The prevalence of falls and their relation to visual and hearing impairments among a nation-wide cohort of older Poles

Skalska, Anna; Wizner, Barbara; Piotrowicz, Karolina; Klich-Rączka, Alicja; Klimek, Ewa; Mossakowska, Małgorzata; Rowiński, Rafał; Kozak-Szkopek, Elżbieta; Jóźwiak, Andrzej; Gąsowski, Jerzy; Grodzicki, Tomasz

doi:10.1016/j.exger.2012.12.003

Cited by 50 publications

(46 citation statements)

References 44 publications

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“…The NHIS sample is large, and because our analyses were weighted to reflect the age, sex, and race/ethnicity distribution of the 2010 Census, the association we observed between self‐reported hearing status and fall should be generalizable to the noninstitutionalized adult population of the United States. The 2016 NHIS included a supplemental section on dizziness and balance problems, permitting us to adjust for vestibular function, a major confounder that has not been consistently addressed in prior studies . While the subjectivity and nonspecificity of dizziness symptoms (eg, “a floating, spacey, or disconnected sensation”) can result in unreliable measurement of vestibular function in studies relying on self‐report, our definition of vestibular vertigo has a specificity of 94% and a sensitivity of 84% for clinically diagnosed vestibular vertigo and has been previously applied in several population‐based studies …”

Section: Discussionmentioning

confidence: 99%

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Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Heitz

Gianattasio

Prather

et al. 2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVE To evaluate the relationship between self‐reported hearing loss and nonfatal fall‐related injury in a nationally representative sample of community‐dwelling adults living in the United States. DESIGN Cross‐sectional analysis of national survey data. SETTING National Health Interview Survey (2016). PARTICIPANTS A total of 30 994 community‐dwelling adults in the United States, aged 18 years and older. MEASUREMENTS We evaluated the association between self‐reported hearing loss and nonfatal injury resulting from a fall in the previous 3 months. We used multivariate logistic regression to calculate adjusted odds ratios (ORs) and evaluated effect measure modification by age. RESULTS The odds of nonfatal fall‐related injury were 1.60 times higher among respondents with hearing loss compared to respondents without hearing loss (95% confidence interval [CI] = 1.20‐2.12; P = .0012). Results were unchanged when adjusting for demographics (OR = 1.59; 95% CI = 1.18‐2.15; P = .002). After adjustment for cardiovascular risk factors, cardiovascular disease, visual impairment, and limitation caused by nervous system/sensory organ conditions and depression, anxiety, or another emotional problem, the OR fell to 1.27 (95% CI = 0.92‐1.74; P = .14). In the fully adjusted model, including adjustment for vestibular vertigo, there was little support to link hearing loss and fall‐related injury (OR = 1.16; 95% CI = 0.84‐1.60; P = .36). Effect modification by age was not observed. CONCLUSIONS Self‐reported hearing loss may be a clinically useful indicator of increased fall risk, but treatment for hearing loss is unlikely to mitigate this risk, given that there is no independent association between self‐reported hearing loss and nonfatal falls after accounting for vestibular function and other potential confounders.

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Section: Discussionmentioning

confidence: 99%

“…Prior work suggests that hearing loss may be a risk factor for fall‐related injuries among older adults . But this observed association is controversial due to concern about uncontrolled confounding by concomitant vestibular dysfunction .…”

mentioning

confidence: 99%

Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Heitz

Gianattasio

Prather

et al. 2019

J American Geriatrics Society

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“…Lin and Ferrucci [7] have also noted that people with hearing loss and balance problems experience problems with walking and mobility. Sensory impairment and age related hearing loss (presbyacusis) may add to the number of falls sustained [8] [9]. In addition, symptoms of hearing loss and dementia maybe confused, with a combination likely to increase the number and severity of symptoms experienced by patients [10].…”

Section: Introductionmentioning

confidence: 99%

Clinical Medication Review and Falls in Older People—What Is the Evidence Base?

Tanna¹,

Tatla²,

Winn³

et al. 2016

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Background: This paper reports findings from a literature review undertaken to assess the current evidence base for clinical medication review and falls in older people. This forms part of a larger, organisational supported project design work-stream, where the objectives are to define the operational details for clinical medication review as part of multi-factorial assessment for elderly fallers in the community. Patients will be identified and targeted through an integrated care pathway mapping and elderly patient care screening service. Objective: A review of national and best practice guidance to help our understanding of how clinical medication review could be optimised. Methods: A PubMed database search was undertaken with search terms including "elderly" and "falls" and "medicines" followed by study of relevant publications in English and including cited referenced publications within selected papers. Results: Our findings were that both medication over-use and under-use in the elderly occur frequently and can be harmful. Many drugs commonly used by older persons have not been systematically studied as risk factors for falls. The screening tool of older people's prescriptions (STOPP) and screening tool to alert to right treatment (START), validated for assessment of potentially inappropriate prescribing in the elderly, offer the possibility of provision of a structured clinical medication review to patients, with a need for more research on the impact of the STOPP START interventions on both the rates of falls and risk of falls in the elderly.

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“…This predominance was observed in a study performed in Londrina/PR, where 59.5% of the elderly who suffered trauma were male [8]. Studies conducted in the Northeast [14], Southeast [15] and South [4] of Brazil, as well as in the United States [16] and Poland [17] found a higher prevalence of men affected by trauma, which may be due to the fact that men are more exposed as they circulate more frequently in the urban area, and participate more in the labor market [18].…”

Section: Discussionmentioning

confidence: 91%

Trauma in elderly people attended by a mobile emergency service

et al. 2015

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Introduction: The process of aging causes bio-psychosocial changes, that commonly, make the elderly more likely to be affected by chronic diseases and disorders due to external causes.Objective: Analize the occurrence of trauma and demographic characteristics of elderly people attended by a mobile emergency service.Method: This is a cross-sectional study conducted in the city of Sousa, in northeast region of Brazil, using data from 190 records of elderly victims of trauma attended by the MES from January 1 St to December 31 St of 2011. The Pearson's chi-square test (χ2) or Fisher's exact test with Freeman-Halton extension, were used to observe possible associations between variables. A significance level of α<5% was considered.Results: From the total of 190 elderly, 51.1% were male, aged between 60 and 104 years, mean age of 75.3 years (SD 10.44 years) and median of 74.0 years. Regarding the occurrence of trauma, 91.6% occurred in urban areas, 35.8% in the morning, 46.3% at weekend and 42.1% in the months from May to August. Falls stood out with 65.3% of cases and 87.9% had no alcohol on their breath during first-aid care. Among the injuries, wounds were predominant (62.3%) and 87.4% were referred to hospital. A significant association was observed between the presence of alcohol on the breath and sex (p<0.001) and age group (p=0.004) and between trauma mechanism and sex (p<0.001). Higher susceptibility was observed among males in the most advanced age group. Among the types of trauma, falls occurred mainly among women and traffic accidents among men. The presence of alcohol on the breath was verified especially among men and the majority of them were referred to hospitals.

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The prevalence of falls and their relation to visual and hearing impairments among a nation-wide cohort of older Poles

Cited by 50 publications

References 44 publications

Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Clinical Medication Review and Falls in Older People—What Is the Evidence Base?

Trauma in elderly people attended by a mobile emergency service

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