Risk factors for serious fall related injury in elderly women living at home

Bergland, Astrid; Wyller, Torgeir Bruun

doi:10.1136/ip.2003.004721

Cited by 259 publications

(189 citation statements)

References 56 publications

(47 reference statements)

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“…On the other hand, about 30% of community living adults aged ≥ 65 years fall each year (Hornbrook et al 1994;Burt and Fingerhut 1998;Tinetti 2003;Bergland and Wyller 2004). The elderly in Japan seem to fall less often than those in other countries, which is in part considered to explain the lower risk of hip fracture in Japan (Aoyagi et al 1998).…”

Section: Discussionmentioning

confidence: 99%

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Mizukami

Arima

Abe

et al. 2013

Tohoku J. Exp. Med.

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Falls are a major public health problem and the second leading cause of death due to unintentional accidental injury after road traffic accidents. Inactive, older individuals with several chronic illnesses fall more frequently than older individuals who are active and healthy. No population-based study has addressed the association of stroke, arthritis, hypnotic and other prescription medications with falls among the elderly simultaneously in a single population in Japan. We examined the prevalence of falls among community-dwelling elderly Japanese individuals, whom we randomly selected from a list of inhabitants aged ≥ 65 years compiled from the resident registration, and the associations between falls and each of stroke, arthritis, and hypnotic and other prescription medications. We interviewed 295 men and 307 women, and collected information about the number of falls during the latest one year, hemiplegia due to stroke, arthritis in the legs, and the number of hypnotic and other medications. We found that 46 men (16%) and 67 women (22%) had fallen at least once during the latest one year. Logistic regression analysis adjusted for age showed that hemiplegia due to stroke (p < 0.001), arthritis in the legs (p < 0.001), and taking at least four daily prescription medications (p < 0.05) were significantly associated with falls in men. Arthritis in the legs (p = 0.05) and taking at least four daily prescription medications (p < 0.05) were associated with falls in women. Treatment of fall-related diseases and medication management are important strategies for reducing falls among elderly persons.

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Section: Discussionmentioning

confidence: 99%

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Mizukami

Arima

Abe

et al. 2013

Tohoku J. Exp. Med.

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“…In general, good fitness appears to reduce the severity of fallrelated injuries [39], probably because fit subjects react during the fall, thereby reducing the impact. On the other hand, for fallers, a higher level of fitness may contribute to more severe fall-related injuries since it has been observed that high-fitness participants were more confident and put themselves in situations that are more risky.…”

Section: Discussionmentioning

confidence: 99%

Role of physical activity in the occurrence of falls and fall-related injuries in community-dwelling adults over 50 years old

Pereira

Baptista

Infante

2013

Disability and Rehabilitation

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Purpose: This study examined the effect of the type, level and amount of physical activity in falls and fall-related injuries. Method: Participants were 506 community-dwelling adults aged 450 years (390 women: 67.7 AE 6.8 years and 116 men: 69.6 AE 6.6 years). Falls, fall-related injuries (slight and severe), and physical activity (type, level and energy expenditure) were evaluated by questionnaires. Confounders included co-morbidities, fear of falling, environmental hazards and physical fitness. Results: After adjustment for confounders, logistic analysis revealed that the likelihood of falling decreased by 2% for each 100 metabolic expenditure (MET-min/week) of total physical activity and increased by 5% for each 100 MET-min/week of vigorous-intensity physical activity; total physical activity 41125 MET-min/week and vigorous physical activity 5500 MET-min/week were identified as cut-off values discriminating non-fallers from fallers. Compared to the low physical activity level, increased physical activity levels diminished the likelihood of the occurrence of severe fall-related injuries by 76% (moderate) and 58% (high; p50.05) in fallers. Conclusions: Being active, especially sufficiently active, reduces fall-related injuries by decreasing falls and by safeguarding against severe injuries when falls occur. At least 1125 MET-min/week of total physical activity including 4500 MET-min/week of vigorous intensity seems to prevent falls and, therefore, fall-related injuries. ä Implications for RehabilitationBeing sufficiently active reduces fall-related injuries by reducing falls and by safeguarding against severe injury when falls occur For each additional amount of total physical activity there is a corresponding direct (due to the effect of isolated physical actvivity) and indirect (due to the subject gaining in fitness) decrease in the risk of falling and thus injury. Vigorous physical activity leads to an increase in total physical activity; however, it also leads to an increase in the risk of falling and injury Total physical activity of at least 1125 MET-min/week with equal or lower than 500 MET-min/ week (i.e. less than $1 h/week, according IPAQ criteria) of vigorous intensity significantly reduces falls and therefore injury

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“…www.kan.or.kr 입원환자의 낙상은 손상의 주요원인이며 심각한 신체적 손상 뿐 아니라 (Hendrich, Nyhuis, Kippenbrock, & Soja, 1995;Liddle & Gilleard, 1984) 낙상 후 손상으로 재원일수가 길어지고 검사나 수술로 인해 추가적인 비용부담이 발생하며, 의료과실로 소송이 제기되는 가장 흔한 원인이 되고 있다 (Bergland & Wyller, 2004). (Morse, Prowse, Morrow, & Federspeil, 1985), Hendrich Fall Risk Model (Hendrich et al, 1995), St. Thomas's Risk Assessment Tool in Falling Elderly Inpatients (Oliver, Britton, Seed, Martin, & Hopper, 1997 (Graf, 2008;Perell et al, 2001;Razmus et al, 2006).…”

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