A cross-sectional study of the prevalence, correlates, and costs of falls in older home care clients 'at risk' for falling.
Identifieur interne : 001A99 ( Main/Exploration ); précédent : 001A98; suivant : 001B00A cross-sectional study of the prevalence, correlates, and costs of falls in older home care clients 'at risk' for falling.
Auteurs : Maureen Markle-Reid [Canada] ; Gina Browne ; Amiram Gafni ; Jacqueline Roberts ; Robin Weir ; Lehana Thabane ; Melody Miles ; Vida Vaitonis ; Catherine Hecimovich ; Pamela Baxter ; Sandra HendersonSource :
- Canadian journal on aging = La revue canadienne du vieillissement [ 0714-9808 ] ; 2010.
Descripteurs français
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Accidental Falls (economics), Accidental Falls (statistics & numerical data), Aged, Aged, 80 and over, Canada, Cognition Disorders (epidemiology), Cross-Sectional Studies, Environment, Female, Health Services for the Aged (standards), Health Status, Home Care Services (standards), Humans, Male, Parkinson Disease (epidemiology), Risk Factors, Vision Disorders (epidemiology).
- MESH :
- geographic : Canada.
- economics : Accidental Falls.
- epidemiology : Cognition Disorders, Parkinson Disease, Vision Disorders.
- standards : Health Services for the Aged, Home Care Services.
- statistics & numerical data : Accidental Falls.
- Aged, Aged, 80 and over, Cross-Sectional Studies, Environment, Female, Health Status, Humans, Male, Risk Factors.
Abstract
This study examined the six-month prevalence, risk factors, and costs of falls in older people using home support services who are at risk of falling. Of the 109 participants, 70.6 per cent reported >or= one fall in the previous six months, and 27.5 per cent experienced multiple falls. Although there was no statistically significant difference in any fall-related risk factor between fallers (1+ falls) and non-fallers (0 falls), fallers had clinically important trends towards lower levels of physical, social, and psychological functioning. There was no statistically significant difference between fallers and non-fallers in the total per-person costs of use of health services in the previous six months; however, there were significant differences between groups in specific types of health services. The multivariate analysis revealed the presence of five risk factors for falls: neurological disorder (e.g., cognitive impairment, Parkinson's disease), age >or= 85 years, environmental hazards, previous slip or trip, and visual impairment.
DOI: 10.1017/S0714980809990365
PubMed: 20202270
Affiliations:
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Le document en format XML
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Of the 109 participants, 70.6 per cent reported >or= one fall in the previous six months, and 27.5 per cent experienced multiple falls. Although there was no statistically significant difference in any fall-related risk factor between fallers (1+ falls) and non-fallers (0 falls), fallers had clinically important trends towards lower levels of physical, social, and psychological functioning. There was no statistically significant difference between fallers and non-fallers in the total per-person costs of use of health services in the previous six months; however, there were significant differences between groups in specific types of health services. 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