@article{ref1,
title="Pain and recurrent falls in the older and oldest-old non-institutionalized population",
journal="BMC geriatrics",
year="2020",
author="Gálvez-Barrón, César and Formiga, Francesc and Miñarro, Antonio and Macho, Oscar and Narvaiza, Leire and Dapena, María Dolores and Pujol, Ramon and Rodríguez-Molinero, Alejandro",
volume="20",
number="1",
pages="e15-e15",
abstract="BACKGROUND: Recurrent falls represent a priority in geriatric research. In this study we evaluated the influence of pain as a risk factor for recurrent falls (two or more in 1 year) in the older (65-79 years) and oldest-old (80 or more years) non-institutionalized population. <br><br>METHODS: Prospective cohort study. 772 non-institutionalized individuals with ages of 65 years or older (with overrepresentation of people aged 80 years or older [n = 550]) were included through randomized and multistage sampling, stratified according to gender, geographic area and habitat size. Basal evaluation at participant's home including pain evaluation by Face Pain Scale (FPS, range 0-6) and then telephonic contact every 3 months were performed until complete 12 months. Multivariate analysis by logistic regression (recurrent falls as outcome variable) for each age group (older and oldest-old group) were developed considering pain as a quantitative variable (according to FPS score). Models were adjusted for age, gender, balance, muscle strength, depressive symptoms, cognitive decline, number of drugs and number of drugs with risk of falls. <br><br>RESULTS: 114 (51.35%) and 286 (52%) participants of older and oldest-old group, respectively, reported pain; and recurrent falls occurred in 6.93% (n = 12) of the older group and 12.06% (n = 51) of the oldest-old group. In the older group, pain was associated with recurrent falls, with an associated odds ratio (OR) of 1.47 (95% CI 1.08-2.00; beta 0.3864) for each unit increase in pain intensity (thus, participants with the most severe pain [FPS 6] had OR of 10.16 regarding to participants without pain [FPS 0]). In the oldest-old group, pain was not associated with recurrent falls. <br><br>CONCLUSIONS: Pain, a potentially modifiable and highly prevalent symptom, is a risk factor for recurrent falls in the older people (65-79 years). However, we have not been able to demonstrate that this relationship is maintained in the oldest-old population (80 or more years).<p /> <p>Language: en</p>",
language="en",
issn="1471-2318",
doi="10.1186/s12877-020-1412-8",
url="http://dx.doi.org/10.1186/s12877-020-1412-8"
}