Featured Publications
Effect of Dissemination of Evidence in Reducing Injuries from Falls
Tinetti ME, Baker DI, King M, Gottschalk M, Murphy TE, Acampora D, Carlin BP, Leo-Summers L, Allore HG. Effect of Dissemination of Evidence in Reducing Injuries from Falls. New England Journal Of Medicine 2008, 359: 252-261. PMID: 18635430, PMCID: PMC3472807, DOI: 10.1056/nejmoa0801748.Peer-Reviewed Original ResearchConceptsFall-related injuriesSerious fall-related injuriesAdjusted ratesIntervention regionClinical practiceElderly personsPercentage of cliniciansPrimary care cliniciansPrevention of fallsMedical servicesRate of injuryYears of ageEvaluation periodDissemination of evidenceCare cliniciansIntervention visitsOutpatient rehabilitationPreintervention periodFall preventionMorbid conditionsNonrandomized designInjuryReducing InjuryCliniciansRegions of ConnecticutA Multifactorial Intervention to Reduce the Risk of Falling among Elderly People Living in the Community
Tinetti M, Baker D, McAvay G, Claus E, Garrett P, Gottschalk M, Koch M, Trainor K, Horwitz R. A Multifactorial Intervention to Reduce the Risk of Falling among Elderly People Living in the Community. New England Journal Of Medicine 1994, 331: 821-827. PMID: 8078528, DOI: 10.1056/nejm199409293311301.Peer-Reviewed Original ResearchConceptsRisk factorsIntervention groupControl groupPrescription medicationsAdjusted incidence rate ratioTargeted risk factorsUsual health careElderly peopleRisk factor modificationIncidence rate ratiosUse of sedativesTime of reassessmentYears of ageParticular risk factorsRange of motionProportion of personsPostural hypotensionMultifactorial interventionSerious morbidityExercise programGait impairmentBalance impairmentLeg strengthElderly personsMedications
1997
The Role of Change in Physical Performance in Determining Risk for Dependence in Activities of Daily Living Among Nondisabled Community-Living Elderly Persons
Gill T, Williams C, de Leon C, Tinetti M. The Role of Change in Physical Performance in Determining Risk for Dependence in Activities of Daily Living Among Nondisabled Community-Living Elderly Persons. Journal Of Clinical Epidemiology 1997, 50: 765-772. PMID: 9253386, DOI: 10.1016/s0895-4356(97)00065-6.Peer-Reviewed Original ResearchConceptsUseful prognostic informationADL dependencePhysical performanceElderly personsPrognostic informationDaily livingCommunity-living elderly personsSingle assessmentLarge representative cohortAssessment of changesFuture disabilityBaseline interviewRepresentative cohortPowerful predictorRole of changesRiskParticipantsShort intervalsYearsAssessmentBaseline performancePersonsCohortYear interviewsADL
1996
Self-efficacy, Physical Decline, and Change in Functioning in Community-Living Elders: A Prospective Study
de Leon C, Seeman T, Baker D, Richardson E, Tinetti M. Self-efficacy, Physical Decline, and Change in Functioning in Community-Living Elders: A Prospective Study. The Journals Of Gerontology Series B 1996, 51B: s183-s190. PMID: 8673647, DOI: 10.1093/geronb/51b.4.s183.Peer-Reviewed Original ResearchConceptsFunctional statusFunctional declineDiminished physical capacityCommunity-residing elderly personsPhysical performanceHealth status variablesBasic self-care tasksHealth-related variablesPhysical performance testsSelf-care tasksProspective studyHome assessmentElderly personsOlder individualsPhysical capacityPhysical declineSignificant interaction effectStatus variablesStatusDeclineBaselineMonths
1991
Falls and Injuries in Frail and Vigorous Community Elderly Persons
Speechley M, Tinetti M. Falls and Injuries in Frail and Vigorous Community Elderly Persons. Journal Of The American Geriatrics Society 1991, 39: 46-52. PMID: 1987256, DOI: 10.1111/j.1532-5415.1991.tb05905.x.Peer-Reviewed Original ResearchConceptsElderly personsFrail subjectsCircumstances of fallsFall-related injuriesFrail elderly personsSerious health problemFrail groupFall circumstancesInjury preventionHealth problemsObserved incidencePreventive effortsInjurySerious injuriesFrailFallersVigorous groupSubjectsRepresentative sampleGroupPsychological variablesPersonsFallIncidenceTransition group
1990
Falls
Tinetti M. Falls. 1990, 528-534. DOI: 10.1007/978-1-4757-2093-8_40.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 injuriesIdentifying Mobility Dysfunctions in Elderly Patients: Standard Neuromuscular Examination or Direct Assessment?
Tinetti M, Ginter S. Identifying Mobility Dysfunctions in Elderly Patients: Standard Neuromuscular Examination or Direct Assessment? JAMA 1988, 259: 1190-1193. DOI: 10.1001/jama.1988.03720080024022.Peer-Reviewed Original ResearchNeuromuscular findingsElderly patientsNeuromuscular examinationKnee flexionNeuromuscular abnormalitiesFunctional mobilityClinical careMobility dysfunctionHip flexionMobility problemsElderly personsPatientsFlexionExaminationSubjectsSimple assessmentFindingsDirect assessmentManeuversDysfunctionAbnormalitiesCliniciansHipCare
1986
Fall risk index for elderly patients based on number of chronic disabilities
Tinetti M, Williams T, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. The American Journal Of Medicine 1986, 80: 429-434. PMID: 3953620, DOI: 10.1016/0002-9343(86)90717-5.Peer-Reviewed Original ResearchConceptsFall risk scoreRecurrent fallersRisk factorsElderly personsDaily living scorePostural blood pressureFall risk indexMental status scoresIntermediate care facilitiesBack examinationRecurrent fallingElderly patientsLiving scoreBlood pressureChronic disabilityStatus scoreConsecutive admissionsMobility scoreRisk scoreCare facilitiesDistant visionDisability increasesRisk indexMobility testsChronic characteristics