Is independence of older adults safe considering the risk of falls?
Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group. The study included 506 - old...
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Published in | BMC geriatrics Vol. 17; no. 1; p. 66 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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BioMed Central
14.03.2017
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Abstract | Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group.
The study included 506 - older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG).
The study included 357 (70.6%) female and 149 (29.4%) male subjects. The mean age of the study group patients was 75.7 years ± 8.0. Most of the older adult subjects were independent in both basic (Index Barthel) and instrumental (IADL) activities. Gait fluency evaluated in TUG scale found slow and unsteady gait in 33.7% of the subjects. 27.5% of the subjects used mobility aids when walking. In the Risk of falls scale, 131 subjects (25.89%) were at risk of falls. According to logistic regression the main risk of fall determinants (p <0.05) in the study group were: age, previous falls, feet problems, lack of regular care, impaired vision, urinary incontinence, pain, sleeping disorders, and lowered mood.
Risk of falls increases in people less independent in terms of basic and complex life activities and in people with depression. Most of the risk factors can be modified. It is necessary to develop a standard procedure aimed at preventing falls in the elderly. |
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AbstractList | Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group.
The study included 506 - older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG).
The study included 357 (70.6%) female and 149 (29.4%) male subjects. The mean age of the study group patients was 75.7 years ± 8.0. Most of the older adult subjects were independent in both basic (Index Barthel) and instrumental (IADL) activities. Gait fluency evaluated in TUG scale found slow and unsteady gait in 33.7% of the subjects. 27.5% of the subjects used mobility aids when walking. In the Risk of falls scale, 131 subjects (25.89%) were at risk of falls. According to logistic regression the main risk of fall determinants (p <0.05) in the study group were: age, previous falls, feet problems, lack of regular care, impaired vision, urinary incontinence, pain, sleeping disorders, and lowered mood.
Risk of falls increases in people less independent in terms of basic and complex life activities and in people with depression. Most of the risk factors can be modified. It is necessary to develop a standard procedure aimed at preventing falls in the elderly. BACKGROUNDFalls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group.METHODSThe study included 506 - older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG).RESULTSThe study included 357 (70.6%) female and 149 (29.4%) male subjects. The mean age of the study group patients was 75.7 years ± 8.0. Most of the older adult subjects were independent in both basic (Index Barthel) and instrumental (IADL) activities. Gait fluency evaluated in TUG scale found slow and unsteady gait in 33.7% of the subjects. 27.5% of the subjects used mobility aids when walking. In the Risk of falls scale, 131 subjects (25.89%) were at risk of falls. According to logistic regression the main risk of fall determinants (p <0.05) in the study group were: age, previous falls, feet problems, lack of regular care, impaired vision, urinary incontinence, pain, sleeping disorders, and lowered mood.CONCLUSIONSRisk of falls increases in people less independent in terms of basic and complex life activities and in people with depression. Most of the risk factors can be modified. It is necessary to develop a standard procedure aimed at preventing falls in the elderly. Background Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults’ functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group. Methods The study included 506 – older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG). Results The study included 357 (70.6%) female and 149 (29.4%) male subjects. The mean age of the study group patients was 75.7 years ± 8.0. Most of the older adult subjects were independent in both basic (Index Barthel) and instrumental (IADL) activities. Gait fluency evaluated in TUG scale found slow and unsteady gait in 33.7% of the subjects. 27.5% of the subjects used mobility aids when walking. In the Risk of falls scale, 131 subjects (25.89%) were at risk of falls. According to logistic regression the main risk of fall determinants (p <0.05) in the study group were: age, previous falls, feet problems, lack of regular care, impaired vision, urinary incontinence, pain, sleeping disorders, and lowered mood. Conclusions Risk of falls increases in people less independent in terms of basic and complex life activities and in people with depression. Most of the risk factors can be modified. It is necessary to develop a standard procedure aimed at preventing falls in the elderly. |
ArticleNumber | 66 |
Author | Strugała, Magdalena Michalak, Michał Tobis, Sławomir Talarska, Dorota Wróblewska, Izabela Szewczyczak, Marlena Wieczorowska-Tobis, Katarzyna |
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CitedBy_id | crossref_primary_10_3390_s19071647 crossref_primary_10_3390_ijerph19042249 crossref_primary_10_1186_s12889_021_12260_z crossref_primary_10_1093_ageing_afaa127 crossref_primary_10_1093_ageing_afz095 crossref_primary_10_1123_jpah_2023_0288 crossref_primary_10_3390_healthcare10050785 crossref_primary_10_1016_j_semerg_2019_05_009 crossref_primary_10_1159_000539160 crossref_primary_10_1016_j_ijso_2020_06_002 crossref_primary_10_1016_j_aprim_2024_102879 crossref_primary_10_1186_s12877_020_01887_z crossref_primary_10_31067_acusaglik_850925 crossref_primary_10_1186_s12877_022_03588_1 |
Cites_doi | 10.2147/IJGM.S32651 10.1007/BF02982633 10.1016/0022-3956(82)90033-4 10.1093/ageing/1.4.233 10.1080/09638280110074894 10.1186/s12877-015-0155-4 10.1016/j.ijnurstu.2012.08.007 10.1186/s13037-014-0055-0 10.1080/09638280500304794 10.1186/1471-2318-13-125 10.1016/j.archger.2013.11.008 10.1111/scs.12241 10.1186/1472-6963-10-106 10.1002/14651858.CD007146.pub3 10.1111/j.1532-5415.1991.tb01616.x 10.3961/jpmph.2013.46.S.S50 10.1016/j.jclinepi.2013.08.008 10.1080/09638280701669508 10.1177/0036933013507848 10.1177/003335491613100217 10.1093/geront/9.3_Part_1.179 10.1186/1471-2318-10-S1-L66 10.1093/eurpub/cks190 10.1186/s12877-015-0048-6 10.1017/S095925980201239X 10.1186/s12877-015-0152-7 10.1093/ageing/afl084 |
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Snippet | Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective... Background Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults’ functioning. The... BACKGROUNDFalls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main... |
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StartPage | 66 |
SubjectTerms | Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Activities of daily living Activities of Daily Living - psychology Age Aged Aged, 80 and over Cognitive ability Depression - diagnosis Depression - epidemiology Depression - physiopathology Disease prevention Falls Female Frailty Gait Geriatric Assessment - methods Geriatrics Humans Independent Living - psychology Independent Living - statistics & numerical data Intelligence Tests Logistic Models Male Medical research Medical screening Mental depression Mobility Limitation Mood Needs Assessment Older people Pain Poland - epidemiology Questionnaires Risk Assessment - methods Risk Factors Systematic review Urinary incontinence Walking |
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Title | Is independence of older adults safe considering the risk of falls? |
URI | https://www.ncbi.nlm.nih.gov/pubmed/28288563 https://www.proquest.com/docview/2068012875/abstract/ https://search.proquest.com/docview/1877526884 https://pubmed.ncbi.nlm.nih.gov/PMC5348870 |
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