Geography, race and income matter when it comes to frailty, according to a new study from Johns Hopkins Bloomberg School of Public Health. Women and the poor are more likely to be frail, and older people in southern states more that three times likely to be frail than those in western states. Additionally, blacks and Hispanics were nearly twice as likely to be frail than whites, researchers concluded. Continue reading
One of the NIH initiatives highlighted last week by director Francis S. Collins, M.D., Ph.D., during his keynote at the Gerontological Society meeting was a 5-year, $30 million cooperative effort with the Patient-Centered Outcomes Research Institute (PCORI) to conduct a clinical trial testing individually-tailored interventions to prevent fall-related injuries.
Why is this important? Because, according to the American College of Sports Medicine, one in three adults over age 65 experiences at least one fall annually; 20 percent to 30 percent of which cause moderate to severe injuries — or even death. Falls lead to increased hospitalizations, higher medical costs, loss of independence, diminished quality of life, and affects other chronic conditions. According to the CDC, older adults are hospitalized five times more often for fall-related injuries than for other causes. Direct medical costs of fall injuries for people 65 and older was $30 billion in 2012 and by 2020, total direct and indirect costs are projected to more than double.
As of July 2014, nine states have enacted or are considering legislation on fall-prevention initiatives. Many others are partnering with community organizations to educate providers and seniors about the risks. As Kate Hafner wrote in this New York Times piece, the problem is only growing worse.
More peace of mind may come at a price for consumers. Fall-related wearable technology is big business. Consumer Reports recently profiled six different medical alert systems. At the recent National Association of Home Care and Hospice annual conference, I saw at least another half-dozen new products on exhibit — the latest of which incorporate GPS tracking, providing an ability to find the wearer regardless of location. Others monitor a wearer’s balance, alerting clinicians to assess potential health issues before a fall occurs.
There are plenty of ideas and opportunities to focus on falls in the elderly in your community – home risk assessment and safety programs, hospital admissions, costs of rehab, and loss of independence and ability to age in place are just a few ideas. Or take a look at the business side of falls — from health costs to entrepreneurs.
See this tip sheet for more information on how falling affects older adults.