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Clinical Practice
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Volume 348:42-49 January 2, 2003 Number 1
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Preventing Falls in Elderly Persons
Mary E. Tinetti, M.D.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 79-year-old woman with a history of congestive heart failure, arthritis, depression, and difficulty sleeping presents for a follow-up visit. She takes several prescription medications, including an antidepressant, a diuretic, an angiotensin-converting–enzyme inhibitor, and a beta-blocker, as well as over-the-counter sleep and allergy medications. Her chronic conditions appear to be stable. Her daughter reports that the patient has fallen twice during the . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Assessment and Intervention

Laboratory Tests and Imaging

Education and Other Measures

Areas of Uncertainty

Guidelines

Conclusions and Recommendations


Source Information

From the Departments of Internal Medicine and of Epidemiology and Public Health, Yale University School of Medicine, 333 Cedar St., P.O. Box 208025, New Haven, CT 06520-8025, where reprint requests can be addressed to Dr. Tinetti.


Related Letters:

Preventing Falls in Elderly Persons
Leslie W. D., Roe E. B., Szul M., LoGerfo J. P., Rubenstein L. Z., Tinetti M. E.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:1816-1818, May 1, 2003. Correspondence

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