Practice guideline for the ED management of falls in community-dwelling elderly persons. Kaiser Permanente Medical Group.

Abstract [Baraff LJ, Della Penna R, Williams N, Sanders A: Practice guideline for the ED management of falls in community-dwelling elderly persons. Ann Emerg Med October 1997;30:480-489.]

[1]  W. Mower,et al.  Effect of routine emergency department triage pulse oximetry screening on medical management. , 1995, Chest.

[2]  S. Cummings,et al.  Risk factors for injurious falls: a prospective study. , 1991, Journal of gerontology.

[3]  Syncope in the elderly. , 1986, The American journal of medicine.

[4]  L. Rubenstein,et al.  Low prevalence of postural hypotension among community-dwelling elderly. , 1987, JAMA.

[5]  J. Hollis,et al.  Preventing falls among community-dwelling older persons: results from a randomized trial. , 1994, The Gerontologist.

[6]  W. Applegate,et al.  Impact of cataract surgery with lens implantation on vision and physical function in elderly patients. , 1987, JAMA.

[7]  E. S. Kennedy Emergency Care of the Elder Person , 1997 .

[8]  D B Reuben,et al.  Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine. , 1991, Archives of internal medicine.

[9]  J J Anderson,et al.  Impaired Vision and Hip Fracture , 1989, Journal of the American Geriatrics Society.

[10]  W. Ray,et al.  Cyclic antidepressants and the risk of hip fracture. , 1991, Archives of internal medicine.

[11]  V. Babikian,et al.  Binswanger's disease: a review. , 1987, Stroke.

[12]  S. Cummings,et al.  Effects of Thiazide Diuretic Therapy on Bone Mass, Fractures, and Falls , 1993, Annals of Internal Medicine.

[13]  R. Kenny,et al.  Outcome of an integrated approach to the investigation of dizziness, falls and syncope in elderly patients referred to a 'syncope' clinic. , 1993, Age and ageing.

[14]  J. Hollander ARTHRITIS AND ALLIED CONDITIONS , 1949 .

[15]  P. Laippala,et al.  Incidence of falling injuries leading to medical treatment in the elderly. , 1991, Public health.

[16]  M. Tinetti,et al.  Fall risk index for elderly patients based on number of chronic disabilities. , 1986, The American journal of medicine.

[17]  D. Prudham,et al.  Factors associated with falls in the elderly: a community study. , 1981, Age and ageing.

[18]  M. Borrie,et al.  Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. , 1990, Age and ageing.

[19]  J. Judge,et al.  Balance improvements in older women: effects of exercise training. , 1993, Physical therapy.

[20]  J P Miller,et al.  The prevalence and correlates of fear of falling in elderly persons living in the community. , 1994, American journal of public health.

[21]  A. J. Campbell,et al.  Prevalence of ocular disease in a population study of subjects 65 years old and older. , 1982, American journal of ophthalmology.

[22]  L. Lipsitz,et al.  Antidepressants and falls among elderly people in long-term care. , 1993, American journal of public health.

[23]  R. Tideiksaar,et al.  What causes falls? A logical diagnostic procedure. , 1986, Geriatrics.

[24]  J. Stevens,et al.  Alcohol as a Risk Factor for Fall Injury Events among Elderly Persons Living in the Community , 1992, Journal of the American Geriatrics Society.

[25]  D Osterweil,et al.  The value of assessing falls in an elderly population. A randomized clinical trial. , 1990, Annals of internal medicine.

[26]  G. D. Whedon,et al.  Vitamin D and bone health in the elderly. , 1982, The American journal of clinical nutrition.

[27]  R. Glynn,et al.  Falls in elderly patients with glaucoma. , 1991, Archives of ophthalmology.

[28]  E. Fowler,et al.  Physical therapy to improve functioning of older people in residential care facilities. , 1995, Physical therapy.

[29]  Dehydration. Evaluation and management in older adults. Council on Scientific Affairs, American Medical Association. , 1995 .

[30]  K. Rockwood,et al.  Increasing the Recognition of Delirium in Elderly Patients , 1994, Journal of the American Geriatrics Society.

[31]  V. F. Trewin,et al.  An investigation of the association of benzodiazepines and other hypnotics with the incidence of falls in the elderly , 1992, Journal of clinical pharmacy and therapeutics.

[32]  B. Isaacs,et al.  The post-fall syndrome. A study of 36 elderly patients. , 1982, Gerontology.

[33]  R. Tideiksaar Preventing falls: home hazard checklists to help older patients protect themselves. , 1986, Geriatrics.

