دورية أكاديمية

[Falls in the Spanish elderly population: Incidence, consequences and risk factors].

التفاصيل البيبلوغرافية
العنوان: [Falls in the Spanish elderly population: Incidence, consequences and risk factors].
عنوان ترانسليتريتد: Caídas en la población anciana española: incidencia, consecuencias y factores de riesgo.
المؤلفون: Rodríguez-Molinero A; Servicio de Geriatría, Consorci Sanitari del Garraf, Vilanova i la Geltrú, Barcelona, España; Unidad de Investigación Clínica, Fundación Privada Sant Antoni Abat, Vilanova i la Geltrú, Barcelona, España; School of Engineering and Informatics, National University of Ireland at Galway, Galway, Ireland. Electronic address: arodriguez@csg.cat., Narvaiza L; Servicio de Geriatría, Consorci Sanitari del Garraf, Vilanova i la Geltrú, Barcelona, España; Unidad de Investigación Clínica, Fundación Privada Sant Antoni Abat, Vilanova i la Geltrú, Barcelona, España., Gálvez-Barrón C; Servicio de Geriatría, Consorci Sanitari del Garraf, Vilanova i la Geltrú, Barcelona, España; Unidad de Investigación Clínica, Fundación Privada Sant Antoni Abat, Vilanova i la Geltrú, Barcelona, España., de la Cruz JJ; Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid, Madrid, España., Ruíz J; Unidad de Investigación Clínica, Fundación Privada Sant Antoni Abat, Vilanova i la Geltrú, Barcelona, España., Gonzalo N; Unidad de Investigación Clínica, Fundación Privada Sant Antoni Abat, Vilanova i la Geltrú, Barcelona, España., Valldosera E; Unidad de Investigación Clínica, Fundación Privada Sant Antoni Abat, Vilanova i la Geltrú, Barcelona, España., Yuste A; Servicio de Geriatría, Consorci Sanitari del Garraf, Vilanova i la Geltrú, Barcelona, España; Unidad de Investigación Clínica, Fundación Privada Sant Antoni Abat, Vilanova i la Geltrú, Barcelona, España.
المصدر: Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2015 Nov-Dec; Vol. 50 (6), pp. 274-80. Date of Electronic Publication: 2015 Jul 10.
نوع المنشور: Journal Article
اللغة: Spanish; Castilian
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 8009022 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-1747 (Electronic) Linking ISSN: 0211139X NLM ISO Abbreviation: Rev Esp Geriatr Gerontol Subsets: MEDLINE
أسماء مطبوعة: Publication: Madrid : Elsevier España
Original Publication: [Madrid] Sociedad Española de Gerontología y Geriatriía.
مواضيع طبية MeSH: Accidental Falls/*statistics & numerical data, Aged ; Aged, 80 and over ; Female ; Humans ; Incidence ; Longitudinal Studies ; Male ; Prospective Studies ; Risk Factors ; Spain/epidemiology
مستخلص: Introduction: Falls in the elderly constitute a public health concern. The objective of the present study was to collect updated data on the frequency of falls in the Spanish elderly population, as well as to analyse their consequences and associated risk factors.
Material and Methods: This prospective study was conducted on a probabilistic sample of 772 Spanish, community dwelling, older adults. During the baseline visit, data were collected on functional capacity, history of falls, disease background, number of medications used, balance impairment, use of walking aids, cognitive capacity and depression symptoms. Participants were followed up for one year by means of quarterly phone calls, where they were asked about the number of falls occurred in that period, as well as their consequences and associated use of healthcare resources.
Results: During the one-year follow up period, 28.4% (95%CI 24.9-32.1) of participants suffered one or more falls, while 9.9% (95%CI 7.4-11.4) suffered multiple falls. One-third of the falls were due to accidental extrinsic causes. Among participants who had suffered falls, 9.3% suffered a fracture (3.1% hip fracture), and 55.4% required healthcare services (29% were managed in the hospital emergency room, and 7.3% were admitted to hospital). Risk factors identified through multivariate analysis were: advanced age (>79 years), not having a companion, using more than 2 drugs, dependency in BADLs, impaired strength or balance, and use of walking aids.
Conclusions: Falls continue to be a major public health concern in Spain. Given that some of the associated risk factors may be modified, introducing programs aimed at tackling this problem should be regarded as a priority.
(Copyright © 2014 SEGG. Published by Elsevier Espana. All rights reserved.)
فهرسة مساهمة: Keywords: Bone fractures; Caídas; Factores de riesgo; Falls; Fracturas; Hospitalisation; Hospitalización; Incidence; Incidencia; Risk factors
تواريخ الأحداث: Date Created: 20150715 Date Completed: 20170824 Latest Revision: 20170824
رمز التحديث: 20231215
DOI: 10.1016/j.regg.2015.05.005
PMID: 26168776
قاعدة البيانات: MEDLINE
الوصف
تدمد:1578-1747
DOI:10.1016/j.regg.2015.05.005