Recurrent falls and its risk factors among older men living in the veterans retirement communities: A cross-sectional study |
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| Institution: | 1. Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan;2. Aging and Health Research Center, National Yang Ming University, Taipei, Taiwan;3. Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan;4. Institute of Clinical Pharmacy, National Taiwan University School of Medicine, Taipei, Taiwan;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. Diabetes Centre, Isala, P.O. Box 10400, 8000 GK Zwolle, The Netherlands;2. TriviumMeulenbeltZorg, PC Borstlaan 10, 7555 SH Hengelo, The Netherlands;3. University Medical Center Groningen and University of Groningen, Department of General Practice, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands;4. University Medical Center Groningen and University of Groningen, Department of Internal Medicine, Hanzeplein 1, 9700 RB Groningen, The Netherlands;5. Isala, Department of Internal Medicine, Dokter van Heesweg 2, 8025 AB Zwolle, The Netherlands;1. The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, No. 37 Guoxue Lane, Chengdu, Sichuan, China;2. Department of Pharmacy, West China Hospital, Sichuan University, No. 37 Guoxue Lane, Chengdu, Sichuan, China;1. Department of Systems, Populations and Leadership, University of Michigan School of Nursing, 400 N. Ingalls Street, Room 4352, Ann Arbor, MI 48109, United States;2. Division of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Department of Health Policy and Management, UCLA Fielding School of Public Health, United States;3. Department of Community Health Sciences, UCLA Fielding School of Public Health, United States;4. Division of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, United States;1. Knight Cardiovascular Institute, Oregon Health & Science University, Portland;2. Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Mo;3. Division of Public Health Sciences, Washington University School of Medicine, Saint Louis, Mo;4. Division of Cardiology, Washington University School of Medicine, Saint Louis, Mo;1. Section of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ;2. Biometrics Division, Department of Biostatistics, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ;3. Department of Radiation Oncology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ |
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| Abstract: | AimTo evaluate the prevalence of recurrent falls and their risk factors among older men living in the Veterans Homes in Taiwan.MethodsThis cross-sectional study enrolled 871 residents and all participants received the comprehensive geriatric assessment, including Barthel Index, Mini-Mental Status Examination (MMSE), Geriatric Depression Scale-5 questions (GDS-5), Mini-Nutrition Assessment Short Form (MNA-SF), the status of urinary incontinence, stool incontinence, polypharmacy, past history of falls, multimorbidity, and medication history.ResultsOverall, 871 subjects (mean age: 85.5 ± 5.2 years, all males) participated in this study, whereas 222(25.5%) of them had experienced falls in the past year, and 91 were recurrent fallers. Comparisons between non-fallers, single fallers and recurrent fallers disclosed that they were significantly different in the following characteristics: diabetes mellitus, chronic kidney disease, coronary artery disease, Charlson Comorbidity Index (CCI), Barthel Index, GDS-5, MNA-SF, polypharmacy, use of hypnotics, urinary incontinence, and stool incontinence (P for trend all <0.05). Multiple regression analysis identified that GDS-5 was significantly associated with single falls and recurrent falls (OR 1.256, 95% CI 1.094–1.441, P = 0.001 for single fallers; OR 1.480, 95% CI 1.269–1.727, P < 0.001 for recurrent fallers). Besides, urinary incontinence was the independently associated with recurrent fallers only (OR 2.369, 95% CI 1.449–3.817, P < 0.001), but not single fallers.ConclusionUrinary incontinence and depressive symptoms were independent associated factors for falls among older men living in the retirement communities. However, urinary incontinence was associated with recurrent falls, but not single falls. Intervention study is needed to reduce recurrent falls through management of urinary incontinence. |
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| Keywords: | Depression Fall Long term care Recurrent fall |
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