistance, urinary incontinence, positive fall history, and use of trunk restraints as predictors of falls. In a further logistic regression analysis, depressive symptoms, transfer assistance, urinary incontinence, and positive fall history were associated with frequent falls. Using these risk indicators as a screening procedure to identify fallers would be easy to administer and could be accomplished by nursing staff. Study results encourage specifically addressing urinary incontinence, cognitive impairment, use of restraints, depression, and transfer difficulties as modifiable predisposing risk factors for falls. Fall history represents an important nonmodifiable marker to identify residents at high risk.

journal_name

Am J Epidemiol

authors

Kron M,Loy S,Sturm E,Nikolaus T,Becker C

doi

10.1093/aje/kwg203

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

645-53

issue

7

eissn

0002-9262

issn

1476-6256

journal_volume

158

pub_type

杂志文章
  • Parkinson's disease and residential exposure to maneb and paraquat from agricultural applications in the central valley of California.

    abstract::Evidence from animal and cell models suggests that pesticides cause a neurodegenerative process leading to Parkinson's disease (PD). Human data are insufficient to support this claim for any specific pesticide, largely because of challenges in exposure assessment. The authors developed and validated an exposure assess...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwp006

    authors: Costello S,Cockburn M,Bronstein J,Zhang X,Ritz B

    更新日期:2009-04-15 00:00:00

  • Predicting risk of type 2 diabetes mellitus with genetic risk models on the basis of established genome-wide association markers: a systematic review.

    abstract::This study aimed to evaluate the predictive performance of genetic risk models based on risk loci identified and/or confirmed in genome-wide association studies for type 2 diabetes mellitus. A systematic literature search was conducted in the PubMed/MEDLINE and EMBASE databases through April 13, 2012, and published da...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章,评审

    doi:10.1093/aje/kwt123

    authors: Bao W,Hu FB,Rong S,Rong Y,Bowers K,Schisterman EF,Liu L,Zhang C

    更新日期:2013-10-15 00:00:00

  • Age-specific differences in influenza A epidemic curves: do children drive the spread of influenza epidemics?

    abstract::There is accumulating evidence suggesting that children may drive the spread of influenza epidemics. The objective of this study was to quantify the lead time by age using laboratory-confirmed cases of influenza A for the 1995/1996-2005/2006 seasons from Canadian communities and laboratory-confirmed hospital admission...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwr037

    authors: Schanzer D,Vachon J,Pelletier L

    更新日期:2011-07-01 00:00:00

  • The relation between visceral fat measurement and torso level--is one level better than another? The Atherosclerosis Risk in Communities Study, 1990-1992.

    abstract::Intraabdominal fat (IAF) area is often measured indirectly in epidemiologic studies. The authors recruited 147 participants from the second examination (1990-1992) of the Atherosclerosis Risk in Communities Study to examine IAF area and determine whether there were differences in IAF area and distribution by location....

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwj049

    authors: Warren M,Schreiner PJ,Terry JG

    更新日期:2006-02-15 00:00:00

  • Associations of the local food environment with diet quality--a comparison of assessments based on surveys and geographic information systems: the multi-ethnic study of atherosclerosis.

    abstract::There is growing interest in understanding how food environments affect diet, but characterizing the food environment is challenging. The authors investigated the relation between global diet measures (an empirically derived "fats and processed meats" (FPM) dietary pattern and the Alternate Healthy Eating Index (AHEI)...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwm394

    authors: Moore LV,Diez Roux AV,Nettleton JA,Jacobs DR Jr

    更新日期:2008-04-15 00:00:00

  • Longitudinal association of C-reactive protein and lung function over 13 years: The EPIC-Norfolk study.

    abstract::Chronic obstructive pulmonary disease is known to be associated with systemic inflammation. We examined the longitudinal association of C-reactive protein (CRP) and lung function in a cohort of 18,110 men and women from the European Prospective Investigation Into Cancer in Norfolk who were 40-79 years of age at baseli...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwt208

    authors: Ahmadi-Abhari S,Kaptoge S,Luben RN,Wareham NJ,Khaw KT

    更新日期:2014-01-01 00:00:00

  • Using Web-Based Questionnaires to Assess Medication Use During Pregnancy: A Validation Study in 2 Prospectively Enrolled Cohorts.