[34]  L. Linck,et al.  Cervical cancer screening in an urban emergency department. , 1992, Annals of emergency medicine.

[35]  R L Kane,et al.  Effectiveness of a geriatric evaluation unit. A randomized clinical trial. , 1984, The New England journal of medicine.

[36]  G. Gehlsen,et al.  Falls in the elderly: Part I, Gait. , 1990, Archives of physical medicine and rehabilitation.

[37]  D. Buchner,et al.  Falls and fractures in patients with Alzheimer-type dementia. , 1987, JAMA.

[38]  A. J. Campbell,et al.  Falls in old age: a study of frequency and related clinical factors. , 1981, Age and ageing.

[39]  G. Sorock,et al.  Benzodiazepine sedatives and the risk of falling in a community-dwelling elderly cohort. , 1988, Archives of internal medicine.

[40]  L. Lipsitz Syncope in the elderly. , 1983, Annals of internal medicine.

[41]  A. Stemhagen,et al.  Preformatted charts improve documentation in the emergency department. , 1992, Annals of emergency medicine.

[42]  W. Schaffner,et al.  Immunization of adults. , 1993, The New England journal of medicine.

[43]  M. Tinetti,et al.  Predictors and prognosis of inability to get up after falls among elderly persons. , 1993, JAMA.

[44]  K. Engedal,et al.  The Mini‐Mental State Examination: Identifying the Most Efficient Variables for Detecting Cognitive Impairment in the Elderly , 1992, Journal of the American Geriatrics Society.

[45]  S. Cummings,et al.  Smoking, alcohol, and neuromuscular and physical function of older women. Study of Osteoporotic Fractures Research Group. , 1994, JAMA.

[46]  Z. Yuan,et al.  Alcohol-related hospitalizations of elderly people. Prevalence and geographic variation in the United States. , 1993, JAMA.

[47]  A. Lemay,et al.  Elderly Patients' Use of Hospital-Based Emergency Services , 1991, Medical care.

[48]  D. Jarjoura,et al.  Risk of imbalance in elderly people with impaired hearing or vision. , 1989, Age and ageing.

[49]  L. Sudarsky Gait Disorders in the Elderly , 1990 .

[50]  John C. Beck,et al.  Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine. , 1991 .

[51]  K. Isenberg,et al.  Nicotine and Tourettes Syndrome , 1989 .

[52]  D. Himmelstein,et al.  Inappropriate drug prescribing for the community-dwelling elderly. , 1994, JAMA.

[53]  K. Nichol,et al.  The efficacy and cost effectiveness of vaccination against influenza among elderly persons living in the community. , 1994, The New England journal of medicine.

[54]  S K Inouye,et al.  Clarifying confusion: the confusion assessment method. A new method for detection of delirium. , 1990, Annals of internal medicine.

[55]  R. Brook,et al.  Consensus methods: characteristics and guidelines for use. , 1984, American journal of public health.

[56]  R J Shephard,et al.  Exercise and aging: extending independence in older adults. , 1993, Geriatrics.

[57]  L. Rubenstein,et al.  A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. , 1995, The New England journal of medicine.

[58]  V. Frankel,et al.  Enhancing independence in the older hip fracture patient. , 1993, Geriatrics.

[59]  G. Dinant,et al.  The Efficacy of Influenza Vaccination in Elderly Individuals: A Randomized Double-blind Placebo-Controlled Trial , 1994 .

[60]  K. Iserson,et al.  Use of the emergency department for hypertension screening: a prospective study. , 1987, Annals of emergency medicine.

[61]  S Cretin,et al.  Presentation of clinical guidelines via a rule-based expert charting system. , 1995, Medinfo. MEDINFO.

[62]  W. Hall,et al.  How Does the Team Approach to Outpatient Geriatric Evaluation Compare with Traditional Care: A Report of a Randomized Controlled Trial , 1987, Journal of the American Geriatrics Society.

[63]  B C Perry,et al.  Falls among the Elderly , 1982, Journal of the American Geriatrics Society.

[64]  A. Jette,et al.  Improving patient function: a randomized trial of functional disability screening. , 1989, Annals of internal medicine.

[65]  W A Ray,et al.  Benzodiazepines of long and short elimination half-life and the risk of hip fracture. , 1989, JAMA.

[66]  T. Nick,et al.  Emergency department screening for syphilis in pregnant women without prenatal care. , 1993, Annals of emergency medicine.

[67]  G. Sorock Falls among the elderly: epidemiology and prevention. , 1988, American journal of preventive medicine.

