Differential risk factor profiles for indoor and outdoor falls in older people living at home in Nottingham, UK.
The objectives of this work were
To estimate the incidence of falls within an at-risk group of community-dwelling elderly people : to assess the risk factors associated with incident falls ; to examine the effects of incident falls on survival.
A random sample of 1042 community-dwelling older people in Nottingham (UK) were interviewed in 1985 and survivors re-interviewed at 4-year follow-up.
The at-risk group was defined as survivors who had not fallen in the year prior to the baseline interview (n=444).
One-year fall recall was assessed using a questionnaire and included physical health, mobility, prescribed drugs and time spent walking.
Body-weight and handgrip strength were measured
Eight-year post-fall mortality was recorded.
In 1989 117 new fallers were identified.
These people fell a total of 233 times in the year prior to re-interview (incidence rate : 524.8 per 1000 person-years at risk : 95% confidence intervals (CI) 473.3 576.3).
People aged less than 75 were more likely to fall outdoors than people aged 75 and over (X2=5.715, df=1, p=0.017).
Risk factors associated with falling were ; being less healthy (odds ratio (OR) : 0.55 : p=0.052) ; having a walking speed in the range stroll/very slow/non-ambulant compared with normal brisk fast (OR : 1.99 ; p<0.01) :
Risk factors associated with falling were ;
being less healthy (odds ratio (OR) : 0.55 : p=0.052) ;
and number of prescribed drugs (OR : 1.30 : p=0.01). (...)
Mots-clés Pascal : Accident corporel, Chute, Traumatisme, A domicile, Epidémiologie, Facteur risque, Mortalité, Personne âgée, Homme, Royaume Uni, Europe
Mots-clés Pascal anglais : Personal injury, Fall, Trauma, At home, Epidemiology, Risk factor, Mortality, Elderly, Human, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0176705
Code Inist : 002B16N. Création : 16/11/1999.