Risk factors for single and recurrent falls: A prospective study of falls in community dwelling seniors without cognitive impairment

Tai Yin Wu, Wei Chu Chie, Rong Sen Yang, Kuan Liang Kuo, Wai Kuen Wong, Chen Kun Liaw

研究成果: 雜誌貢獻文章

34 引文 (Scopus)

摘要

Objective: The purpose of this study is to contribute evidence towards heterogeneity in risk factors for single and recurrent falls. Method: This is a prospective study conducted in Taiwan. Participants were randomly selected from the examinees of the annual health examination in 2010. Participants were interviewed with a detailed questionnaire and followed up one year later. Predictor variables included socio-demographic characteristics, medical conditions, laboratory data, and risk factors for osteoporosis. The outcome was falls in the ensuing 12. months. Results: The mean age of the 653 completers was 75.6 ± 6.4. Half (48.7%) were women. Fallers and recurrent fallers comprised 14.5% and 6.0% of the participants, respectively. Blurred vision (adjusted odds ratio (aOR): 1.93, 95% confidence interval (CI): 1.02-3.67), minimal outdoor activities (aOR: 2.28, 95% CI: 1.06-4.88), and overactive thyroid/parathyroid (aOR: 3.49, 95% CI: 1.29-9.50) were associated with single falls. Frailty (aOR: 2.81, 95% CI: 1.11-7.09), decreased body height (aOR: 3.15, 95% CI: 1.52-6.54) and taking sedatives/hypnotics (aOR: 4.23, 95% CI: 2.06-8.67) were associated with recurrent falls. Previous falls (aOR: 2.64, 95% CI: 1.44-4.84 for single falls; aOR: 5.26, 95% CI: 2.61-10.60 for recurrent falls) were associated with all falls. Conclusion: Different intervention strategies should be developed for single and recurrent fallers.
原文英語
頁(從 - 到)511-517
頁數7
期刊Preventive Medicine
57
發行號5
DOIs
出版狀態已發佈 - 十一月 1 2013
對外發佈Yes

指紋

Independent Living
Odds Ratio
Prospective Studies
Confidence Intervals
Body Height
Cognitive Dysfunction
Hypnotics and Sedatives
Taiwan
Osteoporosis
Thyroid Gland
Demography
Health

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

引用此文

Risk factors for single and recurrent falls : A prospective study of falls in community dwelling seniors without cognitive impairment. / Wu, Tai Yin; Chie, Wei Chu; Yang, Rong Sen; Kuo, Kuan Liang; Wong, Wai Kuen; Liaw, Chen Kun.

於: Preventive Medicine, 卷 57, 編號 5, 01.11.2013, p. 511-517.

研究成果: 雜誌貢獻文章

Wu, Tai Yin ; Chie, Wei Chu ; Yang, Rong Sen ; Kuo, Kuan Liang ; Wong, Wai Kuen ; Liaw, Chen Kun. / Risk factors for single and recurrent falls : A prospective study of falls in community dwelling seniors without cognitive impairment. 於: Preventive Medicine. 2013 ; 卷 57, 編號 5. 頁 511-517.
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abstract = "Objective: The purpose of this study is to contribute evidence towards heterogeneity in risk factors for single and recurrent falls. Method: This is a prospective study conducted in Taiwan. Participants were randomly selected from the examinees of the annual health examination in 2010. Participants were interviewed with a detailed questionnaire and followed up one year later. Predictor variables included socio-demographic characteristics, medical conditions, laboratory data, and risk factors for osteoporosis. The outcome was falls in the ensuing 12. months. Results: The mean age of the 653 completers was 75.6 ± 6.4. Half (48.7{\%}) were women. Fallers and recurrent fallers comprised 14.5{\%} and 6.0{\%} of the participants, respectively. Blurred vision (adjusted odds ratio (aOR): 1.93, 95{\%} confidence interval (CI): 1.02-3.67), minimal outdoor activities (aOR: 2.28, 95{\%} CI: 1.06-4.88), and overactive thyroid/parathyroid (aOR: 3.49, 95{\%} CI: 1.29-9.50) were associated with single falls. Frailty (aOR: 2.81, 95{\%} CI: 1.11-7.09), decreased body height (aOR: 3.15, 95{\%} CI: 1.52-6.54) and taking sedatives/hypnotics (aOR: 4.23, 95{\%} CI: 2.06-8.67) were associated with recurrent falls. Previous falls (aOR: 2.64, 95{\%} CI: 1.44-4.84 for single falls; aOR: 5.26, 95{\%} CI: 2.61-10.60 for recurrent falls) were associated with all falls. Conclusion: Different intervention strategies should be developed for single and recurrent fallers.",
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AU - Wong, Wai Kuen

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AB - Objective: The purpose of this study is to contribute evidence towards heterogeneity in risk factors for single and recurrent falls. Method: This is a prospective study conducted in Taiwan. Participants were randomly selected from the examinees of the annual health examination in 2010. Participants were interviewed with a detailed questionnaire and followed up one year later. Predictor variables included socio-demographic characteristics, medical conditions, laboratory data, and risk factors for osteoporosis. The outcome was falls in the ensuing 12. months. Results: The mean age of the 653 completers was 75.6 ± 6.4. Half (48.7%) were women. Fallers and recurrent fallers comprised 14.5% and 6.0% of the participants, respectively. Blurred vision (adjusted odds ratio (aOR): 1.93, 95% confidence interval (CI): 1.02-3.67), minimal outdoor activities (aOR: 2.28, 95% CI: 1.06-4.88), and overactive thyroid/parathyroid (aOR: 3.49, 95% CI: 1.29-9.50) were associated with single falls. Frailty (aOR: 2.81, 95% CI: 1.11-7.09), decreased body height (aOR: 3.15, 95% CI: 1.52-6.54) and taking sedatives/hypnotics (aOR: 4.23, 95% CI: 2.06-8.67) were associated with recurrent falls. Previous falls (aOR: 2.64, 95% CI: 1.44-4.84 for single falls; aOR: 5.26, 95% CI: 2.61-10.60 for recurrent falls) were associated with all falls. Conclusion: Different intervention strategies should be developed for single and recurrent fallers.

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