Falls in the elderly: a practical approach.
Falls in the elderly constitute a major problem confronting physicians. Their cost to individual patients and to society in terms of incidence, morbidity, and mortality is enormous. This paper attempts to outline some of the common etiological factors related to falls and a practical approach to the diagnosis and management. Causes of falls are clssified as extrinsic and intrinsic factors. The latter include disorders of many organ systems, especially those resulting from neurological and cardiovascular diseases. The role of drugs and alcohol is stressed. Determining the cause of falls requires a thorough history and physical examination. In order to manage successfully an elderly person with multiple falls, a co-ordinated effort by a multi-disciplinary team is often essential.
R
R
Handfield-Jones
Age Ageing. 1981 Nov;10(4):264-70
7337066
J Epidemiol Community Health. 1981 Sep;35(3):200-4
7328380
Acta Sociomed Scand. 1971;3(2):105-20
5157677
Age Ageing. 1978 Feb;7(1):2-15
636928
Am J Public Health. 1985 Jul;75(7):775-7
4003655
Geriatrics. 1977 Apr;32(4):101-8
844693
Can Fam Physician. 1985 Dec;31:2297-9
20469439
Drug Intell Clin Pharm. 1985 Feb;19(2):142-5
3971862
J Am Geriatr Soc. 1981 Jul;29(7):322-4
7240621
N Y State J Med. 1974 Nov;74(12):2200-8
4530910
Rheumatol Rehabil. 1981 Aug;20(3):153-9
7280490
Arch Gerontol Geriatr. 1986 Apr;5(1):1-9
3718066
Gerontology. 1983;29(6):399-406
6642212
Am J Med. 1986 Mar;80(3):429-34
3953620
Br Med J. 1977 Jan 29;1(6056):261-4
837061
Age Ageing. 1977 Nov;6(4):211-20
596308
Clin Geriatr Med. 1985 Aug;1(3):555-69
3830385
Age Ageing. 1981 Aug;10(3):141-6
7270321
Ann R Coll Surg Engl. 1981 Nov;63(6):386-9
7294680
J Am Geriatr Soc. 1985 Dec;33(12):833-41
4067164
Age Ageing. 1977 Nov;6(4):201-10
596307
J Chronic Dis. 1964 Jun;17:515-26
14168624
Age Ageing. 1982 Feb;11(1):11-6
7072557