Study of associated factors with risk of fall in frail older patients
Nội dung chính của bài viết
Tóm tắt
The frailty syndrome and fall risk go hand in hand in the ageing process, significantly affecting the quality of life in elderly patients. The purpose of this study was to explore factors related to fall risk in older patients with frailty syndrome. A cross-sectional study of older frail patients was conducted, at the National Geriatric Hospital. All patients were diagnosed as having frailty by using Freid’s criteria. Factors associated with fall risk of older frail patients are age (greater or equal to 80 years old) (OR = 2.315), polypharmacy (OR = 2.784), depression (OR = 3.718), IADLs dependence (OR = 4.589), risk of malnutrition (OR = 2.089), lower limb strength (OR = 2.807) and cognitive impairment (OR = 4.559). An effective multidisciplinary strategy to prevent and reduce fall risks for older people having frailty is necessary, including intervention on polypharmacy, depression, dependences, malnutrition, low physical performance and cognitive impairments.
Chi tiết bài viết
Từ khóa
Fall, risk of fall, frailty
Tài liệu tham khảo
2. Pu-Lin Y, Zhao-Hui Q, Jing S, et al. Prevalence and related factors of falls among the elderly in an urban community of Beijing. Biomedical environmental sciences. 2009;22(3):179-187.
3. Bartosch PS, Kristensson J, McGuigan FE, et al. Frailty and prediction of recurrent falls over 10 years in a community cohort of 75-year-old women. Aging clinical experimental research. 2020;32:2241-2250.
4. Montero-Odasso M, Van Der Velde N, Martin FC, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age ageing. 2022;51(9):afac205.
5. Pi H-Y, Hu M-M, Zhang J, et al. Circumstances of falls and fall-related injuries among frail elderly under home care in China. International journal of nursing sciences. 2015;2(3):237-242.
6. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001;56(3):M146-M157.
7. Wada T, Ishimoto Y, Hirosaki M, et al. Twenty-one-item fall risk index predicts falls in elderly community-dwelling Japanese. J Am Geriatr Soc. 2009 Dec;57(12):2369-71 2009.
8. Charlson M, Szatrowski TP, Peterson J, et al. Validation of a combined comorbidity index. Journal of clinical epidemiology. 1994;47(11):1245-1251.
9. Greenberg SA. The geriatric depression scale (GDS). Best Practices in Nursing Care to Older Adults. 2012;4(1):1-2.
10. Tran DV, Lee AH, Au TB, et al. Reliability and validity of the International Physical Activity Questionnaire–Short Form for older adults in Vietnam. 2013;24(2):126-131.
11. Buysse DJ, Reynolds III CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
12. Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment Short-Form (MNA®-SF): A practical tool for identification of nutritional status. JNHA-The Journal of Nutrition, Health and Aging. 2009;13(9):782.
13. Chen L-K, Woo J, Assantachai P, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. Journal of the American Medical Directors Association. 2020;21(3):300-307. e302.
14. Cao Manh Long, Ho Thi Kim Thanh, Toan TK. Value of Mini-Mental State Examination (MMSE) in screening dementia for older adults in community. Journal of medical research. 2022;149(1):227-234.
15. Luc TV, Anh NT, Huong NTT. Factors related to risk of falls among older post-stroke patients. Journal of medical research. 2024;177(4E14):32-38.
16. Guo X, Pei J, Ma Y, et al. Cognitive frailty as a predictor of future falls in older adults: a systematic review and meta-analysis. Journal of the American Medical Directors Association. 2023;24(1):38-47.