Falls in Elderly People- December 2013


Table of Content


Cochrane Systematic Reviews. 1

National Guidelines. 1


Falls Prevention. 2

Inpatient Falls. 3

Falls Effects. 4

Sources. 6

Trust Information.7

N.B. Press CTRL + Click on any of the headings to jump to that point within the document.


Cochrane Systematic Reviews

Nothing to report

National Guidelines

NICE., updated October 2013. Falls in older people Pathway.

Abstract: This pathway covers the assessment and prevention of falls in older people both in the community and during a hospital stay and was created from the NICE clinical guideline 161 (2013) Falls: assessment and prevention of falls in older people.


GREAT BRITAIN. DEPARTMENT OF HEALTH., 27 November 2013 - 3:49pm. Department of Health’s winter crisis fund will back additional physio posts.

Abstract: Properly funded community services, such as physio-led falls prevention programmes are essential to keeping more people out of hospital and reducing unnecessary use of A&E.


Falls Prevention

CHAN, V., ZAGORSKI, B., PARSONS, D. and COLANTONIO, A., 2013. Older adults with acquired brain injury: a population based study. BMC Geriatrics, 13, pp. 97
Abstract: This study showed an increased rate of acute care admissions for both traumatic and non-traumatic brain injury with age. It also provided additional support for falls prevention strategies to prevent injury leading to cognitive disability with costly human and economic consequences.
Full Text


Vibration perception threshold in relation to postural control and fall risk assessment in elderly. Disability & Rehabilitation, 35(20), pp. 1712-1718.

This study investigates whether the integration of a simple screening vibration perception threshold for peripheral neuropathy in physical (fall risk) assessment among the elderly should be recommended.



Evaluation of the Missouri Alliance for Home Care Fall Risk Assessment Tool and Home-Based Balanced Approach. Fall Reduction Initiative. Home Health Care Management & Practice, 25(5), pp. 224-229.

Abstract: A study into the effectiveness of the MAHC program in the identification and management of fallers in the home.



International prevalence measurement of care problems: results. Journal of advanced nursing, 69(9), pp. e5-e17
Abstract: This report describes the results collected from an annual questionnaire measuring care problems including falls which occur frequently in healthcare organisations.
Full Text



Qualitative Assessment of Component-Specific, Fall-Risk Screening Procedures to Create a Fall Risk Screening Form. Journal of Geriatric Physical Therapy, 36(4), pp. 155-162.

Abstract: A semi structured interview was used to gather feedback from geriatric care workers on what was needed for universal fall risk screening.


WELLS, A. and GRAY, S., 2013. Following NICE guidance to take positive steps to prevent falls. Nursing & Residential Care, 15(11), pp. 729-733.

Abstract: Health professionals can provide support for older people to help reduce the risk of, and harm from, falls, while maintaining quality and dignity in the care home setting.

Full Text


SILVA, B., ESLICK, D. and DUQUE, G., 2013. Exercise for Falls and Fracture Prevention in Long Term Care Facilities: A Systematic Review and Meta-Analysis. Journal of the American Medical Directors Association, 14(9), pp. 685-689
Abstract: This study aims to analyse the overall effect of exercise on falls and fracture prevention in long term care facilities


TOUSIGNANT, M., CORRIVEAU, H., ROY, P., DESROSIERS, J., DUBUC, N. and HéBERT, R., 2013. Efficacy of supervised Tai Chi exercises versus conventional physical therapy exercises in fall prevention for frail older adults: a randomized controlled trial. Disability & Rehabilitation, 35(17), pp. 1429-1436
Abstract: The authors compare the effectiveness of supervised Tai Chi exercises versus the conventional physical therapy exercises in a personalised rehabilitation program in terms of the incidence and severity of falls in a frail older population


TUUNAINEN, E., JÄNTTI, P., PYYKKO, I., RASKU, J., MOISIO-VILENIUS, P., MÄKINEN, E. and TOPPILA, E., 2013. Intervention to Prevent Falls in Elderly Adults Living in a Residential Home. Journal of the American Geriatrics Society, 61(8), pp. 1426-1427.

