Falls and Fractures: A systematic approach to screening and prevention

Anne Felicia Ambrose, Lisanne Cruz, Geet Paul

Research output: Contribution to journalReview article

54 Citations (Scopus)

Abstract

Falls are one of the major causes of mortality and morbidity in older adults. Every year, an estimated 30-40% of patients over the age of 65 will fall at least once. Falls lead to moderate to severe injuries, fear of falling, loss of independence and death in a third of those patients. Falls account for 87 % of all fractures in the elderly. These fractures are almost always due to low impact injuries in osteoporotic bones. Several organizations have recommended screening older patients to identify those with a high risk of falling and, or fractures. The present review provides a brief summary and update of the relevant literature, summarizing screening tools and interventions to prevent falls and fractures. The major risk factors identified are impaired balance and gait, polypharmacy, and history of previous falls. Other risk factors include advancing age, female gender, visual impairments, cognitive decline especially attention and executive dysfunction, and environmental factors. Recommendations for the clinician to screen and prevent falls in older patients are also summarized.

Original languageEnglish (US)
Article number6428
Pages (from-to)85-93
Number of pages9
JournalMaturitas
Volume82
Issue number1
DOIs
StatePublished - Sep 1 2015
Externally publishedYes

Fingerprint

Screening
Accidental Falls
Polypharmacy
Vision Disorders
Wounds and Injuries
Gait
Fear
Bone
History
Organizations
Morbidity
Bone and Bones
Mortality

Keywords

  • Eldely
  • Fall risk
  • Falls
  • Fracture risk

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Obstetrics and Gynecology

Cite this

Falls and Fractures : A systematic approach to screening and prevention. / Ambrose, Anne Felicia; Cruz, Lisanne; Paul, Geet.

In: Maturitas, Vol. 82, No. 1, 6428, 01.09.2015, p. 85-93.

Research output: Contribution to journalReview article

Ambrose, Anne Felicia ; Cruz, Lisanne ; Paul, Geet. / Falls and Fractures : A systematic approach to screening and prevention. In: Maturitas. 2015 ; Vol. 82, No. 1. pp. 85-93.
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