Article Sidebar

PDF (Tiếng Việt)
Published: 2023-04-27
Abstract Views: 329
Views PDF (Tiếng Việt): 632
DOI: https://doi.org/10.52852/tcncyh.v165i4.1540
Issue
Vol. 165 No. 4 (2023)
Section
Các bài báo
How to Cite
Anh, H. T. V., Tâm, N. N., Thu, N. T. H., Thắng, P., & Huyền, V. T. T. (2023). 17. Falls among older outpatients: prevalence, characteristics and consequences after falls. Journal of Medical Research, 165(4), 137-147. https://doi.org/10.52852/tcncyh.v165i4.1540

17. Falls among older outpatients: prevalence, characteristics and consequences after falls

Ha Thi Van Anh, Nguyen Ngoc Tam, Nguyen Thi Hoai Thu, Pham Thang, Vu Thi Thanh Huyen

Main Article Content

Abstract

The study aimed to investigate the incidence, and factors associated with falls and physical consequences among older outpatients. A prospective study  for 3 years from 03/2018 to 3/2021 was conducted in 636 outpatients aged 60 or older at the National Geriatric Hospital, Hanoi, Vietnam. Results: 226 participants (35.5%) fell during the 1 year period. The majority of falls occurred indoors, mainly in the bedrooms (61.1%) and bathrooms (41.6%); Falls most often were caused by slips (52.2%). Risk factors associated with increased risk of falls were age 80 years and older (OR = 2.9), history of falls (OR = 2.0),  and taking psychotropic medications (OR = 1.7). After falls, injury is reported in 44.2% of cases in which, 32 patients (14.2%) had a fracture, 23 people (10.2%) were immobilized.  one patient died. I Thenjury severity generally tended to be worse in women and people aged ≥ 80 years. The high rates of falls and fall-related injuries imply that older outpatients need proper attention,  and a safe living environment suitable for the elderly is necessary to reduce falls and injuries.

Article Details

Keywords

Falls, older outpatients, consequences after falls

References

1. Yoshida-Intern S. A global report on falls prevention epidemiology of falls. Geneva: WHO. 2007.
2. Kiel DP, Schmader K, Lin F. Falls in older persons: Risk factors and patient evaluation. UpToDate. Waltham: UpToDate Inc. 2018.
3. Alshammari SA, Alhassan AM, Aldawsari MA, et al. Falls among elderly and its relation with their health problems and surrounding environmental factors in Riyadh. J Family Community Med. Jan-Apr 2018; 25(1): 29-34.
4. Florence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical Costs of Fatal and Nonfatal Falls in Older Adults. J Am Geriatr Soc. Apr 2018; 66(4): 693-698.
5. Almada M, Brochado P, Portela D, Midão L, Costa E. Prevalence of fall and associated factors among community-dwelling European older adults: a cross-sectional study. The Journal of frailty & aging. 2021; 10:10-16.
6. Subramanian MS, Singh V, Chatterjee P, Dwivedi SN, Dey AB. Prevalence and predictors of falls in a health-seeking older population: An outpatient-based study. Aging Medicine. 2020.
7. Peel N. Validating recall of falls by older people. Accident analysis & prevention. 2000; 32(3): 371-372.
8. Hou WH, Kang CM, Ho MH, Kuo JMC, Chen HL, Chang WY. Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients. Journal of Clinical Nursing. 2017; 26(5-6): 698-706.
9. Pitchai P, Dedhia HB, Bhandari N, Krishnan D, D’Souza NRJ, Bellara JM. Prevalence, risk factors, circumstances for falls and level of functional independence among geriatric population-A descriptive study. Indian journal of public health. 2019; 63(1): 21.
10. Moreland B, Kakara R, Henry A. Trends in nonfatal falls and fall-related injuries among adults aged ≥ 65 years-United States, 2012-2018. Morbidity and Mortality Weekly Report. 2020; 69(27): 875.
11. Gale CR, Westbury LD, Cooper C, Dennison EM. Risk factors for incident falls in older men and women: the English longitudinal study of ageing. BMC geriatrics. 2018; 18:1-9.
12. Sharif SI, Al-Harbi AB, Al-Shihabi AM, Al-Daour DS, Sharif RS. Falls in the elderly: assessment of prevalence and risk factors. Pharmacy Practice (Granada). 2018; 16(3).
13. Honkanen R, Afrin N, Koivumaa-Honkanen H, Kröger H. PA 15-7-2839 History of frequent falls predict strongly falls but only weakly subsequent fractures in postmenopausal women. BMJ Publishing Group Ltd; 2018.
14. Johnell K, Jonasdottir Bergman G, Fastbom J, Danielsson B, Borg N, Salmi P. Psychotropic drugs and the risk of fall injuries, hospitalisations and mortality among older adults. International journal of geriatric psychiatry. 2017; 32(4): 414-420.
15. Ray WA. Psychotropic drugs and injuries among the elderly: a review. Journal of clinical psychopharmacology. 1992.
16. Lu Z, Ye P, Wang Y, Duan L, Er Y. Characteristics of falls among older people-China, 2018. China CDC weekly. 2021; 3(4):65.
17. Wu S, Fu Y, Yang Z. Housing condition, health status, and age-friendly housing modification in Europe: The last resort? Building and Environment. 2022; 215: 108956.
18. Secretariat MA. Prevention of falls and fall-related injuries in community-dwelling seniors: An evidence-based analysis. Ontario health technology assessment series. 2008; 8(2): 1.
19. Lyu H, Dong Y, Zhou W, et al. Incidence and clinical characteristics of fall-related injuries among older inpatients at a tertiary grade a hospital in Shandong province from 2018 to 2020. BMC geriatrics. 2022; 22(1): 1-10.
20. Parkkari J, Kannus P, Palvanen M, et al. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcified tissue international. 1999; 65(3): 183-187.