Abstract: A study to identify fall factors and their prevention in a nursing home for the elderly in Finland

Full Text


VLAEYEN, E., DESCHODT, M., DEBARD, G., DEJAEGER, E., BOONEN, S., GOEDEME, T., VANRUMSTE, B. and MILISEN, K., 2013. Fall incidents unravelled: a series of 26 video-based real-life fall events in three frail older persons. BMC Geriatrics, 13, pp. 103
Abstract: For prevention and detection of falls, it is essential to unravel the way in which older people fall. This study aims to provide a description of video-based real-life fall events.

Full Text



A feasibility study and pilot randomised trial of a tailored prevention program to reduce falls in older people with mild dementia. BMC Geriatrics, 13, pp. 89
Abstract: People with dementia have a disproportionately high rate of falls and fractures and poorer outcomes. A randomised trial design was used to test feasibility of study components and acceptability of a home hazard reduction and balance and strength exercise fall prevention program.

Full Text


YAMADA, M., HIGUCHI, T., NISHIGUCHI, S., YOSHIMURA, K., KAJIWARA, Y. and AOYAMA, T., 2013. Multitarget Stepping Program in Combination with a Standardized Multicomponent Exercise Program Can Prevent Falls in Community-Dwelling Older Adults: A Randomized, Controlled Trial. Journal of the American Geriatrics Society, 61(10), pp. 1669-1675
Abstract: A Randomised controlled trial in Japan of community-dwelling adults aged 65 and over taking part in an exercise program could help reduce fall rate.

Full Text


SCHOENE, D., SMITH, S.T., DAVIES, T.A., DELBAERE, K. and LORD, S.R., 2013. A Stroop Stepping Test (SST) using low-cost computer game technology discriminates between older fallers and non-fallers. Age and Ageing, epub ahead of print Oct 14
Abstract: This study shows the SST, a low-cost video game device, was able to distinguish fallers from non-fallers providing a novel way to explore cognitive mechanisms for fall-risk in older people.


NG, C.T. and TAN, M.P., 2013. Osteoarthritis and falls in the older person. Age and Ageing, 42(5), pp. 561-566
Abstract: The authors review the existing literature on the relationship between osteoarthritis and falls have found limited evidence supporting the current assumption that the presence of osteoarthritis is associated with increased risk of falls.


ROSENBLATT, N.J., MARONE, J. and GRABINER, M.D., 2013. Preventing Trip-Related Falls by Community-Dwelling Adults: A Prospective Study. Journal of the American Geriatrics Society, 61(9), pp. 1629-1631.

Abstract: Exercises specifically targeting trip-related falls can help to reduce falls by up to 86% in older adults.

Full Text


MANSON, J., ROTONDI, M., JAMNIK, V., ARDERN, C. and TAMIM, H., 2013. Effect of tai chi on musculoskeletal health-related fitness and self-reported physical health changes in low income, multiple ethnicity mid to older adults. BMC Geriatrics, 13, pp. 114
Abstract: Tai Chi has proven to be effective at improving musculoskeletal fitness by increasing upper and lower body strength, low back flexibility and overall physical health.

Full Text


GSCHWIND, Y., KRESSIG, R., LACROIX, A., MUEHLBAUER, T., PFENNINGER, B. and GRANACHER, U., 2013. A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatrics, 13, pp. 105
Abstract: With increasing age neuromuscular deficits (e.g., sarcopenia) may result in impaired physical performance and an increased risk for falls.

Full Text


FINK, H.A., KUSKOWSKI, M.A. and MARSHALL, L.M., 2013. Association of stressful life events with incident falls and fractures in older men: the Osteoporotic Fractures in Men (MrOS) Study. Age and Ageing, epub ahead of print Sep 3
Abstract: This study of older men over 65 years of age examines the relationship of stressful life events and an increased risk of incident falls independent of other explanatory variables.


