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Falls in the community-dwelling older adult: A review for primary-care providers

Authors Soriano T, DeCherrie LV, Thomas DC

Published 15 January 2008 Volume 2007:2(4) Pages 545—553


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Theresa A Soriano1, Linda V DeCherrie2, David C Thomas1

1The Samuel Bronfman Department of Medicine, Mount Sinai School of Medicine, New York, New York, USA; 2Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York, USA

Abstract: Falls in the elderly are an important independent marker of frailty. Up to half of elderly people over 65 experience a fall every year. They are associated with high morbidity and mortality and are responsible for greater than 20 billion dollars a year in healthcare costs in the United States. This article presents a review and guide for the primary care provider of the predisposing and situational risk factors for falls; comprehensive assessment for screening and tailored intervention; and discussion of single and multicomponent measures for fall prevention and management in the older person living in the community. Interventions for the cognitively impaired and demented elderly will also be addressed.

Keywords: falls, elderly, community-dwelling, review

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