@article{ref1,
title="Fear of falling and associated factors in older adults with heart failure",
journal="Psychogeriatrics",
year="2023",
author="Unes, Mevlut and Tasar, Pınar Tosun and Karasahin, Omer and Birdal, Oguzhan and Sevinc, Can and Sahin, Sevnaz",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: This study aimed to evaluate the prevalence of fear of falling and associated factors in older adults with heart failure. <br><br>METHODS: A prospective, cross-sectional study. The study included 100 geriatric patients who were hospitalised and treated in the cardiology department of our hospital with ventricular ejection fraction (LVEF) lower than 50% for at least 1 year. A series of geriatric assessments were performed by face-to-face interview on the day of admission. Electrocardiography (ECG) and transthoracic echocardiography (TTE) were also performed on the day of admission. <br><br>RESULTS: The median age of the patients was 72 years, and 72.0% were men. Falls Efficacy Scale scores indicated a fear of falling in 46 (46.0%) of the patients. Charlson Comorbidity Index (CCI) was significantly higher in patients with fear of falling (P < 0.001). Severe depression, severe clinical insomnia, daytime sleepiness, and malnutrition were significantly more frequent among patients with fear of falling. Fear of falling was associated with significantly lower LVEF (P = 0.001). The presence of severe depression increased the risk of fear of falling by 13.97 times (95% CI: 3.064-63.707; P = 0.001), and the presence of daytime sleepiness increased the risk by 3.49 times (95% CI: 1.012-12.037; P = 0.048). A one-unit increase in CCI increased the risk of fear of falling by 1.56 times (95% CI: 1.093-2.238; P = 0.014). <br><br>CONCLUSIONS: Heart failure patients with concomitant depression, sleep disorders, and high comorbidities have greater fear of falling.<p /> <p>Language: en</p>",
language="en",
issn="1346-3500",
doi="10.1111/psyg.13062",
url="http://dx.doi.org/10.1111/psyg.13062"
}