@article{ref1,
title="Rural older people had lower mortality after accidental falls than non-rural older people",
journal="Clinical interventions in aging",
year="2017",
author="Huang, Jen-Wu and Lin, Yi-Ying and Wu, Nai-Yuan and Chen, Yu-Chun",
volume="12",
number="",
pages="97-102",
abstract="OBJECTIVE: This study aimed to investigate the mortality rate after falls of rural and non-rural older people and to explore the risk factors of mortality after falls among older people. <br><br>PATIENTS AND METHODS: This population-based case-control study identified two groups from a nationwide claim database (National Health Insurance Research Database in Taiwan): a rural group and a non-rural group, which included 3,897 and 5,541 older people, respectively, who were hospitalized for accidental falls (The International Classification of Diseases, Ninth Revision, Clinical Modification: E880-E888) during 2006-2009. Both groups were followed up for 4 years after falls. Four-year cumulative all-cause mortality rate after falls was calculated, and the demographic factor, comorbidity, and medications were considered as the potential risk factors of mortality after falls. <br><br>RESULTS: The rural group had a significantly higher frequency of fall-related hospitalizations (7.4% vs 4.3%, P<0.001), but a lower 4-year cumulative all-cause mortality rate after falls than the non-rural group (8.8% vs 23.4%, P<0.001). After adjusting for age, gender, comorbidity, and medication use, the rural group had a significantly lower risk of mortality after falls than the non-rural group (adjusted odds ratio =0.32, 95% confidence interval =0.28-0.37, P<0.001). Age, gender, place of residence, comorbidity, number of medications, and inappropriate medication use were independent risk factors of mortality after falls. <br><br>CONCLUSION: The rural older people had a higher frequency of fall-related hospitalizations but lower mortality after falls than the non-rural older people. Fall prevention programs should be adjusted for difference in place of residence.<p /> <p>Language: en</p>",
language="en",
issn="1176-9092",
doi="10.2147/CIA.S119186",
url="http://dx.doi.org/10.2147/CIA.S119186"
}