What does this research mean for the field?

The risk of multiple recurrent nonsyncopal falls in older adults with a recent fall history can be accurately predicted using a few simple clinical questions and physical examinations, with the risk increasing substantially as the number of risk factors increases. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify and evaluate risk factors for single versus recurrent nonsyncopal falls among community-dwelling older adults.

May 12, 1989JAMA

Risk factors for recurrent nonsyncopal falls. A prospective study

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Why the study?

What are the risk factors for recurrent nonsyncopal falls in older persons with a history of falls?

Population

325 community-dwelling persons aged 60 years or older who had fallen during the previous year

Design

Cohort

Follow-up

1 year

Authors

MNMichael C. NevittBoston University

Discussion

Member takes

Implication

Supports simple risk stratification in older fallers; leaves open whether targeting these factors reduces recurrent falls.

Key Points

To identify and evaluate risk factors for single versus recurrent nonsyncopal falls among community-dwelling older adults.
Prospective cohort study of 325 community-dwelling adults aged 60 years or older who experienced at least one fall in the previous year.
Participants were monitored weekly for 1 year to record nonsyncopal falls and related consequences, with risk factors evaluated using multivariate analyses.
Significant independent predictors for having two or more falls included chair-stand difficulty, tandem-walk difficulty, arthritis, Parkinson's disease, history of ≥3 prior-year falls, prior fall-related injury, and white race.
The annual rate of recurrent falls (≥2 falls) increased from 0.10 (10%) in participants with 0–1 risk factors to 0.69 (69%) in those with ≥4 risk factors.

Structured PICO

What are the risk factors for recurrent nonsyncopal falls in older persons with a history of falls?

Population

325 community-dwelling persons aged 60 years or older who had fallen during the previous year

Outcome

Nonsyncopal falls and their consequences (single vs multiple falls)

The risk of multiple nonsyncopal falls in older persons with a recent fall history can be predicted using simple questions and physical examinations.

Cite This Study

Michael C. Nevitt (1989) studied this question.

synapsesocial.com/papers/6a12e1ab5bb7edc7189e69f5 https://doi.org/10.1001/jama.261.18.2663

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Risk factors for recurrent nonsyncopal falls. A prospective study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Risk factors for recurrent nonsyncopal falls. A prospective study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider