Showing items 1 - 6 of 6

Effect of comorbidity on relative survival following hospitalisation for fall-related hip fracture in older people

- Hindmarsh, Diane, Loh, Ming, Finch, Caroline, Hayen, Andrew, Close, Jacqueline

Exercise for falls prevention in older people : Assessing the knowledge of exercise science students

- Sturnieks, Daina, Finch, Caroline, Close, Jacqueline, Tiedemann, Anne, Lord, Stephen, Pascoe, Deborah

  • Authors: Sturnieks, Daina , Finch, Caroline , Close, Jacqueline , Tiedemann, Anne , Lord, Stephen , Pascoe, Deborah
  • Date: 2010
  • Type: Text , Journal article
  • Relation: Journal of Science and Medicine in Sport Vol. 13, no. 1 (2010), p. 59-64
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
  • Full Text: false
  • Reviewed:
  • Description: Participation in appropriate exercise can help reduce the risk of falls and falls injury in older people. Delivery of population-level exercise interventions requires an expert workforce with skills in development and delivery of group exercise programs and prescription of individually targeted exercise. This study assessed the current knowledge of university exercise science students (as future exercise professionals) across different levels of study. A structured survey designed to assess knowledge in relation to falls in older people and exercise prescription for falls prevention was administered during second, third and fourth year lectures in seven Australian universities. Students' knowledge was assessed as the percent of correct responses. Overall, 566 students completed the survey and knowledge levels increased significantly with study year. Mean knowledge levels were significantly <70%, indicating limited knowledge. They were lowest for falls risk factor questions and highest for issue/cost related questions in second and third year students. Fourth year students had best knowledge about falls interventions and this was the only group and topic with a mean score >70%. In conclusion, knowledge about falls and exercise prescription for falls prevention in current students does not meet a desired competency level of 70% and is therefore insufficient to ensure an adequately equipped future workforce in this area. There is a clear need for the development and widespread delivery of an evidence-based "exercise for falls prevention" curriculum module for exercise professionals. © 2009 Sports Medicine Australia.

Hospital admissions following presentations to emergency departments for a fracture in older people

- Boufous, Soufiane, Finch, Caroline, Close, Jacqueline, Day, Lesley, Lord, Stephen

  • Authors: Boufous, Soufiane , Finch, Caroline , Close, Jacqueline , Day, Lesley , Lord, Stephen
  • Date: 2007
  • Type: Text , Journal article
  • Relation: Injury Prevention Vol. 13, no. 3 (2007), p. 211-214
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  • Description: The aim of this paper is to estimate the proportion of older people who are hospitalised following a presentation to an emergency department for hip, pelvic and wrist fractures. The findings indicate that hospitalisation data do not accurately reflect the incidence of low-trauma fractures, particularly wrist and pelvic fractures, in older people.
  • Description: C1
  • Description: 2003005768

Knowledge outcomes and retention of a university-based falls prevention education program (UniFPEP)

- Pascoe, Deborah, Stumieks, Daina, Close, Jacqueline, Teidemann, Anne, Lord, S, Twomey, Dara, Finch, Caroline

  • Authors: Pascoe, Deborah , Stumieks, Daina , Close, Jacqueline , Teidemann, Anne , Lord, S , Twomey, Dara , Finch, Caroline
  • Date: 2013
  • Type: Text , Journal article
  • Relation: Focus on Health Professional Education: A Multi-disciplinary Journal Vol. 15, no. 2 (2013), p. 55-66
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  • Description: Abstract: Aim: This paper reports the evaluation of a new evidence-based university curriculum aimed at addressing workforce capacity building in the allied health sector through addressing the educational needs of exercise science students in relation to falls prevention and exercise prescription for older people. Background: Exercise scientists have the capacity to play a key role in the falls injury prevention workforce. To fulfil this role and contribute to preventing injuries in older people, it is necessary that they have the appropriate knowledge and skills. Methods: Over a 13-week period in 2008, 44 third-year and 21 fourth year students from an Australian university participated in the delivery and evaluation of a falls and injury prevention curriculum. Students' knowledge of falls and falls prevention was formally assessed using a knowledge questionnaire administered before (pre), immediately after (post) and at 13 weeks following (follow-up) completion of the curriculum. Differences in knowledge between pre-, post- and follow-up assessments were determined by repeated measures analysis of variance (p<0.05). Results: Overall knowledge levels significantly increased from 46% correct (pre) to 74% correct (post, p<0.001) and were sustained at follow-up (78% correct, p<0.001). Students' self-reported ratings of confidence in delivering exercise programs for older people and falls prevention also increased significantly (p<0.001). Conclusions: Completion of a targeted falls prevention curriculum provides significant improvements in the knowledge, skills and confidence in the preparation of exercise science students as members of the allied health workforce providing exercise prescription for falls prevention.

