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Correlation of Neuro-Qol Lower Extremity Function with legacy scores in older patients after hip fracture: influence of falls

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ML Alvarez-Nebreda1; J Corcuera-Catala1; E Rodriguez-Espeso1; LA Hernandez-Sanchez1; P Gutierrez-Viou1; A Jimenez-Martín2; JJ Garcia-Dominguez2
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Introduction Scales for measuring quality of life and functionality are transforming to allow patients to describe how they perceive their health status. In this study, we aimed to use technology to evaluate whether the Neuro-QoL-Lower Extremity Function-CAT (NQoL-CAT) correlates with traditional functional assessment scales (Barthel Index and Functional Ambulation Classification-FAC) in elderly patients with hip fractures and check how history of falls affects it. Method Prospective study that included patients over 69 years admitted to the orthogeriatric unit for 12 months. Sociodemographic
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Navigating Life After a Fall: Experiences of Older Adults and Family Members Following Emergency Care

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Sara Bergström1,2,, Kristina Rosengren1,2, Catarina Wallengren1, Hanna Falk Erhag1,2,Ramona Schenell1
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Introduction Falls are a leading cause of morbidity among older adults and a common reason for emergency department (ED) attendance. Older adults presenting after a fall are at increased risk of recurrent falls; however, fall prevention and follow-up care after ED discharge are often fragmented. Understanding the experiences of both older adults and their relatives is essential to identify unmet needs and inform improvements in post-fall care. This study aimed to explore experiences of older adults and family members following an ED visit after a fall. Method A qualitative study design was
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Unrecovered falls in older adults – Current state of the art and preliminary analysis from the TRAIL study

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Natalie Hezel1, Jochen Klenk2, Jessica Koschate-Storm3, Tania Zieschang 3, Michael Schwenk 4, Rainer Wirth 5, Jürgen M Bauer1, Clemens Becker1, Christian Werner1
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Introduction: Frail older adults who fall are often unable to get up without assistance. Such “unrecovered falls” (URFs) occur more frequently than injurious falls yet are particularly critical, as prolonged lying episodes significantly increase the risk of adverse health outcomes. Involving the assisting person in URF assessment may help reduce recall bias in self-reported falls. Because URFs are both common and clinically meaningful, they may serves as an efficient outcome measure, allowing for smaller sample sizes in fall prevention trials compared with those relying on injurious falls
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Age- and Fall-Risk–Related Differences in Reactive Balance Responses

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Paola Di Florio1, Gabriele Santin2, Stefano Tortora3, Margherita Bertuccelli3, Alfonc Baba2, Emanuele Menegatti3, Alessandra Del Felice2, Lorenzo Chiari4
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Reactive balance control is critical for fall prevention. The ReBalance study examined trunk, hip, and knee range of motion (ROM) from inertial sensors (Trigno, Delsys) during anterior, posterior, right, and left tilting perturbations with triangular (TRIANG) and trapezoidal (TRAPZ) acceleration profiles, in order to reveal age- and risk-related differences in young adults (N=10, 29.4 ± 5.3 years, 40% female) and older adults at low (N=26, 73.4 ± 7.0 years, 40% female) and high (N=25, 79.7 ± 7.4 years, 60% female) fall risk. Fall risk was assessed using FRAT-up (Cattelani et al, JMIR, 2015)
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Association between IMU-derived Gait Parameters and 12-month Falls after Total Knee Arthroplasty: A Preliminary Study

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Shogo Misu 1, Hideki Sakai 2, Chisato Nagatani 2, Keiji Kodama 3, Kenta Yamamoto 4, Yuya Murakawa 4, Tsuyoshi Asai 5
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Introduction Falls after total knee arthroplasty (TKA) remain a clinically important issue. Previously, we reported that inertial measurement units (IMUs) can quantify early postoperative alterations in gait characteristics, including variability, regularity, and smoothness, but their association with subsequent falls is unclear. This preliminary study examined whether IMU-derived gait parameters measured 3 weeks after TKA for knee osteoarthritis (OA) were associated with falls during the first 12 months after surgery. Method Forty patients aged ≥60 years undergoing primary TKA for knee OA
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Implementation of pharmacist falls clinic recommendations in primary care

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Sadie Parry1, Anneka Mitchell2
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Introduction A multidisciplinary falls clinic was established where patients are reviewed by a nurse, physiotherapist, and pharmacist and interventions made to reduce the risk of falls. The pharmacist conducts a structured medication review and fracture risk assessment (FRAX) and provides recommendations to the patient and their GP. The aim of this project was to evaluate the number and type of recommendations made by the pharmacist and whether they are implemented in general practice. Method Patients were included if they attended the falls clinic between 1/1/24 and 1/7/24. Data on
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Managing “long lies” after falls in care homes: early qualitative findings from a mixed-methods study

