TY - JOUR PY - 2013// TI - Risk factors for single and recurrent falls: A prospective study of falls in community dwelling seniors without cognitive impairment JO - Preventive medicine A1 - Wu, Tai-Yin A1 - Chie, Wei-Chu A1 - Yang, Rong-Sen A1 - Kuo, Kuan-Liang A1 - Wong, Wai-Kuen A1 - Liaw, Chen-Kun SP - 511 EP - 517 VL - 57 IS - 5 N2 - OBJECTIVE: To contribute evidence towards heterogeneity in risk factors for single and recurrent falls. METHOD: This is a prospective study conducted in Taiwan. Participants were randomly selected from the examinees of the annual health examination in 2010. Participants were interviewed with a detailed questionnaire and followed up one year later. Predictor variables included socio-demographic characteristics, medical conditions, laboratory data, and risk factors for osteoporosis. The outcome was falls in the ensuing 12 months. RESULTS: The mean age of the 653 completers was 75.6± 6.4. Half (48.7%) were women. Fallers and recurrent fallers comprised 14.5% and 6.0% of the participants, respectively. Blurred vision (adjusted odds ratio (aOR): 1.93, 95% confidence interval (CI): 1.02-3.67), minimal outdoor activities (aOR: 2.28, 95% CI: 1.06-4.88), and overactive thyroid/parathyroid (aOR: 3.49, 95% CI: 1.29-9.50) were associated with single falls. Frailty (aOR: 2.81, 95% CI: 1.11-7.09), decreased body height (aOR: 3.15, 95% CI: 1.52-6.54) and taking sedatives/hypnotics (aOR: 4.23, 95% CI: 2.06-8.67) were associated with recurrent falls. Previous falls (aOR: 2.64, 95% CI: 1.44-4.84 for single falls; aOR: 5.26, 95% CI: 2.61-10.60 for recurrent falls) were associated with all falls. CONCLUSION: Different intervention strategies should be developed for single and recurrent fallers.
Language: en
LA - en SN - 0091-7435 UR - http://dx.doi.org/10.1016/j.ypmed.2013.07.012 ID - ref1 ER -