    abstract::Medication use is often underreported in paper-based questionnaires or interviews. Web-based questionnaires may improve recall of medication use, but data on their validity are currently lacking. Participants in the Pregnancy and Infant Development (PRIDE) Study (2014-2016; n = 557) and the Pregnancy Drug Registry (pR...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwx239

    authors: van Gelder MMHJ,Vorstenbosch S,Te Winkel B,van Puijenbroek EP,Roeleveld N

    更新日期:2018-02-01 00:00:00

  • Racial and Ethnic Differences in Socioeconomic Position and Risk of Childhood Acute Lymphoblastic Leukemia.

    abstract::Racial and ethnic differences in associations between socioeconomic position (SEP) and risk of childhood acute lymphoblastic leukemia (ALL) were investigated using data from population-based cancer registries in the Surveillance, Epidemiology, and End Results Program in the United States. The study included 8,383 ALL ...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kww164

    authors: Wang L,Gomez SL,Yasui Y

    更新日期:2017-06-15 00:00:00

  • Neighborhood contextual influences on depressive symptoms in the elderly.

    abstract::To understand whether neighborhood contexts contribute to the onset or maintenance of mental health problems independently of individual characteristics requires the use of multilevel study designs and analytical strategies. This study used a multilevel analytical framework to examine the relation between neighborhood...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwi185

    authors: Kubzansky LD,Subramanian SV,Kawachi I,Fay ME,Soobader MJ,Berkman LF

    更新日期:2005-08-01 00:00:00

  • Diet and cancer mortality in the counties of Sweden.

    abstract::The association between standardized cancer mortality rate ratios from 1969-1978 and dietary practices was examined in an ecologic study of the 24 counties of Sweden by means of several independent data sources. The study supports the hypothesis that a high intake of cereal fiber protects against colorectal cancer (r ...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章,评审

    doi:10.1093/oxfordjournals.aje.a114789

    authors: Rosén M,Nyström L,Wall S

    更新日期:1988-01-01 00:00:00

  • The time interval between death and next-of-kin contact and its effects on response rates and data quality.

    abstract::The relation of the interval of time between death and next-of-kin contact to outcome variables including response rates and data quality was examined in a nationally representative sample of 17,713 deaths of persons 25 years of age or older that occurred in the United States in 1986. For most of the outcome variables...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.aje.a116051

    authors: Poe GS,McLaughlin JK,Powell-Griner E,Parsons CR,Robinson K

    更新日期:1991-12-15 00:00:00

  • All-cause, cardiovascular, and cancer mortality rates in postmenopausal white, black, Hispanic, and Asian women with and without diabetes in the United States: the Women's Health Initiative, 1993-2009.

    abstract::Using data from the Women's Health Initiative (1993-2009; n = 158,833 participants, of whom 84.1% were white, 9.2% were black, 4.1% were Hispanic, and 2.6% were Asian), we compared all-cause, cardiovascular, and cancer mortality rates in white, black, Hispanic, and Asian postmenopausal women with and without diabetes....

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwt177

    authors: Ma Y,Hébert JR,Balasubramanian R,Wedick NM,Howard BV,Rosal MC,Liu S,Bird CE,Olendzki BC,Ockene JK,Wactawski-Wende J,Phillips LS,Lamonte MJ,Schneider KL,Garcia L,Ockene IS,Merriam PA,Sepavich DM,Mackey RH,Johnson KC

    更新日期:2013-11-15 00:00:00

  • Efficacy of virucidal nasal tissues in interrupting familial transmission of respiratory agents. A field trial in Tecumseh, Michigan.

    abstract::A randomized field trial was conducted in Tecumseh, Michigan, to test the efficacy of virucidal nasal tissues in interrupting transmission of respiratory agents in the household. In the double-blinded trial, 296 households were stratified by household size and randomly assigned to the group using treated tissues and t...

    journal_title:American journal of epidemiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/oxfordjournals.aje.a115011

    authors: Longini IM Jr,Monto AS

    更新日期:1988-09-01 00:00:00

  • Changes in smoking status affect women more than men: results of the Lung Health Study.

    abstract::Lung Health Study participants were smokers aged 35-60 years with mild lung function impairment who participated in a 5-year, 10-center (nine in the United States, one in Canada) clinical trial in 1986-1994. The authors compared the relation of randomized treatment assignments and of smoking history during the study w...

    journal_title:American journal of epidemiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1093/aje/kwg083

    authors: Connett JE,Murray RP,Buist AS,Wise RA,Bailey WC,Lindgren PG,Owens GR,Lung Health Study Research Group.

