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Fall prevention

Fall prevention is a variety of actions to help reduce the number of accidental falls suffered by older people.Falls and fall related injuries are among the most serious and common medical problems experienced by older adults. Nearly one-third of older persons fall each year, and half of them fall more than once. Because of underlying osteoporosis and decreased mobility and reflexes, falls often result in hip fractures and other fractures, head injuries, and even death in older adults. Accidental injuries are the fifth most common cause of death in older adults. In around 75% of hip fracture patients, recovery is incomplete and overall health deteriorates.The most consistently proven predictors of fall risk are history of a fall during the past year and gait and balance abnormalities. Some studies (but not others) indicated that impaired vision, certain medications (especially psychotropic drugs), decreased activities of daily living and impaired cognition are associated with a higher risk of falls. The contribution of orthostatic hypotension to fall risk remains uncertain. ^ a b c Moylan KC, Binder EF. Falls in older adults: risk assessment, management and prevention. Am J Med. 2007;120(6):493.e1-6. PMID 17524747 ^ a b Ganz DA, Bao Y, Shekelle PG, Rubenstein LZ. Will my patient fall? JAMA. 2007;297(1):77-86. doi:10.1001/jama.297.1.77 PMID 17200478 ^ Hartikainen S, Lönnroos E, Louhivuori K. Medication as a risk factor for falls: critical systematic review. J Gerontol A Biol Sci Med Sci. 2007;62(10):1172-81. PMID 17921433
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