Academic Journal
Cardiovascular disease and the risk of incident falls and mortality among adults aged ≥ 65 years presenting to the emergency department:a cohort study from national registry data in Denmark
| العنوان: | Cardiovascular disease and the risk of incident falls and mortality among adults aged ≥ 65 years presenting to the emergency department:a cohort study from national registry data in Denmark |
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| المؤلفون: | O’Halloran, Aisling M., Cremers, Jolien, Vrangbæk, Karsten, Roe, Lorna, Bourke, Robert, Mortensen, Laust H., Westendorp, Rudi G.J., Kenny, Rose Anne |
| المصدر: | O’Halloran , A M , Cremers , J , Vrangbæk , K , Roe , L , Bourke , R , Mortensen , L H , Westendorp , R G J & Kenny , R A 2024 , ' Cardiovascular disease and the risk of incident falls and mortality among adults aged ≥ 65 years presenting to the emergency department : a cohort study from national registry data in Denmark ' , BMC Geriatrics , vol. 24 , no. 1 , 93 . https://doi.org/10.1186/s12877-023-04618-2 |
| سنة النشر: | 2024 |
| المجموعة: | University of Copenhagen: Research / Forskning ved Københavns Universitet |
| مصطلحات موضوعية: | Cardiovascular disease, ED, Falls, Mortality |
| الوصف: | Background Falls cause 58% of injury-related Emergency Department (ED) attendances. Previous research has highlighted the potential role of cardiovascular risk factors for falls. This study investigated the impact of cardiovascular disease (CVD) risk on three-year incident falls, with presentation to the ED, and mortality. Methods A matched cohort study design was employed using national registry data from 82,292 adults (33% male) aged ≥ 65 years living in Denmark who attended the ED in 2013. We compared age and gender matched ED attendees presenting with a fall versus another reason. The cohort was followed for three-year incident falls, with presentation to the ED, and mortality. The impact of falls-related CVDs was also examined. Results Three-year incident falls was twofold higher among age and gender matched ED attendees aged ≥ 65 years presenting with a fall versus another reason at baseline. A presentation of falls with hip fracture had the highest percentage of incident falls in the 65–74 age group (22%) and the highest percentage mortality in all age groups (27–62%). CVD was not a significant factor in presenting with a fall at the ED, nor did it contribute significantly to the prediction of three-year incident falls. CVD was strongly associated with mortality risk among the ED fall group (RR = 1.81, 95% CI: 1.67–1.97) and showed interactions with both age and fall history. Conclusion In this large study of adults aged ≥ 65 years attending the ED utilising data from national administrative registers in Denmark, we confirm that older adults attending the ED with a fall, including those with hip fracture, were at greatest risk for future falls. While CVD did not predict incident falls, it increased the risk of mortality in the three-year follow up with advancing age. This may be informative for the provision of care pathways for older adults attending the ED due to a fall. ; Background: Falls cause 58% of injury-related Emergency Department (ED) attendances. Previous research has highlighted the potential ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1186/s12877-023-04618-2 |
| الاتاحة: | https://curis.ku.dk/portal/da/publications/cardiovascular-disease-and-the-risk-of-incident-falls-and-mortality-among-adults-aged--65years-presenting-to-the-emergency-department(ccaa11d1-f4c7-4451-bcd5-ca98233db61a).html https://doi.org/10.1186/s12877-023-04618-2 https://curis.ku.dk/ws/files/381499898/s12877_023_04618_2.pdf |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.9FD18CE4 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12877-023-04618-2 |
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