Academic Journal

Recurrent and injurious falls in the year following hip fracture: A prospective study of incidence and risk factors from the sarcopenia and hip fracture study

التفاصيل البيبلوغرافية
العنوان: Recurrent and injurious falls in the year following hip fracture: A prospective study of incidence and risk factors from the sarcopenia and hip fracture study
المؤلفون: Lloyd, Bradley, Williamson, Dominique, Singh, Nalin, Hansen, Ross, Diamond, Terrence, Finnegan, Terence, Allen, Barry, Grady, Jodie, Stavrinos, T, Smith, Emma, Diwan, Ashish, Singh, Maria
المصدر: urn:ISSN:1079-5006 ; Journals of Gerontology Series A- Biological Sciences and Medical Sciences, 64A, 5, 599-609
سنة النشر: 2009
المجموعة: UNSW Sydney (The University of New South Wales): UNSWorks
مصطلحات موضوعية: Falls, Hip fracture, Osteoporosis, Aging
الوصف: Background The incidence and etiology of falls in patients following hip fracture remains poorly understood. Methods We prospectively investigated the incidence of, and risk factors for, recurrent and injurious falls in community-dwelling persons admitted for surgical repair of minimal-trauma hip fracture. Fall surveillance methods included phone calls, medical records, and fall calendars. Potential predictors of falls included health status, quality of life, nutritional status, body composition, muscle strength, range of motion, gait velocity, balance, walking endurance, disability, cognition, depression, fear of falling, self-efficacy, social support, physical activity level, and vision. Results 193 participants enrolled in the study (81 ± 8 years, 72% women, gait velocity 0.3 ± 0.2 m/s). We identified 227 falls in the year after hip fracture for the 178 participants with fall surveillance data. Fifty-six percent of participants fell at least once, 28% had recurrent falls, 30% were injured, 12% sustained a new fracture, and 5% sustained a new hip fracture. Age-adjusted risk factors for recurrent and injurious falls included lower strength, balance, range of motion, physical activity level, quality of life, depth perception, vitamin D, and nutritional status, and greater polypharmacy, comorbidity, and disability. Multivariate analyses identified older age, congestive heart failure, poorer quality of life, and nutritional status as independent risk factors for recurrent and injurious falls. Conclusions Recurrent and injurious falls are common after hip fracture and are associated with multiple risk factors, many of which are treatable. Interventions should therefore be tailored to alleviating or reversing any nutritional, physiological, and psychosocial risk factors of individual patients.
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: http://hdl.handle.net/1959.4/44641; http://dx.doi.org/10.1093/gerona/glp003
DOI: 10.1093/gerona/glp003
الاتاحة: http://hdl.handle.net/1959.4/44641
https://doi.org/10.1093/gerona/glp003
Rights: metadata only access ; http://purl.org/coar/access_right/c_14cb ; CC BY-NC-ND 3.0 ; https://creativecommons.org/licenses/by-nc-nd/3.0/au/
رقم الانضمام: edsbas.64BA8347
قاعدة البيانات: BASE