Falls are very common among the elderly. Furthermore, the incidence of falls increases as the age increases. As clinicians, we encounter elderly fallers very frequently in the outpatient clinics, accident and emergency departments as well as the inpatients. The approach to managing elderly fallers is often complex and time consuming. The inpatient fallers carry with them the possibility of complaints from family members and often cause a lot of fear and guilt among the hospital staff.
TinettiME. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701–7.
2.
TinettiME. Risk factors for serious injury during falls by older persons in the community. J Am Geriatr Soc1995;43(11):1214–21.
3.
ChanKM. Epidemiology of falls among the elderly community dwellers in Singapore. Singapore Med J1997 Oct;38(10):427–31.
4.
MagazinerJ. Predictors of functional recovery one year following hospital discharge for hip fracture: A prospective study. J Gerontol1990;45(3):M101–7.
5.
LauEM. The incidence of hip fractures in four Asian countries: The Asian Osteoporosis Study (AOS). Osteoporosis Int. 2001;12(3):239–43.
6.
KohLK. Hip fracture incidence rates in Singapore 1991–1998. Osteoporosis Int. 2001;12(4):311–8.
7.
TinettiME. Fear of falling and fall related efficacy in relationship to functioning among community-living elders. J Gerontol1994;49(3):M140–7.
8.
RubensteinLZ. The epidemiology of falls and syncope. Clin Geriatr Med2002;18:141–58.
9.
AlexanderNB. Gait disorders in older adults. J Am Geriatr Soc1996;44(4):434–51.
10.
WongTY. Prevalence and causes of low vision and blindness in an urban Malay population: The Singapore Malay Eye Study. Arch Ophthalmol. 2008;126(8):1091–9.
11.
LeipzigRM. Drugs and falls in older people: A systemic review and meta-analysis. I. Psychotropic drugs. J Am Geriatr Soc1999;47(1):30–9.
12.
LeipzigRM. Drugs and falls in older people: A systemic review and meta- analysis: II. Cardiac and analgesic drugs. J Am Geriatr Soc1999;47(1):40–50.
13.
Van DoornCGruber-BaldiniALZimmermanSHebelJRPortCLBaumgartenM. Dementia as a risk factor for falls and injuries among nursing home residents. J Am Geriatr Soc2003;51(9):1213–8.
14.
American Geriatric Society, British Geriatrics Society, American Academy of Orthopaedic Surgeons panel on Falls Prevention. Guideline for prevention of falls in older persons. J Am Geriatr Soc2001;49(5):664–8.
15.
TinettiWE. Preventing falls in elderly persons. N Engl J Med348;1:42–9.
16.
LordSR. The effect of a 12 month exercise trial on balance, strength, and falls in older women: A randomized controlled trial. J Am Geriatr Soc1995;43(11):1198–206.
17.
KuramotoAM. Therapeutics benefit of Tai Chi exercise: Research review. WMJ2006 Oct;105(7):42–6.
18.
CummingRG. Home visits by an occupational therapist for assessment and modification of environmental hazards: A randomized trial of falls prevention. J Am Soc1999;47(12):1397–402.
19.
Bischoff-FerrariHA. Effect of vitamin D on falls: A meta-analysis. JAMA. 2004;291(16):1999–2006.
20.
ParkerMJ. Hip protectors for preventing hip fractures in the elderly. In: The Cochrane Database Syst Rev2003;3:CD001255.
21.
MorseJM. Preventing patient falls. London: Sage Publications; 1995. 151 p.
22.
RhymesJ. Falls-prevention and management in institutional setting. Clin Geriatr Med. 1988;4(3): 613–22.
23.
KohSS. Fall incidence and fall prevention practices at acute care hospitals in Singapore: A retrospective audit. J Eval Clin Pract. 2007 Oct;13(5):722–7.
24.
BatesD. Serious falls in the hospitalized patients; correlates and resource utilization. Am J Med1995; 99(2):137–43.
25.
LiddleJ. The emotional consequences of falls for patients and their families. Age and ageing1995;24:P17.
26.
OliverD. Risk factors and risk assessment tools for falls in hospitals in-patients: A systematic review. Age and ageing2004; 33(2):122–30.
27.
HitchoEB. Characteristics and circumstances of falls in hospital setting: A prospective analysis. J Gen Intern Med2004;19(7):732–329.
28.
OliverD. Do hospital fall prevention programmes work? A systematic review. J Am Geriatr Soc2000;48(12):1679–89.
29.
OliverD. Strategies to prevent falls and fractures and care homes and effect of cognitive impairment: Systemic review and meta-analysis. BMJ2007 Jan 13;334(7584):82. Epub 2006 Dec 8.