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M Kuczawski1; K Zwerger1; FC Sampson1; C Cotterill1
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Introduction Falls are a major public health problem, costing an estimated £2.3 billion annually in the UK. In older age, falls may leave people unable to get up even with assistance. Without life-threatening symptoms, calls may be triaged as low priority and people may remain on the floor (“long lie”), risking dehydration, pressure injury, muscle damage and psychological distress. This study explored how residential and nursing homes manage residents after a fall while awaiting emergency response. Method Semi-structured online interviews were conducted with 15 managers of residential and
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A feasibility RCT of a digital programme to prevent falls and improve well-being in people living with dementia

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Jaheeda Gangannagaripalli1; Saima Ahmed1; Amelia Parchment1; Chunhu Shi1; Rachel Christie1; Schenelle Dlima1; Chris Todd1; Emma Vardy2; Emma Stanmore1
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Introduction: Falls are common and costly for people living with Dementia (PLwD). “Keep on Keep up (KOKU),” (https://kokuhealth.com/ [kokuhealth.com]) is a UK National Health Service (NHS) approved tablet-based, digital gamified programme with strength and balance exercises and health literacy games specifically designed WITH older people FOR older people at risk of falls [1]. KOKU-LITE is a dementia-friendly accessible version of KOKU that has been co-developed WITH people living with dementia to suit their needs. This trial aimed to assess the feasibility and acceptability of KOKU-LITE
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Approaching Falls in Bromley care homes: Doing more vs doing most?

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Sara Quirke¹, Jodie Adkin¹, Rosie Conmy², Upaasna Garbharran³
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Introduction Falls account for 27% of ambulance conveyances to hospital from care homes and Extra Care Housing (ECH) in Bromley, despite ongoing falls prevention and management efforts under the Enhanced Health in Care Homes Framework. In March 2025, a system-wide quality improvement programme was designed to super-charge falls prevention, reduce hospital attendance and improve post-fall care. Methods A multidisciplinary network (care home teams, GPs, community services, acute hospital, and ambulance teams) co-designed the Falls Campaign. This enabled risk stratification of falls and sequelae
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Frailty predicts incident falls in community living older adults: a cohort study

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Ashish Goel, Kaustubh Somalwar, Baldeep Kaur, Alpana Raizada, Richa Gupta, Arun Kumar Sharma
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Introduction Frailty, a cumulative decline in physiological systems, is associated with adverse health outcomes including falls. Falls are a significant global public health concern, contributing to morbidity and mortality in older persons, and for frail individuals, can lead to serious damage and psychosocial issues. While a strong association between frailty and falls is consistently demonstrated, there remains a paucity of literature specifically exploring these dynamics in a longitudinal framework. Objectives This prospective cohort study aimed to investigate the association between
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Falls documented after personal emergency alarm call-outs in Iceland: 12-month frequency, causes, circumstances and consequences

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Solveig A. Arnadottir1; Ingibjorg V. Hafsteinsdottir1,2; Ingunn K. Jonsdottir1,3; Atli Agustsson1
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Introduction: Responder-completed reports after personal emergency alarm call-outs can provide actionable information for fall prevention. This study aimed to assess 12-month fall frequency and describe causes, circumstances, and consequences among alarm users in Iceland, comparing users with and without documented falls. Methods: A retrospective study of users with continuous alarm service for 12 months and reimbursement from Icelandic Health Insurance (N=765). Alarm-service and insurance data were linked to identify responder-documented falls (falls/year; ≥1; ≥2) and user characteristics
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Effectiveness of a Multidisciplinary Pilot Group Program to Reduce Falls Risk in Community-Dwelling Older Adults with Frailty

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S Igoe; O Bademosi
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Introduction Falls among older adults living with frailty represent a significant public health concern. This pilot study evaluated a six-week, multidisciplinary team (MDT)-led group intervention delivered in a day hospital setting providing comprehensive geriatric assessment. The program targeted community-dwelling adults aged ≥65 years with a Clinical Frailty Scale [CFS] score of 4–5. Group sessions (90 minutes weekly) comprised of education, exercise, and social engagement. Educational topics provided included frailty, falls prevention, nutrition, physical and cognitive health, social
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Machine learning-based fall risk assessment using gait data

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Leonhard Stein1,2; Lukas Gschoßmann1; Paul Schmitz3; Rainer Kretschmer3;Sebastian Dendorfer1,2
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Introduction: Falls affect approximately 30% of older adults annually and represent a major public health burden. Existing research has developed standardised tests for fall risk (FR) assessment or correlated movement tests with fall events using machine learning (ML). However, there is a lack of studies including large and heterogeneous populations to test the generalisability of different ML methods. The aim of this study was to compare gait analysis-based classification of FR using ML with comprehensive, established tests in a large multicentre cohort. Methods: A total of 443 participants
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Developing a Chinese version of adapted Integrating Lifestyle Functional Exercise (CLiFE) Programme and Testing its Feasibility

