Abstract：
BACKGROUND:Falls are a major threat to older people's health and wellbeing. Approximately half of falls occur in outdoor environments but little is known about the circumstances in which they occur. We conducted a qualitative study to explore older people's experiences of outdoor falls to develop understanding of how they may be prevented. METHODS:We conducted nine focus groups across the UK (England, Wales, and Scotland). Our sample was from urban and rural settings and different environmental landscapes. Participants were aged 65+ and had at least one outdoor fall in the past year. We analysed the data using framework and content analyses. RESULTS:Forty-four adults aged 65 - 92 took part and reported their experience of 88 outdoor falls. Outdoor falls occurred in a variety of contexts, though reports suggested the following scenarios may have been more frequent: when crossing a road, in a familiar area, when bystanders were around, and with an unreported or unknown attribution. Most frequently, falls resulted in either minor or moderate injury, feeling embarrassed at the time of the fall, and anxiety about falling again. Ten falls resulted in fracture, but no strong pattern emerged in regard to the contexts of these falls. Anxiety about falling again appeared more prevalent among those that fell in urban settings and who made more visits into their neighbourhood in a typical week. CONCLUSIONS:This exploratory study has highlighted several aspects of the outdoor environment that may represent risk factors for outdoor falls and associated fear of falling. Health professionals are recommended to consider outdoor environments as well as the home setting when working to prevent falls and increase mobility among older people.
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Nyman SR,Ballinger C,Phillips JE,Newton Rdoi
10.1186/1471-2318-13-125subject
Has Abstractpub_date
2013-11-18 00:00:00pages
125issn
1471-2318pii
1471-2318-13-125journal_volume
13pub_type
杂志文章相关文献
BMC Geriatrics文献大全abstract：BACKGROUND:The GOHAI is a frequently used instrument to measure oral health-related quality of life (OHRQoL) of adults, in particular older people. The aim of this study was to translate the original English version of the GOHAI into a Dutch version (GOHAI-NL), and to test the validity and reliability of the GOHAI-NL i...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-016-0227-0
更新日期：2016-02-29 00:00:00
abstract：BACKGROUND:With the increase in the understanding of the influence of various lifestyle factors such as sedentary behaviour and level of physical activity (PA) on physical and mental health, there has been a growing research interest on how physical inactivity correlates with depressive outcomes across countries. The p...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-017-0489-1
更新日期：2017-04-28 00:00:00
abstract：BACKGROUND:Falls are common among elderly people, and the risk increase with age. Falls are associated with both health and social consequences for the patient, and major societal costs. Identification of risk factors should be investigated to prevent falls. Previous studies have shown anemia to be associated with incr...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-017-0689-8
更新日期：2017-12-27 00:00:00
abstract：BACKGROUND:Falls are a major problem for older adults. Many falls occur when a person's attention is divided between two tasks, such as a dual task (DT) involving walking. Most recently, the role of personality in walking performance was addressed; however, its association with DT performance remains to be determined. ...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-017-0691-1
更新日期：2018-01-02 00:00:00
abstract：BACKGROUND:Many balance and strength tests exist that have been designed for older seniors, often aged ≥70 years. To guide strategies for preventing functional decline, valid and reliable tests are needed to detect early signs of functional decline in young seniors. Currently, little is known about which tests are bein...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-018-1011-0
更新日期：2019-01-09 00:00:00
abstract：BACKGROUND:Falls are a public health issue for the older adult population and more so for people with dementia (PWD). Compared with their cognitively intact peers, PWD are at higher risk of falls and injurious falls. This randomised controlled trial aims to test the clinical and cost effectiveness of Tai Chi to improve...
