Falls in the institutionalized elderly in Japan |
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| Authors: | H Haga H Shibata K Shichita T Matsuzaki S Hatano |
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| Affiliation: | 1. Department of Epidemiology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan;2. Department of Project Research, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan;3. Department of Epidemiology, The Institute of Public Health, Tokyo, Japan;1. Division of Vascular Surgery, Department of Surgery, University of California, Irvine, Orange, CA;2. Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, PA;3. Division of Nephrology and Hypertension, Department of Medicine, University of California, Irvine, Orange, CA;4. Division of Transplant Surgery, Department of Surgery, University of California, Irvine, Orange, CA;1. Hepatobiliary and Surgical Oncology Unit, Department of Surgery, St George Hospital, Kogarah, NSW, Australia;2. Cancer Care Centre, St George Hospital, Kogarah, NSW, Australia;3. St George Hospital Clinical School, University of New South Wales, Sydney, NSW, Australia;4. School of Medicine, University of Notre Dame, Sydney, NSW, Australia;5. College of Medicine, Al-Imam Mohammad Ibn Saud Ismalic University, Riyadh, Saudi Arabia;1. Neurosurgery, PGIMER, Chandigarh, India;2. Neurosurgery, National Neurosciences Centre, Peerless Hospital Complex, Kolkata, India;1. Service d’orthopédie-traumatologie, institut régional du rachis, hôpital C.-Nicolle, CHU de Rouen, 1, rue de Gérmont, 76031 Rouen cedex, France;2. Clinique chirurgicale infantile, CHU de Rouen, 1, rue de Gérmont, 76031 Rouen cedex, France;1. Diabetes Centre, Isala, P.O. Box 10400, 8000 G.K. Zwolle, The Netherlands;2. TriviumMeulenbeltZorg, PC Borstlaan 10, 7555 SH Hengelo, The Netherlands;3. University Medical Centre Groningen and University of Groningen, Department of General Practice, Antonius Deusinglaan 1, Groningen 9713 AV, The Netherlands;4. University Medical Centre Groningen and University of Groningen, Department of Internal Medicine, Hanzeplein 1, 9700 RB Groningen, The Netherlands;5. Langerhans Medical Research Group, P.O. Box 10400, 8000 G.K. Zwolle, The Netherlands;6. Isala, Department of Internal Medicine, Dokter van Heesweg 2, 8025 AB Zwolle, The Netherlands;1. Department of Human and Information Science, Tokai University, Hiratsuka, Kanagawa 259-1292, Japan;2. Department of Living Environmental Science, Fukuoka Women’s University, Fukuoka, Fukuoka 813-8529, Japan |
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| Abstract: | ![]()
Falls can be considered a vital factor in impeding successful aging in the elderly. The purpose of the study is to know rates of falls per year among the elderly, to observe the situations when falls occurred, and to clarify the association of falls with physical deterioration. The survey was carried out in 1406 residents aged 65 and over of the Tokyo Metropolitan Home for the Elderly in 1982. The rate of subjects who fell more than once during a one-year period was 14.5%. Females had a higher rate than males. Sixty per cent of all the falls occurred indoors. As for the cause of the falls, extrinsic factors were accounted three times as much as intrinsic factors. Among injuries sustained by the falls, fracture was more frequent in females than in males. Length of time of standing on one leg was shorter for fallers than for non-fallers in both sexes. However, the differences were not significant when age was controlled. Fall is attributed not only to physical factors but also to environmental factors. Therefore, it should be encouraged to design an environment with devices. |
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