TY  - JOUR
PY  - 2009//
TI  - Risk factors for falls amongst older people living in nursing home. A cohort study
JO  - Revista Espanola de Geriatria y Gerontologia
A1  - Díaz Grávalos, Gabriel J.
A1  - Gil Vázquez, Carmen
A1  - Andrade Pereira, Vanesa
A1  - Alonso Payo, Rosario
A1  - Alvarez Araujo, Susana
A1  - Reinoso Hermida, Santiago
SP  - 301
EP  - 304
VL  - 44
IS  - 6
N2  - OBJECTIVE: To determine factors associated with falls in institutionalized elderly. MATERIAL AND METHODS: A prospective cohort study was carried out, over a 18 months period. We included 203 subjects aged 65 and over who were able to walk. We recorded: age, sex, BMI, Barthel, Pfeiffer, Tinetti and FRAT tests, history of falls during the previous year, walking aids, the existence of orthostatic hypotension, delirium in the previous month, presence of various chronic diseases (10), number and nature of the usual drugs (15). Each fall was recorded by the nurse in charge of the patient. The analysis was carried out using logistic regression. RESULTS: The average age of participants was 80.1 (SD=9.1) years, male 37.9%. There were 35 losses (11.5%/year). 204 falls were registered in 99 people (48.8% cumulative incidence at 18 months of follow-up). 44 people (21.7%) suffered repeated falls. Regression analysis showed association with the presence of delirium in the month prior to the inclusion in the study (OR 6.7; CI95% 1.6-30.3) and a smaller BMI (OR 1.1; CI95% 1.01-1.12), and visual impairment in the case of repeated falls (OR 2.2; CI95% 1.1-4.5). CONCLUSION: The incidence of falls in institutionalized elderly is high. It was found strong association with some conditions of fragility as indicators of risk.<p />  <p>Language: es</p>
LA  - es
SN  - 0211-139X
UR  - http://dx.doi.org/10.1016/j.regg.2009.06.013
ID  - ref1
ER  -