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LISHAN HUANG1; HELEN HAWLEY-HAGUE1,2; CHRIS TODD1,2,3
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Introduction Adapted lifestyle-integrated exercise (aLiFE) programme, which seamlessly integrates balance and strength exercises into daily routines, is an alternative exercise intervention for falls prevention. This study aims to develop a Chinese version of aLiFE (CLiFE) and test its feasibility. Method There are four stages: Stage 1 involved focus groups and individual interviews to explore initial perceptions of the aLiFE programme; Stage 2 used an advisory PPIE to draft the CLiFE programme; Stage 3 performed a four-week pre–post feasibility study, followed by follow-up interviews in Stage
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Sex-specific prediction of one-year fall risk using self-reported measures: Results from the European DO-HEALTH trial

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M Wieczorek; G Freystaetter; R Theiler; U Siebert; A Egli; T Masud; J A Kanis; H A Bischoff-Ferrari, for the DO-HEALTH Research Group
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Introduction: Despite extensive research, no robust and clinically implementable tool for predicting one-year fall risk in older adults is currently available. Existing prediction models are rarely sex-specific and frequently rely on predictors that are difficult to apply in routine practice. Moreover, many have been developed using retrospective data increasing the risk of recall bias. This study addresses these limitations by developing sex-specific fall risk prediction models based on simple, self-reported measures using prospectively collected data from European community-dwelling older
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Falls Prevention in Dementia: Integrating Frailty and Specialist Nursing Leadership

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Melissa Grundy Marie Mumby
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Abstract Content : Falls Prevention in Dementia: Integrating Frailty and Specialist Nursing Leadership Background: Falls are a leading cause of morbidity in older adults, with dementia increasing risk two- to threefold. Frailty often coexists, amplifying vulnerability and complicating prevention strategies. Dementia UK highlights that falls are linked to cognitive symptoms such as impaired judgment, sensory changes, and mobility difficulties, and often signal underlying frailty. Despite NICE NG249 and BGS standards, implementation remains inconsistent for people with dementia. Aim: To present

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Association between fear of falling and single versus recurrent falls in patients with fragility fractures

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R Kaur1; A Williams1, A Singh1, C Edwards2, T Masud3, I Singh4
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Introduction: Fracture Liaison Service (FLS) assess patients for secondary prevention of fragility fracture. routinely assesses fall risk to prevent secondary fractures. Fear of falling is a common psychological consequence following falls and fragility fractures, contributing to functional decline, reduced quality of life, and increased risk of further falls and fractures. This study evaluates the relationship between fear of falling with respect to single or recurrent falls among patients seen by Aneurin Bevan Fracture Liaison Service (AB-FLS). Methods: A retrospective cohort analysis was

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Association between recurrent falls history on re-fracture risk and mortality: A 4-years Follow-up Study

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A Singh1; R Kaur1; S Maggs1, C Edwards2, T Masud3, I Singh4
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Introduction: Fragility fractures are a major cause of morbidity in older adults and are often preceded by falls. Identifying patients at greatest risk of refracture is vital for optimising secondary prevention strategies within Fracture Liaison Service (FLS). This study measures impact of history of single or recurrent (2 or more) falls on the incidence of re-fracture and mortality among patients seen by Aneurin Bevan Fracture Liaison Service (AB-FLS). Methods: This study included fragility fracture patients (n= 3839) reviewed by AB-FLS between January 2022 and December 2023. Falls risk

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Effects of a Fall Prevention Program on Older People with Various Fall Risks: A Post-Hoc Analysis of the FAMILY Trial

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P Zhou1; J Peng1; P Ye2; J Zhang1; Y Wang3; R Ivers4; M Tian1,3,5
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Introduction With rapidly aging populations, falls are a leading cause of injury, especially in resource-constrained rural settings. This study examined whether rural community-dwelling older adults with higher fall risk received greater benefit from a primary care-integrated fall prevention Program compared to those with lower fall risk. Methods The study was a post-hoc analysis based on the FAMILY trial, an open-label, cluster randomized clinical trial conducted in 128 rural villages in China. The trial recruited older adults aged ≥60 years. Baseline fall risks were assessed using the 12
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Time course of mobility data of older adults following hospitalisation

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Juliane Ebel, Anna Höhn, Alexander Bräuer, Helge Schnack, Tania Zieschang, Kathrin Boerner, Jessica Koschate-Storm
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Introduction In recent years shorter hospital stays have shifted care needs of older adults into the home environment. Yet, little is known about health data of older adults after discharge. Especially mobility seems to be a key parameter for managing daily life at home. This study aims to identify trajectories of mobility among older adults after hospitalisation. Methods The goal is to recruit 160 older patients (age 70+), from four clinical units. Data collection starts in the hospital (T0). After discharge, two home visits are conducted after three (T1) and six months (T2), respectively. At
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