Featured Publications
Antihypertensive Medications and Serious Fall Injuries in a Nationally Representative Sample of Older Adults
Tinetti ME, Han L, Lee DS, McAvay GJ, Peduzzi P, Gross CP, Zhou B, Lin H. Antihypertensive Medications and Serious Fall Injuries in a Nationally Representative Sample of Older Adults. JAMA Internal Medicine 2014, 174: 588-595. PMID: 24567036, PMCID: PMC4136657, DOI: 10.1001/jamainternmed.2013.14764.Peer-Reviewed Original ResearchConceptsSerious fall injuriesAdjusted hazard ratioAntihypertensive medicationsMultiple chronic conditionsFall injuriesAntihypertensive groupHazard ratioOlder adultsChronic conditionsAntihypertensive medication classesStandardized daily doseAntihypertensive medication useCommunity-living adultsPropensity score adjustmentTraumatic brain injuryHealthy older adultsMedication intensityCardiovascular eventsMedication classesDaily doseHip fractureMedication useNationally Representative SampleHead injuryBrain injuryHealth Outcome Priorities Among Competing Cardiovascular, Fall Injury, and Medication‐Related Symptom Outcomes
Tinetti ME, McAvay GJ, Fried TR, Allore HG, Salmon JC, Foody JM, Bianco L, Ginter S, Fraenkel L. Health Outcome Priorities Among Competing Cardiovascular, Fall Injury, and Medication‐Related Symptom Outcomes. Journal Of The American Geriatrics Society 2008, 56: 1409-1416. PMID: 18662210, PMCID: PMC3494099, DOI: 10.1111/j.1532-5415.2008.01815.x.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsActivities of Daily LivingAgedAlzheimer DiseaseAntihypertensive AgentsAttitude to HealthCardiovascular DiseasesDecision MakingDepressive DisorderFemaleGeriatric AssessmentHealth PrioritiesHealth SurveysHumansIndividualityMaleMobility LimitationPulmonary Disease, Chronic ObstructiveWounds and InjuriesConceptsFall injuriesMedication symptomsAntihypertensive medicationsCardiovascular eventsCardiovascular outcomesChronic obstructive pulmonary diseaseBlood pressure reductionObstructive pulmonary diseaseSerious fall injuriesSymptom-related outcomesPulmonary diseaseSymptom outcomesHigh riskDepressive symptomsLower riskHealth outcomesInterindividual variabilityInjuryIntact personsMedicationsPressure reductionSymptomsRisk estimatesOlder adultsLower cognition
2008
Development of a Tool for Eliciting Patient Priority from Among Competing Cardiovascular Disease, Medication‐Symptoms, and Fall Injury Outcomes
Tinetti ME, McAvay GJ, Fried TR, Foody JM, Bianco L, Ginter S, Fraenkel L. Development of a Tool for Eliciting Patient Priority from Among Competing Cardiovascular Disease, Medication‐Symptoms, and Fall Injury Outcomes. Journal Of The American Geriatrics Society 2008, 56: 730-736. PMID: 18266842, PMCID: PMC3703614, DOI: 10.1111/j.1532-5415.2007.01627.x.Peer-Reviewed Original ResearchConceptsMedication symptomsFall injuriesIntraclass correlationCardiovascular disease outcomesMedication-related symptomsWilcoxon rank sum testRank sum testCVD outcomesCardiovascular diseaseDisease outcomePatient prioritiesSenior housing residentsSenior housing sitesInjury outcomesInjurySum testConvenience sampleRelative importance scores
1998
The Effect of Falls and Fall Injuries on Functioning in Community-Dwelling Older Persons
Tinetti M, Williams C. The Effect of Falls and Fall Injuries on Functioning in Community-Dwelling Older Persons. The Journals Of Gerontology Series A 1998, 53A: m112-m119. PMID: 9520917, DOI: 10.1093/gerona/53a.2.m112.Peer-Reviewed Original ResearchConceptsNoninjurious fallsOlder personsInjurious fallsIndependent determinantsPhysical activityFall statusSerious injuriesCommunity-dwelling older personsAdverse functional outcomesCommunity-dwelling personsAge 71 yearsHospital surveillanceMore fallsFunctional outcomeRisk factorsFall injuriesHigh burdenPreventive strategiesFunctional declineInstrumental activitiesOutcome measuresCohort membersDaily livingHierarchical linear regression modelsInjury