journal_title：BMC geriatrics
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12877-018-0935-8
更新日期：2018-11-03 00:00:00
abstract：BACKGROUND:The aim of the present paper is to assess the gait pattern of patients with Peripheral Artery Disease (PAD). A more specific aim is to compare the gait pattern of PAD patients before and after the appearance of intermittent claudication symptoms. METHODS:The study involved 34 PAD patients with a claudicatio...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-018-0727-1
更新日期：2018-02-20 00:00:00
abstract：BACKGROUND:The interRAI Suite contains comprehensive geriatric assessment tools designed for various healthcare settings. Although each instrument is developed for a particular population, together they form an integrated health evaluation system. The interRAI Acute Care Minimum Data Set (interRAI AC) is tailored for h...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/1471-2318-12-53
更新日期：2012-09-07 00:00:00
abstract：BACKGROUND:Point prevalence studies in care homes show a high use of antibiotics, especially to treat urinary tract infections (UTI). There is a lack of large studies presenting annual antibiotic prescription data in care homes compared to those not in care homes. This study aimed to describe the pattern of antibiotic ...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-015-0073-5
更新日期：2015-06-25 00:00:00
abstract：BACKGROUND:This systematic review aims to review the literature on trial-based economic evaluations of non-pharmacological interventions directly targeted at persons with dementia as well as persons with mild cognitive impairment and their respective caregivers. METHODS:A systematic literature research was conducted f...
journal_title：BMC geriatrics
pub_type： 杂志文章,评审
doi：10.1186/s12877-018-0751-1
更新日期：2018-03-09 00:00:00
abstract：BACKGROUND:Geriatric patients are at high risk of re-admission after discharge. Pre-existing nutritional risk amongst these patients is of primary concern, with former nutritional intervention studies being largely ineffective. None of these studies has included individual dietary counselling by a registered dietician ...
journal_title：BMC geriatrics
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2318-11-90
更新日期：2011-12-28 00:00:00
abstract：BACKGROUND:Research participation burden, despite being an integral concept in research ethics, is not well-conceptualized in the context of the use of technology in research. This knowledge gap is especially critical for the older adult population as new technology solutions are increasingly embedded in clinical trial...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-020-1441-3
更新日期：2020-02-12 00:00:00
abstract：BACKGROUND:There is a need for more observational studies across different clinical settings to better understand the epidemiology of the novel COVID-19 infection. Evidence on clinical characteristics of COVID-19 infection is scarce in secondary care settings in Western populations. METHODS:We describe the clinical ch...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-020-01803-5
更新日期：2020-10-16 00:00:00
abstract：BACKGROUND:Use of monitoring technologies (e.g. wearable or environmental sensors) in long-term care generates extensive ethical debate, primarily about their potential to enhance resident safety weighed against concerns about their impacts upon resident autonomy. There are a number of other ethical aspects which are f...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-019-1155-6
更新日期：2019-05-24 00:00:00
abstract：BACKGROUND:Mild or pre-frailty is common and associated with increased risks of hospitalisation, functional decline, moves to long-term care, and death. Little is known about the effectiveness of health promotion in reducing these risks. This systematic review aimed to synthesise randomised controlled trials (RCTs) eva...
journal_title：BMC geriatrics
pub_type： 杂志文章,meta分析,评审
doi：10.1186/s12877-017-0547-8
更新日期：2017-07-20 00:00:00
abstract：BACKGROUND:Many older people in long-term care do not receive evidence-based diagnosis or management for heart failure; it is not known whether this can be achieved for this population. We initiated an onsite heart failure service, compared with 'usual care' with the aim of establishing the feasibility of accurate diag...
journal_title：BMC geriatrics
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/1471-2318-12-70
更新日期：2012-11-14 00:00:00
abstract：BACKGROUND:Older people living in nursing homes are at high risk of falling because of their general frailty and multiple pathologies. Prediction of falls might lead to an efficient allocation of preventive measures. Although several tools to assess the risk of falling have been developed, their impact on clinically re...
journal_title：BMC geriatrics
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2318-5-14
更新日期：2005-11-10 00:00:00
abstract：BACKGROUND:Although research productivity in the field of frailty has risen exponentially in recent years, there remains a lack of consensus regarding the measurement of this syndrome. This overview offers three services: first, we provide a comprehensive catalogue of current frailty measures; second, we evaluate their...
journal_title：BMC geriatrics
pub_type： 杂志文章,评审
doi：10.1186/1471-2318-13-64
更新日期：2013-06-21 00:00:00
abstract：BACKGROUND:A cross sectional survey was carried out on 120 hospitalised geriatric patients aged 60 and above in Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur to investigate their nutrient intakes and food preferences. METHODS:Food intakes were recorded using a one day weighed method and diet recall. Food prefe...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/1471-2318-2-3
更新日期：2002-08-06 00:00:00
abstract：BACKGROUND:Falling is common among older people. The Timed-Up-and-Go Test (TUG) is recommended as a screening tool for falls but its predictive value has been challenged. The objectives of this study were to examine the ability of TUG to predict future falls and to estimate the optimal cut-off point to identify those w...