    更新日期:2003-06-01 00:00:00

  • Associations of Maternal Vitamin B12 Concentration in Pregnancy With the Risks of Preterm Birth and Low Birth Weight: A Systematic Review and Meta-Analysis of Individual Participant Data.

    abstract::Vitamin B12 (hereafter referred to as B12) deficiency in pregnancy is prevalent and has been associated with both lower birth weight (birth weight <2,500 g) and preterm birth (length of gestation <37 weeks). Nevertheless, current evidence is contradictory. We performed a systematic review and a meta-analysis of indivi...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/aje/kww212

    authors: Rogne T,Tielemans MJ,Chong MF,Yajnik CS,Krishnaveni GV,Poston L,Jaddoe VW,Steegers EA,Joshi S,Chong YS,Godfrey KM,Yap F,Yahyaoui R,Thomas T,Hay G,Hogeveen M,Demir A,Saravanan P,Skovlund E,Martinussen MP,Jacobsen G

    更新日期:2017-02-01 00:00:00

  • Between-strain competition in acquisition and clearance of pneumococcal carriage--epidemiologic evidence from a longitudinal study of day-care children.

    abstract::The state of pneumococcal carriage-that is, pneumococcal colonization in the nasopharynx of healthy persons-represents a reservoir for the spread of pneumococci among individuals. In light of the introduction of new pneumococcal conjugate vaccines, further knowledge on the dynamics of pneumococcal carriage is importan...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwp351

    authors: Auranen K,Mehtälä J,Tanskanen A,S Kaltoft M

    更新日期:2010-01-15 00:00:00

  • Association Between Male Use of Pain Medication and Fecundability.

    abstract::Administration of pain relievers has been associated with both lower and higher risks of adverse reproductive outcomes in animals. In the sole investigation of male pain-reliever use and human fertility carried out to date, Smarr et al. (Hum Reprod. 2016;31(9):2119-2127) found a 35% reduction in fecundability among ma...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwaa096

    authors: Wesselink AK,Bresnick KA,Hatch EE,Rothman KJ,Mikkelsen EM,Wang TR,Huybrechts KF,Wise LA

    更新日期:2020-11-02 00:00:00

  • Occupations with exposure to electromagnetic fields: a possible risk factor for Alzheimer's disease.

    abstract::The authors present analyses of data from three independent clinical series and controls indicating an association between working in occupations with probable medium to high exposure to extremely low frequency (< 300 Hz) electromagnetic fields and sporadic Alzheimer's disease. Case-control analyses were carried out u...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.aje.a117669

    authors: Sobel E,Davanipour Z,Sulkava R,Erkinjuntti T,Wikstrom J,Henderson VW,Buckwalter G,Bowman JD,Lee PJ

    更新日期:1995-09-01 00:00:00

  • Assessing nutrient intake with an abbreviated dietary interview.

    abstract::There is considerable interest in developing a means of assessing dietary intake of specific nutrients with minimal time and expense in epidemiologic studies. Using data from 1,682 individuals who were interviewed using an extensive food frequency dietary history, the authors examined the question of how many foods mi...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.aje.a114085

    authors: Byers T,Marshall J,Fiedler R,Zielezny M,Graham S

    更新日期:1985-07-01 00:00:00

  • Familial aggregation of blood pressure in a rural Chinese community.

    abstract::This study investigated blood pressure in 1,183 Chinese nuclear families (mother, father, and first two children) via a cross-sectional 1994-1997 survey. The mother's, the father's, and the first sibling's blood pressures were each significantly and independently related to the second sibling's blood pressure after ad...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.aje.a009828

    authors: Wang X,Wang B,Chen C,Yang J,Fang Z,Zuckerman B,Xu X

    更新日期:1999-03-01 00:00:00

  • Methods for pooling results of epidemiologic studies: the Pooling Project of Prospective Studies of Diet and Cancer.

    abstract::With the growing number of epidemiologic publications on the relation between dietary factors and cancer risk, pooled analyses that summarize results from multiple studies are becoming more common. Here, the authors describe the methods being used to summarize data on diet-cancer associations within the ongoing Poolin...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwj127

    authors: Smith-Warner SA,Spiegelman D,Ritz J,Albanes D,Beeson WL,Bernstein L,Berrino F,van den Brandt PA,Buring JE,Cho E,Colditz GA,Folsom AR,Freudenheim JL,Giovannucci E,Goldbohm RA,Graham S,Harnack L,Horn-Ross PL,Krogh V,L