[68]  R. Tallis,et al.  Inappropriate medication is a major cause of adverse drug reactions in elderly patients. , 1992, Age and ageing.

[69]  R. Rodriguez,et al.  Emergency department immunization of the elderly with pneumococcal and influenza vaccines. , 1993, Annals of emergency medicine.

[70]  E. Rousseau,et al.  Multicenter study of case finding in elderly emergency department patients. , 1995, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[71]  M. Critchley On senile disorders of gait, including the so-called senile paraplegia. , 1948, Geriatrics.

[72]  M. Tinetti Performance‐Oriented Assessment of Mobility Problems in Elderly Patients , 1986, Journal of the American Geriatrics Society.

[73]  S. Baker,et al.  Fall injuries in the elderly. , 1985, Clinics in geriatric medicine.

[74]  N. Venna Dizziness, falling, and fainting: differential diagnosis in the aged (Part II). , 1986, Geriatrics.

[75]  R. Rodriguez,et al.  Need and desire for preventive care measures in emergency department patients. , 1995, Annals of emergency medicine.

[76]  C I Gryfe,et al.  A longitudinal study of falls in an elderly population II. Some circumstances of falling. , 1977, Age and ageing.

[77]  E Abrutyn,et al.  Does Asymptomatic Bacteriuria Predict Mortality and Does Antimicrobial Treatment Reduce Mortality in Elderly Ambulatory Women? , 1994, Annals of Internal Medicine.

[78]  J. Morley,et al.  Unrecognized delirium in ED geriatric patients. , 1995, The American journal of emergency medicine.

[79]  G. Gehlsen,et al.  Falls in the elderly: Part II, Balance, strength, and flexibility. , 1990, Archives of physical medicine and rehabilitation.

[80]  J. O'Loughlin,et al.  Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. , 1993, American journal of epidemiology.

[81]  J L Kelsey,et al.  Medications and multiple falls in elderly people: the St Louis OASIS study. , 1991, Age and ageing.

[82]  S. Furner,et al.  Mortality, disability, and falls in older persons: the role of underlying disease and disability. , 1992, American journal of public health.

[83]  J. Cwikel,et al.  The social epidemiology of falls among community-dwelling elderly: guidelines for prevention. , 1992, Disability and rehabilitation.

[84]  B. Dawson-Hughes,et al.  A controlled trial of the effect of calcium supplementation on bone density in postmenopausal women. , 1990 .

[85]  M. Tinetti,et al.  A multifactorial intervention to reduce the risk of falling among elderly people living in the community. , 1994, The New England journal of medicine.

[86]  A. Jette,et al.  Health Status Assessment for Elderly Patients , 1989, Journal of the American Geriatrics Society.

[87]  J G Rodriguez,et al.  The incidence of fall injury events among the elderly in a defined population. , 1990, American journal of epidemiology.

[88]  M. Eliastam Elderly patients in the emergency department. , 1989, Annals of emergency medicine.

[89]  James R. Allen,et al.  Dehydration: Evaluation and Management in Older Adults , 1995 .

[90]  D. Kennedy,et al.  Drug use in the United States in 1981. , 1984, JAMA.

[91]  R B Wallace,et al.  Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. , 1995, The New England journal of medicine.

[92]  L. Rubenstein,et al.  A randomized trial of comprehensive geriatric assessment in the care of hospitalized patients. , 1995, The New England journal of medicine.

[93]  C. Gryfe,et al.  A longitudinal study of falls in an elderly population: I. Incidence and morbidity. , 1977, Age and ageing.

[94]  R C Nelson,et al.  Falls in the elderly. , 1990, Emergency medicine clinics of North America.

[95]  R. Fortinsky,et al.  A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. , 1995, The New England journal of medicine.

[96]  S. Ebrahim,et al.  Falls by elderly people at home: prevalence and associated factors. , 1988, Age and ageing.

[97]  L. Melton,et al.  Psychotropic drug use and the risk of hip fracture. , 1987, The New England journal of medicine.

[98]  H Nickens,et al.  Intrinsic factors in falling among the elderly. , 1985, Archives of internal medicine.

[99]  M. Fiatarone,et al.  Effects of High-Intensity Strength Training on Multiple Risk Factors for Osteoporotic Fractures: A Randomized Controlled Trial , 1994 .

[100]  N. Dorward,et al.  'Correctable undetected visual acuity deficit' in patients aged 65 and over attending an accident and emergency department. , 1993, The British journal of ophthalmology.

[101]  S. Cummings,et al.  Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. , 1995, The New England journal of medicine.

