TY  - JOUR
PY  - 2023//
TI  - Fear of falling and associated factors in older adults with heart failure
JO  - Psychogeriatrics
A1  - Unes, Mevlut
A1  - Tasar, Pınar Tosun
A1  - Karasahin, Omer
A1  - Birdal, Oguzhan
A1  - Sevinc, Can
A1  - Sahin, Sevnaz
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1346-3500
UR  - http://dx.doi.org/10.1111/psyg.13062
ID  - ref1
ER  -