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“Etiology: 80% sensorineural (decreased visual, tactile, proprioception, motor responses, and weakness); 10% syncope, 10% acute illness (Pneumonia, stroke, anemia, dehydration).” Pocket Primary Care. Am Fam Physician. 2000 Apr 1;61 (7):2159-2168. Falls in the Elderly. https://www.aafp.org/afp/2000/0401/p2159.html.

2010年7月1日 · Gait and balance disorders are common in older adults and are a major cause of falls in this population. They are associated with increased morbidity and mortality, as well as reduced...

2024年2月13日 · Older adults ages ≥65 years are more likely to fall than younger adults (OR 2.84 [1.77-4.53]). Falls are often multifactorial in origin. Identifying the circumstances surrounding, and the symptoms associated with, a fall helps to determine the underlying cause, which in turn emphasizes the impo...

2019年10月30日 · Falls are the leading cause of fatal and nonfatal injuries among adults aged 65 years or older. Falls may result in injury, ranging from minor insults to major events ( Table 26.1). Minor injuries occur in 30% to 50% of falls and include soft tissue injury, bruises, or scrapes.

The diagnostic approach should focus on the most frequent (reflex syncope (‘faints’), psychogenic syncope / seizure and epileptic seizures (“fits”)) and the most dangerous (cardiogenic syncope, symptomatic seizures, vertebrobasilar TIA) causes of TLOC and falls.

2015年6月2日 · The differential diagnosis of falls is very broad. It is important to determine whether the patient has suffered a transient loss of consciousness or a simple mechanical fall. Some possible causes of falls are shown in the table below.

Falls are common in older people (>65 years old) and prevalence increases with age. Falls are multifactorial and their causes may be inter-related. Risk Factors. General: Previous falls; The fear of falling itself; Cardiovascular: Syncope; Postural hypotension; Carotid sinus hypersensitivity; Post-prandial hypotension – falls after eating ...

Decrease or D/C psychoactive medications to prevent falls. -Will evaluate for postural hypotension (orthostatic hypotension), as this can be a contributor to falls, especially after prolonged bed rest. -Head CT as needed. -DEXA scan – evaluate & treat osteoporosis. – Fall prevention strategy discussed. -Vitamin D Supplementation, per USPSTF.

Falls (DDX) Cardiac (arrhythmia, tamponade, etc) Delirium Drugs/ Alcohol Electrolyte/ Metabolic derangement Mechanical Medications Neuro (Parkinson's) Postural hypotension Psych (depression etc) Seizures Shock Syncope Vasovagal Vertigo H ypovolaemia H ypoxia H yper/po thermia H yper/hypo eletrolytes/ metabolites