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Risk factors for falls and fractures at night in relation to lower urinary tract symptoms: a survey of outpatients and inpatients at a general hospital
Authors:Masui Kimihiko  Yoshimura Koji  Sakura Yuma  Ito Haruki  Yoshida Toru  Mishina Mutsuki  Okuno Hiroshi
Affiliation:The Department of Urology, National Hospital Organization Kyoto Medical Center.
Abstract:We investigated potential risk factors, including factors related to lower urinary tract symptoms (LUTS), for falls and fractures at night among outpatients and inpatients in a general hospital, via a questionnaire. The questionnaire included items to record the age, sex, number of consulting doctors, history of 11 particular medical diseases, LUTS, sleep, and falls and fractures at night. We distributed the questionnaire to 1,334 patients 51 years old or older in our hospital. Of the questionnaires completed, 96.9% were valid for analysis. Multivariate analyses revealed that "drinking water before bedtime or while in bed" was the strongest risk factor (odds ratio=7.499) for bone fractures while "postural syncope" was the strongest risk factor (odds ratio=5.041, except past medical history) for falls. In terms of LUTS, urge incontinence was a significant risk factor for falls.
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