This study intended to identify the risk factors for injurious falls that led to hospitalization of older persons living in the community. A hospital-based unmatched incident case-control study was done among 251 cases and 250 controls admitted at a tertiary care centre in Kerala. Mean age of cases was 71.6 ± 9.13 years and that of controls was 67.02 ± 6.17 years. Hip fractures were the predominant injury following falls. Falls were mostly a result of intrinsic causes. After adjusting for other variabes, the risk factors for all injuries were age above 70 years (odds ratio [OR] = 2.25; 95% confidence interval [CI] = 1.46–3.46), previous fall history (OR = 2.76; 95% CI = 1.08–7.08) , impaired vision (OR = 4.49; 95% CI = 2.77–7.30), not living with spouse (OR = 1.97; 95% CI = 1.31–2.97), door thresholds (OR = 1.52; 95% CI = 1.01–2.29), and slippery floor (OR = 2.37; 95% CI = 1.31–4.32). The risk factors for hip fractures and other injuries were identified separately. Fall prevention strategies among older persons are warranted in Kerala.

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