1996
A Multifactorial Approach to Reducing Injurious Falls
King M, Tinetti M. A Multifactorial Approach to Reducing Injurious Falls. Clinics In Geriatric Medicine 1996, 12: 745-759. PMID: 8890114, DOI: 10.1016/s0749-0690(18)30199-x.Peer-Reviewed Original Research
1995
The Contribution of Predisposing and Situational Risk Factors to Serious Fall Injuries
Tinetti M, Doucette J, Claus E. The Contribution of Predisposing and Situational Risk Factors to Serious Fall Injuries. Journal Of The American Geriatrics Society 1995, 43: 1207-1213. PMID: 7594153, DOI: 10.1111/j.1532-5415.1995.tb07395.x.Peer-Reviewed Original ResearchConceptsSerious fall injuriesRisk factorsFall injuriesSerious injuriesSituational risk factorsLower body mass indexPercentage of fallersBody mass indexLoss of consciousnessMulticomponent intervention programPhysical performance measuresFirst fallRisk of injuryCohort studyInjury overallPrimary outcomeMass indexHead injuryJoint dislocationFemale genderHome assessmentCognitive impairmentPreventive programsMultivariate analysisInjuryRisk Factors for Serious Injury During Falls by Older Persons in the Community
Tinetti M, Doucette J, Claus E, Marottoli R. Risk Factors for Serious Injury During Falls by Older Persons in the Community. Journal Of The American Geriatrics Society 1995, 43: 1214-1221. PMID: 7594154, DOI: 10.1111/j.1532-5415.1995.tb07396.x.Peer-Reviewed Original ResearchConceptsSerious fall injuriesFall injury eventsFall injuriesOlder personsRisk factorsInjury eventsLower body mass indexCommunity-living personsBody mass indexSerious injuriesFall calendarsHospital recordsMass indexGait impairmentChronic conditionsEmergency roomFemale genderOlder fallersInjury dataCognitive impairmentInjuryTelephone interviewsPrevention effortsIdentifiable factorsOnly subjectsFalls in Community‐Dwelling Older Persons
King M, Tinetti M. Falls in Community‐Dwelling Older Persons. Journal Of The American Geriatrics Society 1995, 43: 1146-1154. PMID: 7560708, DOI: 10.1111/j.1532-5415.1995.tb07017.x.Peer-Reviewed Original Research
1988
Risk Factors for Falls among Elderly Persons Living in the Community
Tinetti M, Speechley M, Ginter S. Risk Factors for Falls among Elderly Persons Living in the Community. New England Journal Of Medicine 1988, 319: 1701-1707. PMID: 3205267, DOI: 10.1056/nejm198812293192604.Peer-Reviewed Original ResearchConceptsRisk factorsElderly personsAbnormalities of balanceBimonthly telephone callsSimple clinical assessmentMore risk factorsDetailed clinical evaluationYears of ageAcute illnessPercent confidence intervalsPalmomental reflexSedative useFoot problemsProspective InvestigationClinical evaluationMental statusOdds ratioClinical assessmentLower extremitiesCognitive impairmentOlder personsGreater riskTelephone callsConfidence intervalsSerious injuries
1987
Factors Associated with Serious Injury During Falls by Ambulatory Nursing Home Residents
Tinetti M. Factors Associated with Serious Injury During Falls by Ambulatory Nursing Home Residents. Journal Of The American Geriatrics Society 1987, 35: 644-648. PMID: 3584769, DOI: 10.1111/j.1532-5415.1987.tb04341.x.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAccidentsAgedAged, 80 and overFemaleHumansMaleMiddle AgedNursing HomesWounds and InjuriesConceptsAmbulatory nursing home residentsLower extremity weaknessNursing home residentsExtremity weaknessHome residentsComponents of injuryHigh-risk groupSerious injuriesInjurious fallsLikelihood of injuryRisk groupsPreventive strategiesFallersProtective responseInjuryAcute factorsPredictive characteristicsPrevious fallsFirst yearFallForce of impactSubjectsLess helpFactorsResidents