3571 - Falls in the Elderly Miryoung Lee, MPH Dept. of...

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Unformatted text preview: Falls in the Elderly Miryoung Lee, MPH Dept. of Epidemiology University of Pittsburgh Learning Objectives Identify the scope of the problem e.g. impact of falls in the elderly Describe the contributing factors for falls Address fall prevention, and intervention programs Performance Objectives Understand the seriousness of problems and contributing factors of falls, and fractures Develop effective strategies to prevent falls Falls Unintentional injuries External causes of the injury Multifactorial causes e.g. falls due to intrinsic factors vs. extrinsic factors Introduction How serious is the problem of falls? Incidence rates of Falls in U.S. Per person annually Community 0.2 - 0.8 Hospital 0.6 - 2.9 Long term- 0.2 - 3.6 Care (per bed) One of every three adults over 65 years fall in every year Where are people likely to fall? For people 65 years old or older.. Home 60% Public Places 30% Nursing Home 10% Consequences of Falls Mortality Morbidity Fractures Soft tissue injuries Head trauma Joint distortions and dislocations Loss of confidence- fear of falling Restricted activity In 1994, estimated fall-related injury cost was $20.2 billion . Unintentional Fall Death Rates by Gender, Age 65 +, U.S. 1996 Source: National Center for Health Statistics, Vital Statistics 20 40 60 80 100 120 140 Per 100,000 65-74 75-84 85+ Men Women Unintentional Fall Age-Adjusted Death Rates, Age 65 +, gender and race U.S. 5 10 15 20 25 30 35 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 White, Men Black, Men White, Women Black, Women Source: National Center for Health Statistics, Vital Statistics Fractures 3% of all falls cause fractures. cause fractures....
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This note was uploaded on 02/23/2012 for the course PHARM 290 taught by Professor Staff during the Fall '10 term at Rutgers.

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3571 - Falls in the Elderly Miryoung Lee, MPH Dept. of...

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