BOYÉ, N.D.A., OUDSHOORN, C., VAN DER VELDE, N., VAN LIESHOUT, E.M.M., DE VRIES, O.J., LIPS, P., VAN BEECK, E.F., PATKA, P. and VAN DER CAMMEN, T.J.M., 2013. Vitamin D and Physical Performance in Older Men and Women Visiting the Emergency Department Because of a Fall: Data from the Improving Medication Prescribing to reduce Risk Of FALLs (IMPROveFALL) Study. Journal of the American Geriatrics Society, 61(11) pp. 1948-1952.
Abstract: To investigate whether serum 25-hydroxy vitamin D (25(OH) D) is associated with physical performance and reduces falls in men and women.

Full Text


CALDER, C.G., MANNION, J. and METCALF, P.A., 2013. Low-Intensity Whole-Body Vibration Training to Reduce Fall Risk in Active, Elderly Residents of a Retirement Village. Journal of the American Geriatrics Society, 61(8), pp. 1424-1426.

Abstract: Whole-body vibration training (WBVT) is a new exercise concept that may be beneficial in elderly adults. This study assessed the effect of low-intensity

WBVT on gait, balance, and health-related quality of life in active elderly volunteers

Full Text


STUBBS, B., BINNEKADE, T., EGGERMONT, L., SEPEHRY, A.A., PATCHAY, S. and SCHOFIELD, P., 2013. Pain and the Risk for Falls in Community-Dwelling Older Adults: Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation, epub ahead of print Sep 10
Abstract: A systematic review and meta-analysis to establish the association between pain and falls in community-dwelling older adults.

Full Text


Inpatient Falls

DRAHOTA, A.K., WARD, D., UDELL, J.E., SOILEMEZI, D., OGOLLAH, R., HIGGINS, B., DEAN, T.P. and SEVERS, M., 2013. Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people. Age and Ageing, 42(5), pp. 633-640
Abstract: This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people.


GRANT, L. and MCENERNEY, J., 2013. Making time for nurses to reduce patient falls. Nursing times, 109(37), pp. 21-24
Abstract: Patient falls in hospitals are a serious problem and can cause long delays in their recovery. This article describes the steps taken by The Walton Centre to reduce falls and provides an evaluation of the programme.
Full Text

LATIMER, N., DIXON, S., DRAHOTA, A.K. and SEVERS, M., 2013. Cost--utility analysis of a shock-absorbing floor intervention to prevent injuries from falls in hospital wards for older people. Age and Ageing, 42(5), pp. 641-645
Abstract: A cost-analysis on the effectiveness of shock-absorbing flooring compared with standard hospital flooring in hospital wards for older people and whether the intervention flooring results in a higher faller rate than standard flooring.


SAHOTA, O., DRUMMOND, A., KENDRICK, D., GRAINGE, M.J., VASS, C., SACH, T., GLADMAN, J. and AVIS, M., 2013. REFINE (REducing Falls in In-patieNt Elderly) using bed and bedside chair pressure sensors linked to radio-pagers in acute hospital care: a randomised controlled trial. Age and Ageing, epub ahead of print Oct 18.

Abstract: Advances in sensor technology afford innovative approaches to reducing falls in acute hospital care. However, whether these are clinically effective and cost effective in the UK setting has not been evaluated.


CUMBLER, E.U., SIMPSON, J.R., ROSENTHAL, L.D. and LIKOSKY, D.J., 2013. Inpatient Falls: Defining the Problem and Identifying Possible Solutions. Part II: Application of Quality Improvement Principles to Hospital Falls. The Neurohospitalist, 3(4), pp. 203-208
Abstract: In this 2 part series, analysis of the risk stratification tools that are available and definition of

the scope of the problem and potential solutions is presented in a review of the literature.

Full Text

PATI, S., KUMARASWAMY, V.M., DEEP, A., CHUNG, S.S., PLUEGER, M., KIYOTA, G. and TREIMAN, D.M., 2013. Characteristics of falls in the epilepsy monitoring unit: a retrospective study. Epilepsy & Behavior: E&B, 29(1), pp.1-3
Abstract: The authors identify patterns of falls in an EMU and compare them with risk factors for inpatient falls and highlight the practice gap in preventing falls in an EMU

SINGH, I. and OKEKE, J., 2013. Risk of inpatient falls is increased with single rooms.

