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The effect of falls and fall injuries on functioning in community-dwelling older persons
Author(s)Mary E Tinetti, Christianna S Williams
Journal titleThe Journals of Gerontology Series A: Biological Sciences and Medical Sciences, vol 53A, no 2, March 1998
Pagespp M112-M119
KeywordsFalls ; Injuries ; Mobility ; Self care capacity ; Living in the community ; United States of America.
AnnotationSeveral preventive strategies have proved effective at reducing the occurrence and rate of falling; but to what extent are falls and/or fall injuries independent determinants of adverse functional outcomes in older people? 957 over 71s who participated in at least one follow-up interview while living in the community were included in this 3-year study. Outcome measures included 1- and 3-year change in basic and instrumental activities of daily living (BADLs and IADLs), and social and physical activities. Based on daily calendars and hospital surveillance, participants were assigned to one of the following: no falls; one fall without serious injury; at least two falls without serious injury; and one or more falls with serious injury. One or more non-injurious fall, or at least one injurious fall were each associated with decline in BADL or IADL function over 3 years. Experiencing two or more non-injurious falls was associated with decline in social activities, while experiencing at least one injurious fall was associated with decline in physical activity. Thus falls and fall injuries appear to be independent determinants of functional decline in older people living at home. (RH).
Accession NumberCPA-010116211 A
ClassmarkOLF: CU: C4: CA: K4: 7T

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