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Health services research

Section edited by Koen Milisen

The section considers manuscripts on management of elderly healthcare, practitioner/nursing viewpoints, finance (from a health service perspective), intensive care, systems, emergency care, admissions data/management, prescribing practices/errors, decision making, care homes/facilities, technology.

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  1. Content type: Research Article

    The majority of persons with dementia are home-dwelling. To enable these persons to stay in their own homes as long as possible, a holistic, individual and flexible care is recommended. Despite a requirement f...

    Authors: Anette Hansen, Solveig Hauge and Ådel Bergland

    Citation: BMC Geriatrics 2017 17:211

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  2. Content type: Research Article

    To examine the impact of frailty on medical and social care utilisation among the Irish community-dwelling older population to inform strategies of integrated care for older people with complex needs.

    Authors: Lorna Roe, Charles Normand, Maev-Ann Wren, John Browne and Aisling M. O’Halloran

    Citation: BMC Geriatrics 2017 17:203

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  3. Content type: Research Article

    Improved knowledge based on clinical features of chronic pain in older adults would be valuable in terms of patient-orientated approaches and would provide support for health care systems in optimizing health ...

    Authors: Britt Larsson, Björn Gerdle, Lars Bernfort, Lars-Åke Levin and Elena Dragioti

    Citation: BMC Geriatrics 2017 17:200

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  4. Content type: Research Article

    Falls among older adults can cause serious morbidity and pose economic burdens on society. Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention pr...

    Authors: Wanrudee Isaranuwatchai, Johnna Perdrizet, Maureen Markle-Reid and Jeffrey S. Hoch

    Citation: BMC Geriatrics 2017 17:199

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  5. Content type: Study protocol

    Pharmacotherapy is necessary for the management of many diseases which number increased with aging. However, potentially inappropriate prescriptions and polymedication increases iatrogenic risks and can lead t...

    Authors: Virginie Dauphinot, Elodie Jean-Bart, Pierre Krolak-Salmon and Christelle Mouchoux

    Citation: BMC Geriatrics 2017 17:195

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  6. Content type: Research article

    Although the role of serum procalcitonin (PCT) and high-sensitivity C-reactive protein (hs-CRP) in the diagnosis of sepsis and septic shock is well studied, it has not been investigated among oldest old patien...

    Authors: Hongmin Zhang, Xiaoting Wang, Qing Zhang, Ying Xia and Dawei Liu

    Citation: BMC Geriatrics 2017 17:173

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  7. Content type: Research Article

    It is challenging to use shared decision-making with patients who have a chronic health condition or, especially, multimorbidity. A patient-goal-oriented approach can thus be beneficial. This study aims to ide...

    Authors: Neeltje P. C. A. Vermunt, Mirjam Harmsen, Gert P. Westert, Marcel G. M. Olde Rikkert and Marjan J. Faber

    Citation: BMC Geriatrics 2017 17:167

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  8. Content type: Research Article

    Dementia is a life-limiting condition that is increasing in global prevalence in line with population ageing. In this context, it is necessary to accurately measure dementia knowledge across a spectrum of heal...

    Authors: Michael J. Annear, Chris Toye, Kate-Ellen J. Elliott, Frances McInerney, Claire Eccleston and Andrew Robinson

    Citation: BMC Geriatrics 2017 17:168

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  9. Content type: Research Article

    Despite concerns about racial differences on adherence to prescribed medication rigimens among older adults, current information about nonadherence among underserved elderly African Americans with co-morbiditi...

    Authors: Mohsen Bazargan, James Smith, Hamed Yazdanshenas, Masoud Movassaghi, David Martins and Gail Orum

    Citation: BMC Geriatrics 2017 17:163

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  10. Content type: Research Article

    Many countries are introducing smaller, more home-like care facilities that represent a radically new approach to nursing home care for people with dementia. The green care farm is a new type of nursing home d...

    Authors: Bram de Boer, Jan P.H. Hamers, Sandra M.G. Zwakhalen, Frans E.S. Tan and Hilde Verbeek

    Citation: BMC Geriatrics 2017 17:155

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  11. Content type: Research Article

    The present study takes place within a geriatric program, aiming at improving the diagnosis and management of geriatric syndromes in primary care. Within this program it was of prime importance to be able to r...