BMJ (Clinical research ed.), 347, pp. f6344-f6344.

Abstract: Should all patients have single rooms? The most important impact of 100% single rooms was a significant increase in such falls.

Full Text

STAGGS, V.S. and DUNTON, N., 2013. Associations between rates of unassisted inpatient falls and levels of registered and non-registered nurse staffing. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care / Isqua, epub ahead of print Nov 13.
Abstract: Increasing non-RN staffing seems ineffective at preventing unassisted falls. Increasing RN staffing may be effective, depending on the unit type and the current level of staffing.

Full Text


Falls Effects

DIBBLE, E., LOPEZ-LENNON, C., LAKE, W., HOFFMEISTER, C. and GAPPMAIER, E., 2013. Utility of Disease-Specific Measures and Clinical Balance Tests in Prediction of Falls in Persons With Multiple Sclerosis. Journal of Neurologic Physical Therapy, 37(3), pp.99-105.

Abstract: A 12 month study of community-dwelling individuals with MS to determine frequency of falls, utility of clinical balance tests to predict falls, and accuracy of participants' retrospective recall of fall events.


GUNATHILAKE, R., OLDMEADOW, C., MCEVOY, M., KELLY, B., INDER, K., SCHOFIELD, P. and ATTIA, J., 2013. Mild Hyponatremia is Associated with Impaired Cognition and Falls in Community-Dwelling Older Persons. Journal of the American Geriatrics Society, 61(10), pp.1838-1840.

Abstract: An Australian study indicating that even mild degrees of hyponatremia can be associated with significant cognitive deficits and greater risk of falls in otherwise asymptomatic older persons.

Full Text


KLIMA, W., NEWTON, A., KESHNER, A. and DAVEY, A., 2013. Fear of Falling and Balance Ability in Older Men: The Priest Study. Journal of Aging & Physical Activity, 21(4), pp. 375-387
Abstract: Studies examining fear of falling among older adult men remain limited. The objectives of this study were to compare balance confidence in 2 age cohorts of older clergy and identify predictive determinants of balance confidence in a liturgical research initiative.


DRZAL-GRABIEC, J., SNELA, S., RYKALA, J., PODGORSKA, J. and BANAS, A., 2013. Changes in the body posture of women occurring with age. BMC Geriatrics, 13, pp.108
Abstract: A study of the changes in body posture occurring with age of women over the age of 60years compared with a control group to determine the dynamics of body posture changes in the following decades

Full Text


KUMAR, A., CARPENTER, H., MORRIS, R., ILIFFE, S. and KENDRICK, D., 2013. Which factors are associated with fear of falling in community-dwelling older people? Age and Ageing, epub ahead of print Oct 6.

Abstract: A study to identify those at risk of fear of falling (FOF) which is common in older people and associated with serious physical and psychosocial consequences. Identifying those at risk of FOF can help target interventions to both prevent falls and reduce FOF.

LISTON, M.B., BAMIOU, D.E., MARTIN, F., HOPPER, A., KOOHI, N., LUXON, L. and PAVLOU, M., 2013. Peripheral vestibular dysfunction is prevalent in older adults experiencing multiple non-syncopal falls versus age-matched non-fallers: a pilot study. Age and Ageing, epub ahead of print Sep 15.
Abstract: A study to identify whether a greater proportion of older adult fallers have a peripheral vestibular impairment compared with age-matched healthy control A greater awareness may lead to more effective management and treatment for older adult fallers.