Relative survival after hospitalisation for hip fracture in older people in New South Wales, Australia

- Hindmarsh, Diane, Hayen, Andrew, Finch, Caroline, Close, Jacqueline

  • Authors: Hindmarsh, Diane , Hayen, Andrew , Finch, Caroline , Close, Jacqueline
  • Date: 2008
  • Type: Text , Journal article
  • Relation: Osteoporosis International Vol. , no. (2008), p. 1-9
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  • Reviewed:
  • Description: Summary: Survival after hospitalisation for hip fracture by age group and sex relative to survival in the general population was assessed in people aged 65+. Men had double the risk of death compared with women to 1 year, but age effects lasted only to 3 months. Clinical outcomes need to be improved. Introduction: We assessed the relative survival of hospitalised fall-related hip fracture patients aged 65+ years leaving hospital in New South Wales, Australia, between July 2000 and December 2003. Method: We carried out a population-based study of all hospital separations for NSW residents with a principal diagnosis of hip fracture (ICD-10-AM S72.0 to S72.2) and first external cause of fall (ICD-10-AM codes W00 to W19), linked to NSW death data. A total of 16,836 cases were included. Relative survival 3 to 36 months post-admission by 10-year age groups and sex was calculated, using NSW life tables for 2002-2004. Relative excess risk was modelled using a generalised linear model with Poisson error structure, using the life table data. Results: One-year cumulative relative survival in 65- to 74-year-olds was 82% (men), 90% (women); in 85+-year-olds 65% (men), 80% (women). Men have a relative excess risk of death of 2.2 (95% CI 2.03-2.38) times that of women. Only 21% of deaths mention the hip fracture as contributing to death. Conclusion: There is a need to reduce the number of hip fractures and improve clinical outcomes for older people hospitalised with hip fractures. © 2008 International Osteoporosis Foundation and National Osteoporosis Foundation.
  • Description: C1
  • Description: 2003008189

The epidemiology of hospitalised wrist fractures in older people, New South Wales, Australia

- Boufous, Soufiane, Finch, Caroline, Lord, Stephen, Close, Jacqueline, Gothelf, Todd, Walsh, William

  • Authors: Boufous, Soufiane , Finch, Caroline , Lord, Stephen , Close, Jacqueline , Gothelf, Todd , Walsh, William
  • Date: 2006
  • Type: Text , Journal article
  • Relation: Bone Vol. 39, no. 5 (2006), p. 1144-1148
  • Full Text: false
  • Reviewed:
  • Description: The epidemiology and trends in wrist fracture admissions to public and private acute hospitals in New South Wales (NSW), Australia, between July 1993 and June 2003 were examined using routinely collected hospital separations statistics. During the study period, the number of hospital separations for wrist fractures increased by 71% in men, an average yearly increase of 6.5%, and by 43% in women, an average yearly increase of 3.9%. A modest, but significant, increase in age-specific and age-standardised hospitalisation rates for wrist fractures was also observed. Whilst the majority of wrist fractures were due to falls, the proportion of falls-related wrist fractures decreased significantly over time. This decrease was more pronounced in males and was accompanied by a rise in the proportion of wrist fractures resulting from high energy mechanisms such as transport, violence and machinery-related incidents. The difference in hospitalised wrist fracture rates between men and women could not be explained solely on the basis of the role played by osteoporosis, indicating the need for more research to improve our understanding of the underlying factors of this type of fracture in older people.
  • Description: 2003004961
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