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.
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.