    更新日期:2006-06-01 00:00:00

  • Pancreatic cancer risk after loss of a child: a register-based study in Sweden during 1991-2009.

    abstract::The potential role of psychological stress in pancreatic cancer has rarely been investigated in epidemiologic studies. During 1991-2009, we conducted a nested case-control study based on Swedish national population and health registers to investigate whether severe psychological stress induced by the death of a child ...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwt045

    authors: Huang J,Valdimarsdóttir U,Fall K,Ye W,Fang F

    更新日期:2013-08-15 00:00:00

  • Offspring birth weight and parental mortality: prospective observational study and meta-analysis.

    abstract::The authors have investigated associations between offspring size at birth and parental cardiovascular disease mortality among 12,086 mothers and 6,936 fathers of participants in the British 1958 birth cohort. Birth weight was inversely associated with all-cause mortality and cardiovascular mortality in both mothers a...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/aje/kwm054

    authors: Davey Smith G,Hyppönen E,Power C,Lawlor DA

    更新日期:2007-07-15 00:00:00

  • Cigarette smoking and breast cancer.

    abstract::The relation between cigarette smoking and the risk of breast cancer in women was investigated in a population-based case-control study conducted in Adelaide, Australia during 1982-1984. Cases were identified through the South Australian Central Cancer Registry, and, for each case, one age-matched control was selected...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.aje.a115122

    authors: Rohan TE,Baron JA

    更新日期:1989-01-01 00:00:00

  • Physical activity, obesity, energy intake, and the risk of non-Hodgkin's lymphoma: a population-based case-control study.

    abstract::The authors conducted a population-based case-control study of 1,030 cases with histologically confirmed, incident non-Hodgkin's lymphoma (NHL) and 3,106 controls to assess the impact of recreational physical activity, obesity, and energy intake on NHL risk in Canada from 1994 to 1997. Compared with those for subjects...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwi342

    authors: Pan SY,Mao Y,Ugnat AM,Canadian Cancer Registries Epidemiology Research Group.

    更新日期:2005-12-15 00:00:00

  • Occupational exposures and asthma in 14,000 adults from the general population.

    abstract::The association of asthma with occupational exposures was studied in 14,151 adults, aged 25-59 years, from the general population of the 1975 French Pollution Atmospherique et Affections Respiratoires Chroniques (PAARC) Survey. Associations of asthma with specific jobs, such as personal care workers, waiters, and stoc...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwh316

    authors: Le Moual N,Kennedy SM,Kauffmann F

    更新日期:2004-12-01 00:00:00

  • Correction for biases in a population-based study of family history and coronary heart disease. The Newcastle Family History Study I.

    abstract::In this paper, the authors report on the design of a population-based case-control study of family history as a risk factor for coronary heart disease (CHD). They studied the characteristics of subjects who completed a detailed family history questionnaire in 1992-1994 as well as the accuracy of recall of family histo...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.aje.a009410

    authors: Silberberg JS,Wlodarczyk J,Fryer J,Ray CD,Hensley MJ

    更新日期:1998-06-15 00:00:00

  • Estimation of the relative excess risk due to interaction and associated confidence bounds.

    abstract::The relative excess risk due to interaction (RERI) provides a useful metric of departure from additivity of effects on a relative risk scale. In this paper, the authors show that RERI is identical to the product term in a linear odds ratio or a linear relative risk model. SAS and STATA codes are provided for fitting a...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwn411

    authors: Richardson DB,Kaufman JS

    更新日期:2009-03-15 00:00:00

  • The effect of migration on comparison of disease rates in geographic studies in the United States.

    abstract::Cancer rates are often compared between counties or other geographic units as a method of testing for risk from environmental exposures. Migration between geographic areas greatly reduces the sensitivity of this method. Under simplifying assumptions the quantitative effect of migration on risk estimates is shown using...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.aje.a112885

    authors: Polissar L

    更新日期:1980-02-01 00:00:00

  • Medicaid policy and pregnancy outcomes: Toward a reproductive autonomy framework.

    abstract::State Medicaid programs collectively cover more than 70 million people, and are the largest single payer for pregnancy and delivery in the United States. In this issue, Margerison et al. (Am J Epidemiol. XXXX;XXX(XX):XXXX-XXXX) investigate the extent to which Medicaid expansions to non-pregnant low-income adults under...

    journal_title:American journal of epidemiology

    pub_type: 杂志文章

    doi:10.1093/aje/kwaa290

    authors: Jarlenski M

    更新日期:2021-01-11 00:00:00