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Frailty has been associated with risk for adverse health outcomes in aging, such as falls, reduced mobility, loss of independence, hospitalization, disability and death (Fried et al. 2001).
7 Stenhagen et al 8 found three main components that predict falls: reduced mobility (odds ratio [OR] =2.12), heart dysfunction (OR =1.66), and functional impairment (OR =1.38), whereby each component is related to physical fitness.
Whilst one of the major independent predictive factors, age is not reversible, other factors including falls, reduced mobility and use of corticosteroids all of which are important to our patient population, may be amenable to non pharmacological interventions.
Many people fall and call an ambulance but are not taken to hospital A community based service to prevent falls reduced the number of falls over a year in older people (>60 years) who had called an emergency ambulance owing to a fall but not been taken to hospital The service also led to increased levels of activities of daily living and reduced fear of falling Cite this as: BMJ 2010 340 c2102.
Hausdorff and Ring [20] showed that the number of falls reduced significantly in hemiparetic patients who used FES to correct foot-drop.
Both high blood pressure and systolic hypotension have been associated with falls, reduced bone mineral density (BMD) and hip fracture [ 3– 6].
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Every millimeter the blood pressure falls reduces the risk of heart attacks and strokes for people with high blood pressure.
Complications such as pneumonia, heart disease, and physical injury from falls reduce life expectancy to around twenty years from the point at which symptoms begin.
The support ratio falls, reducing per capita income.
4 In addition, falls reduce quality of life (QoL).
The unit-level implementation of this intervention using a randomised stepped-wedge design is likely to provide high-quality data to indicate whether this intervention can prevent falls, reduce LOS and save money from the perspective of health service providers.
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