    Authors: Isabella Locatelli, Stéfanie Monod, Jacques Cornuz, Christophe J. Büla and Nicolas Senn

    Citation: BMC Geriatrics 2017 17:153

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  12. Content type: Research Article

    The need to better understand implementing evidence-informed dementia care has been recognised in multiple priority-setting partnerships. The aim of this scoping review was to give an overview of the state of ...

    Authors: Ilianna Lourida, Rebecca A Abbott, Morwenna Rogers, Iain A Lang, Ken Stein, Bridie Kent and Jo Thompson Coon

    Citation: BMC Geriatrics 2017 17:147

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  13. Content type: Research Article

    Eating problems in patients with advanced dementia are strongly associated with their deteriorating survival. Food and drink intake in people with dementia may be supported by specific interventions, but the e...

    Authors: Masahisa Arahata, Makoto Oura, Yuka Tomiyama, Naoe Morikawa, Hatsue Fujii, Shinji Minani and Yukihiro Shimizu

    Citation: BMC Geriatrics 2017 17:146

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  14. Content type: Research Article

    An enriched environment for residents with dementia may have a positive effect on the rest-activity rhythm. A small scaled homelike special care unit might be such an enriched environment. The present study sh...

    Authors: Jeroen S. Kok, Ina J. Berg, Gerwin C. G. Blankevoort and Erik J. A. Scherder

    Citation: BMC Geriatrics 2017 17:137

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  15. Content type: Research Article

    A wide range of initiatives on early detection and intervention have been developed to proactively identify problems related to health and wellbeing in (frail) older people, with the aim of supporting them to ...

    Authors: Manon Lette, Annerieke Stoop, Lidwien C. Lemmens, Yvette Buist, Caroline A. Baan and Simone R. de Bruin

    Citation: BMC Geriatrics 2017 17:132

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  16. Content type: Study protocol

    Caring and supporting older people with dementia have become a major public health priority. Recent reports have also revealed a diminishing number of family carers to provide dementia care in the future. Care...

    Authors: Lisa Pau Le Low, Lai Wah Lam and Kim Pong Fan

    Citation: BMC Geriatrics 2017 17:120

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  17. Content type: Research Article

    If worn during a fall, hip protectors substantially reduce risk for hip fracture. However, a major barrier to their clinical efficacy is poor user adherence. In long-term care, adherence likely depends on how ...

    Authors: Alexandra M.B. Korall, Judith Godin, Fabio Feldman, Ian D. Cameron, Pet-Ming Leung, Joanie Sims-Gould and Stephen N. Robinovitch

    Citation: BMC Geriatrics 2017 17:103

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  18. Content type: Research Article

    Despite the detrimental effects of physical inactivity for older adults, especially aged residents of residential care settings may spend much time in inactive behavior. This may be partly due to their poorer ...

    Authors: Johanna G. Douma, Karin M. Volkers, Gwenda Engels, Marieke H. Sonneveld, Richard H.M. Goossens and Erik J.A. Scherder

    Citation: BMC Geriatrics 2017 17:97

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  19. Content type: Research Article

    In oldest-old patients (>80), few trials showed efficacy of treating hypertension and they included mostly the healthiest elderly. The resulting lack of knowledge has led to inconsistent guidelines, mainly bas...

    Authors: Sven Streit, Marjolein Verschoor, Nicolas Rodondi, Daiana Bonfim, Robert A. Burman, Claire Collins, Gerasimovska Kitanovska Biljana, Sandra Gintere, Raquel Gómez Bravo, Kathryn Hoffmann, Claudia Iftode, Kasper L. Johansen, Ngaire Kerse, Tuomas H. Koskela, Sanda Kreitmayer Peštić, Donata Kurpas…

    Citation: BMC Geriatrics 2017 17:93

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  20. Content type: Study protocol

    Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanc...

    Authors: Hongsoo Kim, Yeon-Hwan Park, Young-il Jung, Hyoungshim Choi, Seyune Lee, Gi-Soo Kim, Dong-wook Yang, Myunghee Cho Paik and Tae-Jin Lee

    Citation: BMC Geriatrics 2017 17:88

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    The Erratum to this article has been published in BMC Geriatrics 2017 17:106

  21. Content type: Study protocol

    Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This incr...

