medigraphic.com
ISSN 1816-8450 (Print)

2019, Number 2

<< Back Next >>

Geroinfo 2019; 14 (2)

The falls “giant of the Geriatrics¨ a challenge to the systems of health of the world

Cordero OCD, Rodríguez LO, Camps RN

Language: Spanish
References: 29
Page: 1-11
PDF size: 146.49 Kb.


ABSTRACT

Introduction: The population aging not alone it affects the elderly, but also to youngest people and it influences in economic, social and family aspects. The mature biggest population's mental and physical deterioration, the reduction of the labor active life and an increment in the demand of attendance and services of health are some from the challenges to those that was faces the systems of health from all over the world Objective: for the one harnessed alarming increment of fallen in the old men as well as the incidence of problems of health related with them is carried out a bibliographical revision in the online different database to identify the main causes, instruments of valuation of the risk of falls and strategies of prevention. Results: were identified as main factors of risk: the antecedents of fallen, the visual alterations, the dysfunctions of the march, the multi Pharmacia and the incorrect use of medications, also as the potential most frequent risks in the home: the presence of slipping and irregular floors, bathrooms dangerous and insufficient illumination. Conclusions: the studies are in favor of the use of performance protocols, evaluation of risk through instruments of valuation and interventions multifactorial (valuation and reduction of predisposes factors and of risks of falls). The opposing newest and novel focus is the protection from the vulnerable areas to fractures and damages with the use of protective of hips.


REFERENCES

  1. Crandall M; Duncan T,Mallat A,Greene W,Violano P,Christmas AB, Barraco R .Prevention of fall-related injuries in the elderly: An Eastern Association for the Surgery of Trauma practice management guideline.The Journal Of Trauma And Acute Care Surgery;2016 Jul; Vol. 81 (1): 196-206.

  2. Organización Mundial de la Salud. Caídas. Datos y cifras. [Actualizado Octubre 2012; Citado 2014 Jan 8].Disponible en: http://www.who.int/mediacentre/factsheets/fs344/es/

  3. Considera la OMS que la caídas son un problema de salud global. Servicio de noticias en salud. Infomed. Disponible en: http://boletinaldia.sld.cu/aldia/2010/09/03/considera-la-oms-que-las-caidas-sonun- problema-de-salud-global/

  4. Kannus P; Sievänen H; Palvanen M; Järvinen T; Parkkari J. Prevention of falls and consequent injuries in elderly people. The Lancet.England.2005 Nov 26; Vol. 366 (9500):1885-1893. Disponible en: https://www.sciencedirect.com/science/article/pii/S0140673605676040

  5. Colectivo de autores. El Adulto Mayor en Cuba. Datos y Cifras. Estadísticas: 2005. [En línea]. Ciudad de la Habana: Infomed. Red Telemática de Salud; 1999-2008.[citado 9 Mar 2011]. Disponible en: http://www.sld.cu/sitios/gericuba/buscar.php?id=13176&iduser=4&id_topic=17

  6. Personas viejas: Los retos del envejecimiento. Revista Cubana Higiene y Epidemiología [Internet]. 1999 Agosto [citado 2018 Noviembre 27] ;37( 2 ): 94-98. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561- 30031999000200008&lng=es

  7. Roca Golderich. Temas de Medicina Interna. Quinta Edición. Tomo I pagina 135.

  8. Luk JK, Chan TY, Chan DK .Falls prevention in the elderly: translating evidence into practice.Hong Kong Medical Journal, ISSN: 1024-2708, 2015 Abril; Vol. 21 (2): 165-71.

  9. Pfortmueller C, Lindner , Exadaktylos AK .Reducing fall risk in the elderly: risk factors and fall prevention, a systematic review. Minerva Medica. 2014 Agosto; Vol. 105 (4): 275-281.

  10. Duque Ortiz J, Gorrita Pérez RR, Gorrita Pérez Y. Diferentes factores de riesgo y accidentes domésticos en el adulto mayor. Revista Habanera Ciencias Médicas. 2010 [citado 7 Enero 2012]; 16(2):[aprox. 8 p.]. Disponible en: http://www.cpicmha.sld.cu/hab/pdf/vol16210/ hab03210.pdf

  11. De la Torre Fernández R, Bouza Cabrera L, Cabrera Parra Y, Báster Fernández N, Zaldívar Velázquez Y. Programa educativo para elevar la calidad de vida en el adulto mayor. Correo Científico Médico. 2012 [citado 7 Ene 2013]; 16(2): [aprox. 6 p.].Disponible en: http://www.revcocmed.sld.cu/ index.php/ cocmed/article/view/599/112

  12. Glab KL; Wooding FG; Tuiskula KA .Medication-related falls in the elderly: mechanisms and prevention strategies., The Consultant Pharmacist: The Journal Of The American Society Of Consultant Pharmacists. 2014 Jun; Vol. 29 (6): 413- 417.Disponible en: https://www.ingentaconnect.com/content/ascp/tcp/2014/00000029/00000006/art00 008

