Primary prevention of fragility fractures in general practice
Introduction Management of fragility fractures was estimated to have cost the NHS £4.4 billion in 2022. As the incidence of fragility fracture is predicted to rise along with the increase in population over age 65 in the UK, primary prevention is a necessary avenue to reduce its economic, social, and environmental impacts. Current best practice in the UK suggests that any female aged over 65 and male over 75 is at high risk of osteoporosis and should be assessed for the need for prevention of fragility fractures, including a QFracture 10-year risk calculation. Management for those identified
Network analysis identifies age-specific clusters of multimorbidity, disability, social participation, and falls
Falls incidence and characteristics in bilateral vestibulopathy: relationships with age, concerns about falls and balance
Introduction: Bilateral vestibulopathy (bilateral loss of vestibular function; BVP) significantly impairs balance, leading to an elevated falls risk. Age, balance performance and concerns about falling may further exacerbate these issues. This study describes fall incidence characteristics among people with BVP and relates these to age, concern about falling and objective balance performance. Method: 51 participants with BVP completed a standardised 12-month fall history questionnaire, the Falls Efficacy Scale–International (FES-I) and the Mini-BESTest to collect data on fall incidents, causes
Evidence-Based Design Principles for Safer Stairs: The Role of Geometry, Surface Performance, and Visual Definition
Reducing Falls through targeted Sarcopenia Management: Findings from an MDT Sarcopenia Clinic from Qatar
Improving inpatient falls reviews: a quality improvement project at the University Hospital
Hypomagnesemia: An Overlooked Cause of Delirium and Cardiac Complications in an Elderly Patient
Falls Consultant Geriatrician Clinic Referrals Review: Improving Access to Multi-professional Falls Services.
Introduction: In 2022, new Consultant Therapist roles were recruited to the Care of the Elderly Team at Wrexham Maelor Hospital, when n=189 people were waiting to see a Consultant Geriatrician for falls. The longest wait was n=658 days. A waiting list review commenced in partnership with Community Falls Prevention, Physiotherapy, Pharmacy and Occupational Therapy, Welsh Ambulance services. People with long waits for Falls Clinic were assessed by a Consultant Therapist at home, which saw a reduction in the overall waiting list and highlighted the risk that people were not being referred to the
The Architecture of Confidence: Mapping the Relationship Between Cognition, Age, and Falls Efficacy
The Discrepancy Between Perceived Fall Efficacy and Actual Physical Performance Using TUG and Chair Rise Tests
Mitigating Fall Risk: Survey Findings and Suggestions from an ISAT-Driven Integrated Care Strategic Approach
Acceptability of High Intensity Functional Training in people with Parkinson's: a randomised feasibility trial protocol
Background & Rationale Parkinson’s disease prevalence is rising globally, driven by an ageing population. High intensity exercise may slow symptom progression and improve physical function, bone health, and quality of life. One way of delivering this is through High intensity functional training (HIFT) via community providers such as CrossFit and PD Warrior relieving pressure on NHS resources. Objectives To assess the acceptability, safety and feasibility of delivering HIFT to people with Parkinson’s through external providers, providing foundational information for future definitive trial
Antihypertensive Prescribing in Older Adults: Are We Prescribing Correctly?
Introduction Hypertension is highly prevalent among older adults and is a major contributor to cardiovascular morbidity, mortality, and cognitive decline. While the HYVET trial demonstrated benefits of antihypertensive treatment in older populations, the SPRINT trial highlighted increased adverse events with intensive blood pressure control. This highlights the importance of ensuring antihypertensive prescribing in older people is appropriate and evidence-based, particularly in those presenting with falls. Method A retrospective observational review was conducted of 60 adults aged over 75
Nurse Scientists’ Success: Implementation of Bed-side Fall Injury Attenuation Solutions
Patient Centred Clinical Approach and Number of Falls: A Potential Model for Falls Clinics
Introduction A comprehensive geriatric assessment is recommended by the British Geriatrics Society with a comprehensive medical assessment, (CMA) being implied for the falling patients. But the data on its application and impact on falls is scanty. Methods We implemented a patient centred CMA to the patients referred to falls clinics, prospectively, to facilitate complex, multimorbid, multi-systemic medical diagnoses. The number of falls in the six months prior and six month after the interventions were compared and statistically analysed. The same interventions were carried out on the second
Improving Acute Kidney Injury Management in geriatric-relevant inpatient cohort: A Two-Cycle Quality Improvement Project
Evidence and Implementation: Innovative Fall Injury Technologies and Adaptive Fashion Clothing to Reduce Fall-related Trauma
Health care professional perspectives on vision screening in older adults who attend hospital following a fall: a focus group study
Background: The assessment and management of impaired vision is included in falls prevention guidance, however implementation is inconsistent. We conducted focus groups to explore the perspectives of Health Care Professionals (HCP) on vision screening in older adults attending acute hospitals following a fall. Methods: A focus group study was undertaken with HCPs from a single acute hospital trust. Semi-structured topic guides were informed by the Consolidated Framework for Implementation Research (CFIR). Transcripts were first inductively then deductively coded using CFIR constructs