MURPHY, T.E., BAKER, D.I., LEO-SUMMERS, L.S., ALLORE, H.G. and TINETTI, M.E., 2013. Association Between Treatment or Usual Care Region and Hospitalization for Fall-Related Traumatic Brain Injury in the Connecticut Collaboration for Fall Prevention. Journal of the American Geriatrics Society, 61(10), pp.1763-1767
Abstract: Objectives To evaluate the association between the treatment region (TR) or usual care region (UCR) of the Connecticut Collaboration for Fall Prevention (CCFP), a clinical intervention for prevention of falls, and the rate of hospitalization for fall-related traumatic brain injury (FR-TBI) in persons aged 70 and older

Full Text


NEWTON, M. and SANDERSON, A., 2013. The effect of visual impairment on patients' falls risk. Nursing older people, 25(8), pp.16-21
Abstract: This article explores the risk of falling and preventive assessment in patients with visual impairment, whether they are in long-term care settings or living in their own homes.

Full Text


REZAI, F., ASSEFA, S., TAKSHYNA, O., BOSS, L., SETHI, R., KUPYAK, E., EGAN, J., EUSEBIO, E., SINGLER, E., ULYSSE, G. and LAWLOR, J., 2013. Is There an Association of Inpatient Falls and Hyponatremia? Chest, 144(4), pp. 574A-574A

Abstract: The authors perform a retrospective review of medical records to examine the association of falls with hyponatremia in the hospital setting. The admission serum sodium levels were compared with levels at the time of the fall.


SJÖBERG, C. and WALLERSTEDT, S.M., 2013. Effects of Medication Reviews Performed by a Physician on Treatment with Fracture-Preventing and Fall-Risk-Increasing Drugs in Older Adults with Hip Fracture? A Randomized Controlled Study. Journal of the American Geriatrics Society, 61(9), pp. 1464-1472
Abstract: An investigation into whether medication reviews increase treatment with fracture-preventing drugs and decrease treatment with fall-risk-increasing drugs.

Full Text


STENHAGEN, M., EKSTROM, H., NORDELL, E. and ELMSTAHL, S., 2013. Falls in the general elderly population: a 3- and 6- year prospective study of risk factors using data from the longitudinal population study 'Good ageing in Skane'. BMC geriatrics, 13, pp. 81
Abstract: Accidental falls in the elderly are a major health problem, despite extensive research on risk factors and prevention. The aim of this study in Sweden was to identify risk factors predicting falls in a general elderly population after three and six years, using a prospective design.

Full Text


TARIQ, H., KLOSECK, M., CRILLY, R., GUTMANIS, I. and GIBSON, M., 2013. An exploration of risk for recurrent falls in two geriatric care settings. BMC Geriatrics, 13, pp. 106
Abstract: Fall events were examined in two distinct geriatric populations to identify factors associated with repeat fallers, and to examine whether patients who use gait aids, specifically a walker, were more likely to experience repeat falls.

Full Text




The following sources have been searched for evidence published in the previous four months Please contact the editor for further information.


Some key Nursing journals were also scanned. For a full list of sources used for the update, Please contact the Editor for further information.


HEFT Libraries-Good Hope, Heartlands and Solihull

Mobile Apps

The libraries facilitate access to NICE, BNF and Cochrane Library apps for your phone or tablet via your Athens password. These

can be downloaded from the Apple App Store or Google Play.

ASK your local library if you need support:

[email protected]

[email protected]

[email protected]


Topic of the Month

The topic of the month on display in the libraries across the sites for the December is Human Rights. Visit your local library to see the display. You can also visit the United Nations to find out more.


Struggling with Referencing?

Use Refworks when researching your assignments to organise your citations. RefWorks is available through your Athens Login. Or contact our Faculty Training Librarian, Laura Walsh for a 1-2-1 or group session [email protected]


HEFT Repository

If you have published any article as part of your role in the Trust, then email the details to [email protected] . You can ‘browse’ the repository at www.repository.heartofengland.nhs.ukor via the HEFT Library website.


Clinical Key

The Trust’s library service is pleased to inform you that Clinical Key is available. This online resource provides a large collection of over 1145 ebooks and nearly 590 ejournals among many other resources such as treatment monographs, systematic reviews, videos and images.   Clinical Key can be accessed by clicking on Login followed by the OpenAthens login where you enter your Athens username and password. If you do not have an Athens username and password please go to: https://register.athensams.net/nhs/nhseng/