  13. Ungar A; Rafanelli M; Iacomelli I; Brunetti MA; Ceccofiglio A; Tesi F; Marchionni N. Fall prevention in the elderly. Clinical Cases In Mineral And Bone Metabolism: The Official Journal Of The Italian Society Of Osteoporosis, Mineral Metabolism, And Skeletal .2013 May; Vol. 10 (2): 91-95. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797008/

  14. 14. Mackenzie, Lynette; Byles, Julie .Scoring the home falls and accidents screening tool for health professionals: Evidence from one epidemiological study Australian Occupational Therapy Journal. Oct2018; Vol. 65(5):346-353. Disponible en:https://onlinelibrary.wiley.com/doi/abs/10.1111/1440-1630.12467

  15. Kannus P, Parkkari J, Niemi S, Pasanen M, Palvanen M, Järvinen M.Prevention of hip fracture in elderly people with use of a hip protector. N Engl J Med 2000;343(21):1506-1513.Disponible en: https://www.nejm.org/doi/full/10.1056/NEJM200011233432101

  16. Karlsson MK; Magnusson H; von Schewelov T; Rosengren BE.Prevention of falls in the elderly a review. Osteoporosis International: A Journal Established As Result Of Cooperation Between The European Foundation For Osteoporosis And The National Osteoporosis Foundation Of The USA .2013 Mar; Vol. 24 (3): 747- 762.

  17. Al-Aama T. Falls in the elderly: spectrum and prevention. Canadian Family Physician Medecin De Famille Canadien. 2011 Jul; Vol. 57 (7): 771-776.

  18. Karlsson, Magnus K.; Vonschewelov, Thord; Karlsson, Caroline; Cöster, Maria; Rosengen, Björn E.Prevention of falls in the elderly: A review. Scandinavian Journal of Public Health. Julio 2013;Vol. 41 (5): 442-454.

  19. Narayanan V; Dickinson A; Victor C; Griffiths C; Humphrey D.Falls screening and assessment tools used in acute mental health settings: a review of policies in England and Wales.London. Physiotherapy .2016 Jun; Vol. 102 (2),ç:178-183. Disponible en: https://www.sciencedirect.com/science/article/pii/S003194061503792X

  20. Graafmans WC,Ooms ME, Hofstee HMA, Bezemer PD,Bouter LM.Falls in the elderly. A prospective study of risk profiles.Am J Epidemiol 1996;143(8):1129-36. Disponible en: https://academic.oup.com/aje/article/143/11/1129/90333

  21. Chacko Thomas V ,Thangaraj Prabha, Muhammad G. M.How Fall-Safe is the Housing for the Elderly in Rural Areas? : A Cross Sectional Study using Fall Prevention Screening Checklist. Journal of the Indian Academy of Geriatrics. Sep2017, Vol. 13 (3):124-130. Disponible en: http://eds.a.ebscohost.com/eds/detail/detail?vid=0&sid=4a988aa4-e84d-4b27- b845-1774d5c639c9%40sdc-vsessmgr01& bdata=Jmxhbmc9ZXMmc2l0ZT1lZHMtbGl2ZQ%3d%3d#AN=127993 988&db=asx

  22. Bongue B, Hugues J, Achour É, Colvez A,Sass C.Improving fall prevention in the elderly.Journal article.Soins. Gerontologie. 2016 Jul-Aug; Vol. 21 (120), pp. 24-29. Disponible en: https://europepmc.org/abstract/med/27449306

  23. Tejeda Alvarez IC, Céspedes Ruiz L, Baster Moro JC, Esthéfano Rodríguez RM. Factores de riesgo de caídas en el adulto mayor hospitalizado. Servicio de Geriatría. Hospital Provincial Docente "V. I. Lenin". Correo Científico Médico de Holguín 2005; Vol.9(1)

  24. González Sánchez RL, Rodríguez Fernández MM, Ferro Alonso MJ, García Milián JR. Caídas en el anciano. Consideraciones generales y prevención. Revista Cubana Medicina General Integral 1999;15(1):98-102.

  25. Reuben DB. Multicampus Program in Geriatric Medicine and Gerontology. David Geffen School of Medicine at University of California. Los Angeles Jama Internal Medicine. 2018 Jul 01; Vol. 178 (7), pp. 892-893.

  26. Leipzig RM, Cumming RG, Tinetti ME. Drugs and falls in older people. A systematic review and meta-analysis I. Psychotropic drugs. J Am Geriatr Soc. 1999;47(1):30-9. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1532-5415.1999.tb01898.x

  27. Gurwitz JH, Field TS, Harrold LD, Rothschild J, Debellis K, Seger AC, et al. Incidence and preventability of adverse drug events among older persons in the ambulatory setting. JAMA. 2003;289(9):1107-16. DOI: 10.1001/jama.289.9.1107

  28. Gama Zenewton André da Silva, Gómez-Conesa Antonia. Factores de riesgo de caídas en ancianos: revisión sistemática. Rev. Saúde Pública [Internet]. 2008 Oct [cited 2018 Nov 28]; 42(5): 946-956.

  29. Laurence Z. Rubenstein; Falls in older people: epidemiology, risk factors and strategies for prevention, Age and Ageing.2006; Volume 35(2, 1):37–41. Disponible en: https://doi.org/10.1093/ageing/afl084




2020     |     www.medigraphic.com