    Authors: Mandy M. Archibald, Rachel Ambagtsheer, Justin Beilby, Mellick J. Chehade, Tiffany K. Gill, Renuka Visvanathan and Alison L. Kitson

    Citation: BMC Geriatrics 2017 17:87

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  22. Content type: Study protocol

    Understanding the difficulties and needs of the family carers in taking care of a person with ID can facilitate the development of appropriate intervention programmes and services to strengthen their caring ca...

    Authors: Lisa Pau Le Low, Wai Tong Chien, Lai Wah Lam and Kayla Ka Yin Wong

    Citation: BMC Geriatrics 2017 17:81

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  23. Content type: Study protocol

    Emergency departments are chaotic environments in which complex, frail older persons living in the community and residential aged care facilities are sometimes subjected to prolonged emergency department lengt...

    Authors: Elizabeth Marsden, Andrea Taylor, Marianne Wallis, Alison Craswell, Marc Broadbent, Adrian Barnett, Kim-Huong Nguyen, Julia Crilly, Colleen Johnston and Amanda Glenwright

    Citation: BMC Geriatrics 2017 17:76

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  24. Content type: Research Article

    Prospective external validation of the Vulnerable Elder’s Survey (VES-13) in primary care remains limited. The aim of this study is to externally validate the VES-13 in predicting mortality and emergency admis...

    Authors: Emma Wallace, Ronald McDowell, Kathleen Bennett, Tom Fahey and Susan M. Smith

    Citation: BMC Geriatrics 2017 17:69

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  25. Content type: Research Article

    Older people in the emergency department (ED) represent a growing population and increasing proportion of the workload in the ED. This study investigated the support for frail older people in the ED, by explor...

    Authors: Els Devriendt, Isabelle De Brauwer, Lies Vandersaenen, Pieter Heeren, Simon Conroy, Benoit Boland, Johan Flamaing, Marc Sabbe and Koen Milisen

    Citation: BMC Geriatrics 2017 17:68

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  26. Content type: Study protocol

    Despite the positive evaluation of various caregiver interventions over the past 3 decades, only very few intervention protocols have been translated to delivery in service contexts. The purpose of this study ...

    Authors: Klaus Pfeiffer, Martin Hautzinger, Margarete Patak, Julia Grünwald, Clemens Becker and Diana Albrecht

    Citation: BMC Geriatrics 2017 17:64

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  27. Content type: Study protocol

    Ambulatory geriatric rehabilitation (AGR) is a community based outpatient intervention which aims to improve physical function, maintain independent living of geriatric patients, avoiding hospitalisation and i...

    Authors: Simone Kiel, Carolin Zimak, Jean-François Chenot and Carsten Oliver Schmidt

    Citation: BMC Geriatrics 2017 17:63

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  28. Content type: Research Article

    Chronic pain affects nursing home residents’ daily life. Pain assessment is central to adequate pain management. The overall aim was to investigate effects of a pain management intervention on nursing homes re...

    Authors: Anna-Greta Mamhidir, Britt-Marie Sjölund, Birgitta Fläckman, Anders Wimo, Anders Sköldunger and Maria Engström

    Citation: BMC Geriatrics 2017 17:61

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  29. Content type: Study protocol

    The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce ol...

    Authors: Karin Bölenius, Kristina Lämås, Per-Olof Sandman and David Edvardsson

    Citation: BMC Geriatrics 2017 17:57

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  30. Content type: Research Article

    Care of frail and dependent older adults with multiple chronic conditions is a major challenge for health care systems. The study objective was to test the efficacy of providing integrated care at home to redu...

    Authors: Laura Di Pollina, Idris Guessous, Véronique Petoud, Christophe Combescure, Bertrand Buchs, Philippe Schaller, Michel Kossovsky and Jean-Michel Gaspoz

    Citation: BMC Geriatrics 2017 17:53

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  31. Content type: Research Article

    Studies indicate that people with dementia do not receive the same amount of analgesia after a hip or pelvic fracture compared to those without cognitive impairment. However, there is no systematic review that...