[102]  E. Barrett-Connor,et al.  DIETARY CALCIUM AND RISK OF HIP FRACTURE: 14-YEAR PROSPECTIVE POPULATION STUDY , 1988, The Lancet.

[103]  M. Schuckit Broadening the Base of Treatment for Alcohol Problems:Report of a Study by a Committee of the Institute of Medicine Division of Mental Health and Behavioral Medicine. , 1991, The American journal of psychiatry.

[104]  G. Fillenbaum,et al.  Screening the Elderly , 1985, Journal of the American Geriatrics Society.

[105]  M. Tinetti,et al.  Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. , 1994, Journal of gerontology.

[106]  M Olsky,et al.  Dizziness and fainting in the elderly. , 1990, Emergency medicine clinics of North America.

[107]  I. Reid,et al.  Effect of calcium supplementation on bone loss in postmenopausal women. , 1993, The New England journal of medicine.

[108]  M. Tinetti Factors Associated with Serious Injury During Falls by Ambulatory Nursing Home Residents , 1987, Journal of the American Geriatrics Society.

[109]  A. Campbell,et al.  Drug Treatment as a Cause of Falls in Old Age , 1991, Drugs & aging.

[110]  C. Fisher Hydrocephalus as a cause of disturbances of gait in the elderly , 1982, Neurology.

[111]  S. Bülow,et al.  Familial polyposis coli. , 1987, Seminars in surgical oncology.

[112]  M. Lindegren,et al.  Measles vaccination in pediatric emergency departments during a measles outbreak. , 1993, JAMA.

[113]  W. L. Adams,et al.  Alcohol Abuse in Elderly Emergency Department Patients , 1992, Journal of the American Geriatrics Society.

[114]  L. Rubenstein,et al.  Predictors of falls among elderly people. Results of two population-based studies. , 1989, Archives of internal medicine.

[115]  U S Nayak,et al.  Balance in elderly patients: the "get-up and go" test. , 1986, Archives of physical medicine and rehabilitation.

[116]  C. Whiteside-Yim Syncope in the elderly: a clinical approach. , 1987, Geriatrics.

[117]  T M Gill,et al.  Shared risk factors for falls, incontinence, and functional dependence. Unifying the approach to geriatric syndromes. , 1995, JAMA.

[118]  L. Rubenstein,et al.  Home safety and fall prevention. , 1991, Clinics in geriatric medicine.

[119]  S B Roberts,et al.  Exercise training and nutritional supplementation for physical frailty in very elderly people. , 1994, The New England journal of medicine.

[120]  M. Tinetti,et al.  Risk factors for falls among elderly persons living in the community. , 1988, The New England journal of medicine.

[121]  M. Tinetti,et al.  Prevention of falls among the elderly. , 1989, The New England journal of medicine.

[122]  K Wrenn,et al.  The use of structured, complaint-specific patient encounter forms in the emergency department. , 1993, Annals of emergency medicine.

[123]  N. Ikegami Functional assessment and its place in health care. , 1995, The New England journal of medicine.

[124]  D. Kiel,et al.  Alcohol consumption and hip fractures: the Framingham Study. , 1988, American journal of epidemiology.

[125]  François Duboeuf,et al.  Vitamin D3 and Calcium to Prevent Hip Fractures in Elderly Women , 1992 .

[126]  A. Jette,et al.  Failure of physicians to recognize functional disability in ambulatory patients. , 1991, Annals of internal medicine.

[127]  D L Schriger,et al.  EDECS: the Emergency Department Expert Charting System. , 1989, Medinfo. MEDINFO.

[128]  Dan Osterweil,et al.  Falls and Instability in the Elderly , 1988, Journal of the American Geriatrics Society.

[129]  M. Polis,et al.  The emergency department as part of a successful strategy for increasing adult immunization. , 1988, Annals of Emergency Medicine.

[130]  D C Hadorn,et al.  An annotated algorithm approach to clinical guideline development. , 1992, JAMA.

[131]  Alcoholism in the elderly. , 1996, Comprehensive therapy.

[132]  J. Jones,et al.  Elder abuse and neglect: responding to a national problems. , 1994, Annals of emergency medicine.

[133]  A. Campbell Falls, fractures and drugs. , 1990, The New Zealand medical journal.

[134]  R. Spasoff Healing Medicare: Managing Health System Change the Canadian Way , 1995 .

[135]  L. Melton,et al.  The prevention and treatment of osteoporosis. , 1992, The New England journal of medicine.

[136]  L. Fried,et al.  Physical activity and fracture risk in a free-living elderly cohort. , 1988, Journal of gerontology.