Predictors and Prognosis of Inability to Get Up After Falls Among Elderly Persons
JAMAPublished 6 January 1993
Mary E. Tinetti
Citations470
SJR quartileQ1
SJR score5.35
SNIP10.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The frequency of inability to get up and the short- and long-term morbidity associated with this inability suggest the need for preventive and treatment efforts.
Abstract
The risk factors for inability to get up were similar to those for falling, although certain factors imparted a particular risk of inability to get up without help. The frequency of inability to get up and the short- and long-term morbidity associated with this inability suggest the need for preventive and treatment efforts.
Keywords
MedicineHealth Professions
Journal of Psychiatric Research“Mini-mental state”
86,858 Citations1975Marshal F. Folstein, Susan E. Folstein +1 more
A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
New England Journal of MedicineRisk Factors for Falls among Elderly Persons Living in the Community
6,539 Citations1988Mary E. Tinetti, Mark Speechley +1 more
It is concluded that falls among older persons living in the community are common and that a simple clinical assessment can identify the elderly persons who are at the greatest risk of falling.
JAMARisk factors for recurrent nonsyncopal falls. A prospective study
1,504 Citations1989Michael C. Nevitt
Age and AgeingFALLS BY ELDERLY PEOPLE AT HOME: PREVALENCE AND ASSOCIATED FACTORS
1,267 Citations1988Austin J. Blake, Kelly Morgan +6 more
Discriminant analysis of selected medical and anthropometric variables indicated that handgrip strength in the dominant hand and reported symptoms of arthritis, giddiness and foot difficulties were most influential in predicting reports of recent falls.
Journal of GerontologyRisk Factors for Injurious Falls: a Prospective Study
950 Citations1991M.C. Nevitt, Steven R. Cummings +1 more
It is suggested that neuromuscular and cognitive impairment, as well as the circumstances of falls, affect the risk of injury when a fall occurs.
New England Journal of MedicinePrevention of Falls among the Elderly
930 Citations1989Jane F. Desforges, Mary E. Tinetti +1 more
The annual incidence of falls among elderly persons living in the community increases from 25 percent at 70 years of age to 35 percent after 75 years ofAge, and in nursing homes, where the average annual incidence is 1600 per 1000 patients.
Age and AgeingFactors Associated with Falls in the Elderly: A Community Study
806 Citations1981D. Prudham, J. Grimley Evans
Compared with non-fallers, fallers had been in more recent contact with their general practitioner, showed higher prevalence of problems with mobility and daily living, a more frequent history of stroke and heart disease, and had more episodes of non-rotatory vertigo, double vision, faints and blackouts.
Age and AgeingCircumstances and Consequences of Falls Experienced by a Community Population 70 Years and over during a Prospective Study
800 Citations1990Angela Campbell, Michael Borrie +4 more
There was no sex difference in fall rate but men were more likely than women to fall outside and at greater levels of activity and subsequent mortality was increased among women who fell but not to significant levels.
Journal of the American Geriatrics SocietyForgetting Falls
777 Citations1988Steven R. Cummings, Michael C. Nevitt +1 more
It is concluded that elderly subjects often do not recall falls that occurred during specific periods of time over the preceding 3 to 12 months, and researchers and clinicians should consider using methods besides long‐term recall for ascertaining and counting falls over specific periods.
Annual Review of Public HealthFalls Among Older Persons: A Public Health Perspective
665 Citations1992Richard W. Sattin
Although these schemes might be useful in a clinical setting, they are subject to recall and interviewer bias and have led to a lack of consistency in the literature on the association of risk factors and falls.
American Journal of EpidemiologyBINOMIAL REGRESSION IN GLIM: ESTIMATING RISK RATIOS AND RISK DIFFERENCES1
626 Citations1986Sholom Wacholder
Macros for use with the program GLIM provide a simple method to compute parameters other than the odds ratio while adjusting for confounding factors.
Physical examination of the spine and extremities
539 Citations1979Stanley Hoppenfeld
1. Physical Examination of the Shoulder, followed by physical examination of the Cervical Spine and Temporomandibular Joint, and Examination of Gait.
