ISSN: 1859 - 2872
Prevalence and associated factors of falls in older patients
Main Article Content
Keywords
Abstract
Objective: To identify the prevalence and factors associated with falls in older patients in geriatric clinic. Subject and method: This cross-sectional study was conducted with the participation of 615 older patients (≥ 60 years of age) at the geriatric clinic of Nhan Dan Gia Dinh Hospital. Determining the prevalence and factors associated with falls in older patients in geriatric clinic. Result: This study included 615 outpatients, age: 73.3 ± 6.9, women: 62.8%. The prevalence of falls was 23.1% (single fall 16.6%, recurrent falls 5.5%). Factors significantly associated with falls include: Sear of falling (OR = 2.82; Cl 95%: 1.73-4.58, p<0.001), limitations in ADLs (OR = 2.65, Cl 95%: 1.18-5.95, p=0.018), limitations in instrumental ADLs (OR = 2.35, Cl 95%: 1.11-4.97, p=0.026), poor sleep quality (OR = 1.91; Cl 95%: 1.08-3.38; p=0.027), osteoarthritis (OR = 1.60; Cl 95%: 1.04-2.47; p=0.033) and underweight (OR = 1.93, Cl 95%: 1.01-3.73, p=0.049). Conclusion: In older patients, the prevalence of falls was 23.1% (single fall 16.6%, recurrent falls 5.5%). Factors significantly associated with falls include: Fear of falling, limitations in ADLs, limitations in instrumental ADLs, poor sleep quality, osteoarthritis, and underweight.
Article Details
References
2. Cruz Danielle Teles da, Leite Isabel Cristina Gonçalves (2018) Falls and associated factors among elderly persons residing in the community. Revista Brasileira de Geriatria e Gerontologia 21: 532-541.
3. Franse CB, Rietjens JA, Burdorf A et al (2017) A prospective study on the variation in falling and fall risk among community-dwelling older citizens in 12 European countries. BMJ Open 7(6): 015827.
4. Kim JH, Song JH, Wee JH, Lee JW, Choi HG (2022) Depressive symptoms, subjective cognitive decline, and subjective sleep quality are associated with slips and falls: Data from the community health survey in Korean adults. Gerontology 68(5): 518-528. doi: 10.1159/000518007.
5. Moreland B, Kakara R, Henry A (2020) Trends in nonfatal falls and fall-related injuries among adults aged ≥ 65 years United States 2012-2018. MMWR Morb Mortal Wkly Rep 69(27): 875.
6. O’Neil Caroline A, Krauss Melissa J, Bettale Jon, et al (2018) Medications and patient characteristics associated with falling in the hospital. Journal of patient safety 14(1): 27.
7. Pi Hong-Ying, Hu Meng-Meng, Zhang Jie et al (2015) Circumstances of falls and fall-related injuries among frail elderly under home care in China. International journal of nursing sciences 2(3): 237-242.
8. Pitchai P, Dedhia HB, Bhandari N et al (2019) Prevalence, risk factors, circumstances for falls and level of functional independence among geriatric population - A descriptive study. Indian J Public Health 63(1): 21-26.
9. Smith Toby O, Higson Emma, Pearson Matthew, et al (2018) Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative. International journal of rheumatic diseases 21(6): 1193-1201.
10. The World Health Organization (2007) WHO Global report on falls Prevention in older Age.
Article Sidebar