    Authors: Kai Moschinski, Silke Kuske, Silke Andrich, Astrid Stephan, Irmela Gnass, Erika Sirsch and Andrea Icks

    Citation: BMC Geriatrics 2017 17:54

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  32. Content type: Research Article

    The proportion of older people among the general population has risen. Staphylococcus aureus (SA) constitutes a significant problem. Underlying disease and functional debility, predispose the older adult to staph...

    Authors: Monika Pomorska-Wesołowska, Anna Różańska, Joanna Natkaniec, Barbara Gryglewska, Anna Szczypta, Mirosława Dzikowska, Agnieszka Chmielarczyk and Jadwiga Wójkowska-Mach

    Citation: BMC Geriatrics 2017 17:51

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  33. Content type: Research article

    The prevalence of multiple chronic conditions (MCC) among older persons is increasing worldwide and is associated with poor health status and high rates of healthcare utilization and costs. Current health and ...

    Authors: Jenny Ploeg, Nancy Matthew-Maich, Kimberly Fraser, Sinéad Dufour, Carrie McAiney, Sharon Kaasalainen, Maureen Markle-Reid, Ross Upshur, Laura Cleghorn and Anna Emili

    Citation: BMC Geriatrics 2017 17:40

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  34. Content type: Research Article

    Alongside changes in society and the economy, the family’s function of taking care of older people is weakening and the formal care mode is becoming more accepted. Older Chinese people are facing diverse choic...

    Authors: Yuan Yuan Fu, Yu Guo, Xue Bai and Ernest Wing Tak Chui

    Citation: BMC Geriatrics 2017 17:38

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  35. Content type: Research Article

    The use of antipsychotic medications (APMs) in nursing home residents in the U.S. is an increasingly prominent issue and has been associated with increased risk of hospitalization, cardiovascular events, hip f...

    Authors: Hannah Cioltan, Samah Alshehri, Carol Howe, Jeannie Lee, Mindy Fain, Howard Eng, Kenneth Schachter and Jane Mohler

    Citation: BMC Geriatrics 2017 17:32

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  36. Content type: Study protocol

    In the nursing home population, it is estimated that 1 in every 3 patients is polymedicated and given their considerable frailty, these patients are especially prone to adverse drug reactions. Clinical pharmac...

    Authors: Carlota Mestres Gonzalvo, Hugo A. J. M. de Wit, Brigit P. C. van Oijen, Kim P. G. M. Hurkens, Rob Janknegt, Jos M. G. A. Schols, Wubbo J. Mulder, Frans R. Verhey, Bjorn Winkens and Paul-Hugo M. van der Kuy

    Citation: BMC Geriatrics 2017 17:35

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  37. Content type: Research Article

    For immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing...

    Authors: Fabian M. V. Groven, Sandra M. G. Zwakhalen, Gaby Odekerken-Schröder, Erik J. T. Joosten and Jan P. H. Hamers

    Citation: BMC Geriatrics 2017 17:31

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  38. Content type: Research Article

    Physical restraint is a procedure used frequently in long-term care. It is a controversial practice because its use is associated with numerous complications and also affects freedom and individual autonomy. T...

    Authors: Gabriel J. Estévez-Guerra, Emilio Fariña-López, Eduardo Núñez-González, Manuel Gandoy-Crego, Fernando Calvo-Francés and Elizabeth A. Capezuti

    Citation: BMC Geriatrics 2017 17:29

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  39. Content type: Research Article

    Dementia care is predominantly provided by carers in home settings. We aimed to identify the priorities for homecare safety of people with dementia according to dementia health and social care professionals us...

    Authors: Lorainne Tudor Car, Mona El-Khatib, Robert Perneczky, Nikolaos Papachristou, Rifat Atun, Igor Rudan, Josip Car, Charles Vincent and Azeem Majeed

    Citation: BMC Geriatrics 2017 17:26

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  40. Content type: Study protocol

    Pharmacotherapy in residents of nursing homes is critical due to the special vulnerability of this population. Medical care and interprofessional communication in nursing homes are often uncoordinated. As a co...