Journal of GerontologyEstablished Populations for Epidemiologic Studies of the Elderly: Resource Data Book
422 Citations1987George A. Kaplan
American Journal of Public HealthA prospective study of functional status among community elders.
368 Citations1984Laurence G. Branch, S Katz +2 more
Half the cohort had sustained independence for the six years; of those dependent at the beginning, one-fourth to one-third regained independent function within 15 months, and one-fifth regained self-sufficiency within five years.
BMJHow dangerous are falls in old people at home?
342 Citations1981Deidre Wild, U. S. Nayak +1 more
Factors associated with mortality from falls were impaired mobility, abnormal balance, and a disturbed pattern of gait, often indicative of the presence of severe ill health.
JAMAIdentifying Mobility Dysfunctions in Elderly Patients
304 Citations1988Mary E. Tinetti
A simple assessment that reproduces routine daily mobility maneuvers should be developed for use in the clinical care of elderly patients by comparing relevant neuromuscular findings with performance during four routine mobility maneuvers.
BMJOn the Natural History of Falls in Old Age
259 Citations1960J. H. Sheldon
An inquiry into 500 falls which happened to 202 individuals-86 had been brought to the casualty department of the Royal Hospital, Wolverhampton, as the result of a fall, 59 had been admitted with a fractured femur, and the inquiry was stopped when 500 falls had been described.
American Journal of Occupational TherapyFalls and Fear of Falling Among Elderly Persons Living in the Community: Occupational Therapy Interventions
212 Citations1991J. Elizabeth Walker, Jonathan Howland
The results of the study show that falls are frequent and fear of falling prevalent among the community-based elderly and a comprehensive program designed to reduce the risk of falls is presented.
Age and AgeingPROSPECTIVE STUDY OF RESTRICTION OF ACITIVTY IN OLD PEOPLE AFTER FALLS
205 Citations1987Bruno Vellas, F. Cayla +3 more
It was found that the falls resulted in a restriction of activity and appear to be a factor that aggravates and accelerates the effects of ageing.
Medical CareHealth Care Utilization and Functional Status in the Aged Following a Fall
174 Citations1991Douglas P. Keil, Patricia O’Sullivan +2 more
One-time fallers and, especially repeated fallers, were at greater risk of subsequent hospitalization, nursing home admission, and frequent physician contact than were nonfallers, after controlling for age, sex, self-perceived health status, and difficulties with activities of daily living.
American Journal of EpidemiologyRISK FACTORS FOR SPONTANEOUS ABORTION AND ITS RECURRENCE
157 Citations1988Harvey A. Risch, Noel S. Weiss +2 more
The levels of risk of miscarriage found in this analysis are similar to those of previous studies, and the analytic methods suggest how age, obstetric history, and other factors can be simultaneously examined for associations with such risk.
Annals of EpidemiologyMethodologic issues in the study of frequent and recurrent health problems falls in the elderly
136 Citations1990Robert G. Cumming, Jennifer L. Kelsey +1 more
It is concluded that epidemiology needs to develop a framework for studying frequent and recurrent health problems and the example of falls in the elderly is used to demonstrate methodologic difficulties that arise.
Journal of the American Geriatrics SocietyThe Impact of Falls in an Inner‐City Elderly African‐American Population
71 Citations1992Jeane Ann Grisso, Donald F. Schwarz +3 more
To describe the impact of falls in an elderly African‐American urban community and to identify predictors of poor recovery from falls.
Age and AgeingCOVERT MUSCLE INJURY IN AGED PATIENTS ADMITTED TO HOSPITAL FOLLOWING FALLS
27 Citations1985W. J. W. MALLINSON, Morgan Green
Isoenzyme studies showed that the creatine kinase originated from skeletal muscle, and helped distinguish skeletal from cardiac muscle damage in patients admitted to hospital after falling at home and lying on the floor.
Journal of the American Geriatrics SocietyOccult Elevation of CK as a Manifestation of Rhabdomyolysis in the Elderly
24 Citations1992Esther‐Lee Marcus, Bernard Rudensky +1 more
To evaluate the incidence, etiology and clinical course of rhabdomyolysis in hospitalized elderly patients, a large number of patients with a history of chronic illness were surveyed.