journal_title：BMC geriatrics
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12877-015-0039-7
更新日期：2015-04-03 00:00:00
abstract：BACKGROUND:Interactive video games such as the Nintendo Wii Fit are increasingly used as a therapeutic tool in health and aged care settings however, their acceptability to older people is unclear. The aim of this study was to determine the acceptability of the Nintendo Wii Fit as a therapy tool for hospitalised older ...
journal_title：BMC geriatrics
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2318-11-64
更新日期：2011-10-20 00:00:00
abstract：BACKGROUND:More than six million American Indians live in the United States, and an estimated 1.6 million will be aged ≥65 years old by 2050 tripling in numbers since 2012. Physical functioning and related factors in this population are poorly understood. Our study aimed to assess lower body functioning and identify th...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-017-0697-8
更新日期：2018-01-05 00:00:00
abstract：BACKGROUND:The Poincaré plot method can be used for both qualitative and quantitative assessment of self-similarity in usually periodic functions, hence the idea of applying it to the study of homeostasis of living organisms. From the analysis of numerous scientific data, it can be concluded that hand functionality can...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-020-1419-1
更新日期：2020-01-13 00:00:00
abstract：BACKGROUND:As populations are aging, a growing number of home care clients are frail and use multiple, complex medications. Combined with the lack of coordination of care this may pose uncontrolled polypharmacy and potential patient safety risks. The aim of this study was to assess the impact of a care coordination int...
journal_title：BMC geriatrics
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12877-019-1353-2
更新日期：2019-11-27 00:00:00
abstract：BACKGROUND:Benzodiazepines and related drugs affect physical functioning negatively and increase fall and fracture risk. As impaired muscle strength and balance are risk factors for falls, we examined the effects of hypnotic withdrawal on handgrip strength and balance in older adult outpatients during and after long-te...
journal_title：BMC geriatrics
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2318-14-121
更新日期：2014-11-21 00:00:00
abstract：BACKGROUND:Antibiotics are highly utilized in nursing homes. The aim of the study was to test the effectiveness of a decision-making aid for urinary tract infection management on reducing antibiotic prescriptions for suspected bacteriuria in the urine without symptoms, known as asymptomatic bacteriuria (ASB) in twelve ...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-016-0255-9
更新日期：2016-04-15 00:00:00
abstract：BACKGROUND:Involving nursing home patients and their relatives in end-of-life care conversations and treatment decisions has recently gained increased importance in several Western countries. However, there is little knowledge about how the patients themselves and their next-of-kin look upon involvement in end-of-life ...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/s12877-015-0096-y
更新日期：2015-08-19 00:00:00
abstract：BACKGROUND:Neuroimaging-biomarkers of Mild Cognitive Impairment (MCI) allow an early diagnosis in preclinical stages of Alzheimer's disease (AD). The goal in this paper was to review of biomarkers for Mild Cognitive Impairment (MCI) and Alzheimer's disease (AD), with emphasis on neuroimaging biomarkers. METHODS:A syst...
journal_title：BMC geriatrics
pub_type： 杂志文章,评审
doi：10.1186/s12877-016-0281-7
更新日期：2016-05-16 00:00:00
abstract：BACKGROUND:Hip fracture in older adults is associated with depression and frailty. This study examined the synergistic effects of depression and hip fracture on physical frailty, and the mediating role of the cortisol:dehydroepiandrosterone sulphate (DHEAS) ratio. METHODS:This was an observational longitudinal study o...
journal_title：BMC geriatrics
pub_type： 杂志文章
doi：10.1186/1471-2318-13-60
更新日期：2013-06-17 00:00:00
abstract：BACKGROUND:Geriatric Patients Living with HIV/AIDS (GEPPO) is a new prospective observational multicentre cohort consisting of all the HIV-positive geriatric patients being treated at 10 clinics in Italy, and HIV-negative controls attending a single geriatric clinic. The aim of this analysis of the GEPPO cohort was to ...
journal_title：BMC geriatrics
pub_type： 杂志文章,多中心研究
doi：10.1186/s12877-018-0789-0
更新日期：2018-04-20 00:00:00
