Social status, life changes, housing conditions, health, functional abilities and life-style as risk factors for recurrent falls among the home-dwelling elderly

被引:82
作者
Luukinen, H
Koski, K
Kivela, SL
Laippala, P
机构
[1] OULU UNIV HOSP, DEPT PUBL HLTH SCI & GEN PRACTICE, UNIT GEN PRACTICE, SF-90220 OULU, FINLAND
[2] TAMPERE UNIV HOSP, TAMPERE SCH PUBL HLTH SCI, BIOMETRY UNIT, SF-33101 TAMPERE, FINLAND
关键词
falls; accidental falls; recurrent falls; aged; elderly;
D O I
10.1016/S0033-3506(96)80057-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To define the risk factors for recurrent falls in the home-dwelling elderly. Design: A prospective population-based study covering two years. Setting: Five rural municipalities around the city Oulu, northern Finland. Participants: All home-dwelling elderly persons (N = 1,016) aged 70 years or older living in the municipalities. Outcome measures: The risk factors of recurrent falling by variables related to social status, life changes, housing conditions, health, functional abilities and life style, using cross-tabulations and multivariate analyses. Results: The recurrent fallers (at least two falls within 365 days after the examination day) consisted of 17 men (6% of the men) and 71 women (14%). Logistic regression analyses showed female sex, urinary urgency, frequent fear of falling, dizziness, a poor pulse rate rise 30 seconds after standing up and falling during the previous year to be risk factors for recurrent falls. After the variable representing previous falls had been removed from the analysis, urinary incontinence and a change in housing conditions during the past two years emerged and urinary urgency dropped out of the model. Conclusions: Women particularly are a target group for the prevention of falls among the elderly. Urinary urgency and urinary incontinence, fear of falling, dizziness and changes in the housing conditions should be inquired about to identify the elderly at risk for falling and to take preventive interventions. In addition to testing blood pressure changes after standing up, the changes in pulse rate should be determined to identify and treat elderly people who have orthostatic conditions.
引用
收藏
页码:115 / 118
页数:4
相关论文
共 23 条
  • [1] FALLS BY ELDERLY PEOPLE AT HOME - PREVALENCE AND ASSOCIATED FACTORS
    BLAKE, AJ
    MORGAN, K
    BENDALL, MJ
    DALLOSSO, H
    EBRAHIM, SBJ
    ARIE, THD
    FENTEM, PH
    BASSEY, EJ
    [J]. AGE AND AGEING, 1988, 17 (06) : 365 - 372
  • [2] CAMPBELL A J, 1981, Age and Ageing, V10, P264, DOI 10.1093/ageing/10.4.264
  • [3] RISK-FACTORS FOR FALLS IN A COMMUNITY-BASED PROSPECTIVE-STUDY OF PEOPLE 70 YEARS AND OLDER
    CAMPBELL, AJ
    BORRIE, MJ
    SPEARS, GF
    [J]. JOURNALS OF GERONTOLOGY, 1989, 44 (04): : M112 - M117
  • [4] CIRCUMSTANCES AND CONSEQUENCES OF FALLS EXPERIENCED BY A COMMUNITY POPULATION 70 YEARS AND OVER DURING A PROSPECTIVE-STUDY
    CAMPBELL, AJ
    BORRIE, MJ
    SPEARS, GF
    JACKSON, SL
    BROWN, JS
    FITZGERALD, JL
    [J]. AGE AND AGEING, 1990, 19 (02) : 136 - 141
  • [5] FALLS AND SUBJECTIVE HEALTH RATING AMONG THE ELDERLY - EVIDENCE FROM 2 ISRAELI SAMPLES
    CWIKEL, J
    KAPLAN, G
    BARELL, V
    [J]. SOCIAL SCIENCE & MEDICINE, 1990, 31 (04) : 485 - 490
  • [6] DIXON WJ, 1985, BMDP STATISTICAL SOF
  • [7] Downton J H, 1991, Aging (Milano), V3, P219
  • [8] JANTTI PO, 1992, AGING-CLIN EXP RES, V4, P139
  • [9] KENNEDY TE, 1987, DANISH MED B GERON S, V4, P34
  • [10] FUNCTIONAL-CAPACITY AND ASSOCIATED FACTORS IN ELDERLY FINNISH MEN
    LAMMI, UK
    KIVELA, SL
    NISSINEN, A
    PEKKANEN, J
    PUNSAR, S
    [J]. SCANDINAVIAN JOURNAL OF SOCIAL MEDICINE, 1989, 17 (01): : 67 - 75