A multifactorial intervention to reduce the risk of falling among elderly people living in the community

New England Journal of Medicine

Volumn 331, Issue 13, 1994, Pages 821-827

  Tinetti, Mary E ^a   Baker, Dorothy I ^c   Mcavay, Gail ^b   Claus, Elizabeth B ^b   Garrett, Patricia ^a   Gottschalk, Margaret ^d   Koch, Marie L ^e   Trainor, Kathryn ^b   Horwitz, Ralph I ^a  

^a Internal Medicine   (United States)

^b Epidemiology and Public Health   (United States)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d YALE NEW HAVEN HOSPITAL   (United States)

^e QUINNIPIAC UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

SEDATIVE AGENT;

AGED; ARTICLE; CLINICAL TRIAL; COMMUNITY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG USE; ELDERLY CARE; EXERCISE; FALLING; FEMALE; GAIT DISORDER; HUMAN; MALE; MUSCLE WEAKNESS; NORMAL HUMAN; ORTHOSTATIC HYPOTENSION; PREVENTION; PRIORITY JOURNAL;

ACCIDENTAL FALLS; ACTIVITIES OF DAILY LIVING; AGED; CONNECTICUT; COST-BENEFIT ANALYSIS; DRUG THERAPY; EXERCISE THERAPY; FEMALE; FOLLOW-UP STUDIES; GERIATRIC ASSESSMENT; HEALTH EDUCATION; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH SERVICES FOR THE AGED; HOME CARE SERVICES; HUMANS; INCIDENCE; INTERVENTION STUDIES; MALE; RISK FACTORS;

EID: 0028067590     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJM199409293311301     Document Type: Article

References (44)