    Authors: Angelika Mahlknecht, Nadja Nestler, Ulrike Bauer, Nadine Schüßler, Jochen Schuler, Sebastian Scharer, Ralf Becker, Isabel Waltering, Georg Hempel, Oliver Schwalbe, Maria Flamm and Jürgen Osterbrink

    Citation: BMC Geriatrics 2017 17:24

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  41. Content type: Study protocol

    The literature suggests that person-centred care can contribute to quality of life and wellbeing of nursing home residents, relatives and staff. However, there is sparse research evidence on how person-centred...

    Authors: David Edvardsson, Karin Sjögren, Qarin Lood, Ådel Bergland, Marit Kirkevold and Per-Olof Sandman

    Citation: BMC Geriatrics 2017 17:22

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  42. Content type: Research Article

    Nursing home residents are mainly inactive. Nursing staff can encourage residents to perform functional activities during daily care activities. This study examines 1) the extent to which nursing staff perceiv...

    Authors: Nienke O. Kuk, Mirre den Ouden, G. A. Rixt Zijlstra, Jan P. H. Hamers, Gertrudis I. J. M. Kempen and Gerrie J. J. W. Bours

    Citation: BMC Geriatrics 2017 17:18

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  43. Content type: Research Article

    Many elders struggle with the decision to remain at home or to move to an alternative location of care. A person’s location of care can influence health and wellbeing. Healthcare organizations and policy maker...

    Authors: Laura Boland, France Légaré, Maria Margarita Becerra Perez, Matthew Menear, Mirjam Marjolein Garvelink, Daniel I. McIsaac, Geneviève Painchaud Guérard, Julie Emond, Nathalie Brière and Dawn Stacey

    Citation: BMC Geriatrics 2017 17:20

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  44. Content type: Study protocol

    Older adults living in long term care (LTC) homes are nutritionally vulnerable, often consuming insufficient energy, macro- and micronutrients to sustain their health and function. Multiple factors are propose...

    Authors: Heather H. Keller, Natalie Carrier, Susan Slaughter, Christina Lengyel, Catriona M. Steele, Lisa Duizer, K. Steve Brown, Habib Chaudhury, Minn N. Yoon, Alison M. Duncan, Veronique M. Boscart, George Heckman and Lita Villalon

    Citation: BMC Geriatrics 2017 17:15

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  45. Content type: Study protocol

    Older inpatients are at risk of hospital-associated geriatric syndromes including delirium, functional decline, incontinence, falls and pressure injuries. These contribute to longer hospital stays, loss of ind...

    Authors: Alison M. Mudge, Merrilyn D. Banks, Adrian G. Barnett, Irene Blackberry, Nicholas Graves, Theresa Green, Gillian Harvey, Ruth E. Hubbard, Sharon K. Inouye, Sue Kurrle, Kwang Lim, Prue McRae, Nancye M. Peel, Jessica Suna and Adrienne M. Young

    Citation: BMC Geriatrics 2017 17:11

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  46. Content type: Research Article

    Evidence regarding outcomes in the Geriatric Day Hospital (GDH) model of care has been largely inconclusive, possibly due to measurement issues. This prospective cohort study aims to determine whether treatmen...

    Authors: Paige Moorhouse, Olga Theou, Sherri Fay, Miranda McMillan, Heather Moffatt and Kenneth Rockwood

    Citation: BMC Geriatrics 2017 17:9

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  47. Content type: Research Article

    Dementia is one of the most challenging age-related illnesses for family caregivers, whose care-related burden is well known. Research indicates that day care centres (DCCs) can reduce the caregiver burden and...

    Authors: Signe Tretteteig, Solfrid Vatne and Anne Marie Mork Rokstad

    Citation: BMC Geriatrics 2017 17:5

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  48. Content type: Study protocol

    Fall incidents are the third cause of chronic disablement in elderly according to the World Health Organization (WHO). Recent meta-analyses shows that a multifactorial falls risk assessment and management prog...

    Authors: Alessandro Giordano, Gian Pietro Bonometti, Fabio Vanoglio, Mara Paneroni, Palmira Bernocchi, Laura Comini and Amerigo Giordano

    Citation: BMC Geriatrics 2016 16:209

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