1. Sattin RW Falls among older persons: a public health perspective. Annu Rev Public Health 1992; 13: 489-508
2. Falls in older persons: risk factors and prevention. In: Berg RL, Cassells JS, eds. The second fifty years: promoting health and preventing disability. Washington, D.C.: National Academy Press, 1990:263-90.
3. Healthy people 2000: national health promotion and disease prevention objectives. Washington, D.C.: Department of Health and Human Services, 1990. (DHHS publication no. (PHS) 91-50213.)
4. Tinetti ME, Speechley M, Ginter SF Risk factors for falls among elderly persons living in the community. N Engl J Med 1988; 319: 1701-1707
5. Blake AJ, Morgan K, Bendall MJ, Falls by elderly people at home: prevalence and associated factors. Age Ageing 1988; 17: 365-372
6. Campbell AJ, Borrie MJ, Spears GF Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 1989; 44: M112-M117
7. Nevitt MC, Cummings SR, Kidd S, Black D Risk factors for recurrent nonsyncopal falls: a prospective study. JAMA 1989; 261: 2663-2668
8. Wolinsky FD, Johnson RJ, Fitzgerald JF Falling, health status, and the use of health services by older adults: a prospective study. Med Care 1992; 30: 587-597
9. Kiel DP, O'Sullivan P, Teno JM, Mor V Health care utilization and functional status in the aged following a fall. Med Care 1991; 29: 221-228
10. Dunn JE, Rudberg MA, Furner SE, Cassel CK Mortality, disability, and falls in older persons: the role of underlying disease and disability. Am J Public Health 1992; 82: 395-400
11. Tinetti ME, Liu WL, Claus EB Predictors and prognosis of inability to get up after falls among elderly persons. JAMA 1993; 269: 65-70
12. Kosorok MR, Omenn GS, Diehr P, Koepsell TD, Patrick DL Restricted activity days among older adults. Am J Public Health 1992; 82: 1263-1267
13. Wolf-Klein GP, Silverstone FA, Basavaraju N, Foley CJ, Pascaru A, Ma PH Prevention of falls in the elderly population. Arch Phys Med Rehabil 1988; 69: 689-691
14. Neufeld RR, Tideiksaar R, Yew E, A multidisciplinary falls consultation service in a nursing home. Gerontologist 1991; 31: 120-123
15. Rubenstein LZ, Robbins AS, Josephson KR, Schulman BL, Osterweil D The value of assessing falls in an elderly population: a randomized clinical trial. Ann Intern Med 1990; 113: 308-316
16. Reinsch S, MacRae P, Lachenbruch PA, Tobis JS Attempts to prevent falls and injury: a prospective community study. Gerontologist 1992; 32: 450-456
17. Vetter NJ, Lewis PA, Ford D Can health visitors prevent fractures in elderly people? BMJ 1992; 304: 888-890
18. Hornbrook MC, Stevens VJ, Wingfield DJ, Hollis JF, Greenlick MR, Ory MG Preventing falls among community-dwelling older persons: results from a randomized trial. Gerontologist 1994; 34: 16-23
19. Tinetti ME, Baker DI, Garrett PA, Gottschalk M, Koch ML, Horwitz RI Yale FICSIT: risk factor abatement strategy for fall prevention. J Am Geriatr Soc 1993; 41: 315-320
20. Folstein MF, Folstein SE, McHugh PR “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-198
21. SAS/STAT user's guide: release 6.03 ed. Cary, N.C.: SAS Institute, 1988.
22. Radloff LS The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1977; 1: 385-401
23. Lawton MP, Brody EM Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969; 9: 179-186
24. Buchner DM, Hornbrook MC, Kutner NG, Development of the common data base for the FICSIT trials. J Am Geriatr Soc 1993; 41: 297-308
25. Bergner M, Bobbitt RA, Carter WB, Gilson BS The Sickness Impact Profile: development and final revision of a health status measure. Med Care 1981; 19: 787-805
26. Spaeth EB, Fralick FB, Hughes WF Jr Estimation of loss of visual efficiency. Arch Ophthalmol 1955; 54: 462-468
27. Macphee GJA, Crowther JA, McAlpine CH A simple screening test for hearing impairment in elderly patients. Age Ageing 1988; 17: 347-351
28. Hoppenfeld S. Physical examination of the spine and extremities. New York: Appleton-Century-Crofts, 1976.
29. American Academy of Orthopedic Surgeons. Method of measuring and recording. Chicago: American Academy of Surgeons, 1965.
30. Koch M, Gottschalk M, Baker DI, Palumbo S, Tinetti ME An impairment and disability assessment and treatment protocol for community-living elderly persons. Phys Ther 1994; 74: 286-294
31. Lipsitz LA Orthostatic hypotension in the elderly. N Engl J Med 1989; 321: 952-957
32. Prinz PN, Vitiello MV, Raskind MA, Thorpy MJ Geriatrics: sleep disorders and aging. N Engl J Med 1990; 323: 520-526
33. Gottlieb GL Sleep disorders and their management: special considerations in the elderly. Am J Med 1990; 88: Suppl 3A: 29S-33S
34. Spielman AJ, Saskin P, Thorpy MJ Treatment of chronic insomnia by restriction of time in bed. Sleep 1987; 10: 45-56
35. Merriam SB The structure of simple reminiscence. Gerontologist 1989; 29: 761-767
36. Baker RJ, Nelder JA. The GLIM system: release 3. Oxford, England: Royal Statistical Society, 1978.
37. Wacholder S Binomial regression in GLIM: estimating risk ratios and risk differences. Am J Epidemiol 1986; 123: 174-184
38. Risch HA, Weiss NS, Clarke EA, Miller AB Risk factors for spontaneous abortion and its recurrence. Am J Epidemiol 1988; 128: 420-430
39. Edgington ES. Randomization tests. New York: Marcel Dekker, 1980.
40. O'Loughlin JL, Robitaille Y, Boivin J-F, Suissa S Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol 1993; 137: 342-354
41. Hosmer DW Jr, Lemeshow S. Applied logistic regression. New York: John Wiley, 1989:238-45.
42. Multiple Risk Factor Intervention Trial Research Group. Multiple risk factor intervention trial: risk factor changes and mortality results. JAMA 1982; 248: 1465-1477
43. Covington DL, Maxwell JG, Clancy TV Hospital resources used to treat the injured elderly at North Carolina trauma centers. J Am Geriatr Soc 1993; 41: 847-852
44. Tinetti ME, Mendes de Leon CF, Doucette JT, Baker DI Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. J Gerontol 1994; 49: M140-M147