Incidence and associated risk factors for falls in older adults following elective total knee replacement surgery - a prospective cohort study

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anne-Marie Hill ◽  
Gail Ross-Adjie ◽  
Steven M. McPhail ◽  
Angela Jacques M. Biostats ◽  
Max Bulsara ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cohort Study ◽  
Total Knee Replacement ◽  
Prospective Cohort ◽  
Replacement Surgery ◽  
Falls In Older Adults ◽  
Total Knee ◽  
Associated Risk Factors ◽  
Risk Factors For Falls

scholarly journals Risk Factors for Falls in Older Adults Experiencing Homelessness: Results from the HOPE HOME Cohort Study

2020 ◽  
Vol 35 (6) ◽  
pp. 1813-1820 ◽  
Author(s):  
Elizabeth Abbs ◽  
Rebecca Brown ◽  
David Guzman ◽  
Lauren Kaplan ◽  
Margot Kushel
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cohort Study ◽  
Falls In Older Adults ◽  
Risk Factors For Falls

Incidence and Associated Risk Factors for Falls in Older Adults Postdischarge Who Undergo Elective Total Hip Replacement Surgery—A Prospective Cohort Study

2020 ◽  
Author(s):  
Anne-Marie Hill ◽  
Gail Ross-Adjie ◽  
Steven M McPhail ◽  
Angela Jacques ◽  
Max Bulsara ◽  
...  
Keyword(s):  
Older Adults ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Odds Ratio ◽  
Total Hip ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
Falls In Older Adults ◽  
Associated Risk Factors ◽  
Risk Factors For Falls

Abstract Background Hip replacement surgery improves health-related quality of life; however, it has been suggested that falls rates increase after hospital discharge. The aim of the study was to determine the incidence and associated risk factors for falls in older adults in the 12 months after undergoing elective total hip replacement surgery. Methods A prospective observational cohort study was conducted. Participants were adults aged 60 years or older who underwent primary elective total hip replacement surgery in a private tertiary hospital in Perth, Australia. Baseline data collected immediately prior to discharge included use of walking aids, medications, and functional level of independence (using Katz and Lawton scales). Falls data were collected for 12 months using calendars and monthly phone calls. Data were analyzed using logistic and negative binomial regression modeling. Results Participants’ ([n = 167], 54.4% female) mean age was 71.2 (±6.9) years. There were 51 (31%) participants who used a walking aid prior to surgery. There were 140 falls reported over 12 months by 67 (42%) participants, of which 90 (64.3%) were injurious (n = 9 fractures). The fall rate was 2.6 per 1000 patient-days. Age (adjusted odds ratio 1.10, 95% confidence interval 1.01–1.20) and hospital length of stay (adjusted odds ratio 1.24, 95% confidence interval 1.00–1.54).were significantly associated with sustaining multiple falls. Conclusions More than 40% of older adults fell in the 12 months after elective hip replacement surgery although the cohort had low fall risk prior to surgery. Rehabilitation after hip replacement surgery should consider fall prevention.

Near falls predict substantial falls in older adults: A prospective cohort study

2016 ◽  
Vol 17 (10) ◽  
pp. 1477-1480 ◽  
Author(s):  
Koutatsu Nagai ◽  
Minoru Yamada ◽  
Miyuki Komatsu ◽  
Akira Tamaki ◽  
Mizuki Kanai ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Falls In Older Adults ◽  
Near Falls

scholarly journals Early Pulmonary Complications following Total Knee Arthroplasty under General Anesthesia: A Prospective Cohort Study Using CT Scan

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Kai Song ◽  
Zhen Rong ◽  
Xianfeng Yang ◽  
Yao Yao ◽  
Yeshuai Shen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Cohort Study ◽  
Pleural Effusion ◽  
Blood Transfusion ◽  
Ct Scan ◽  
Knee Arthroplasty ◽  
Prospective Cohort ◽  
Pulmonary Complications ◽  
Total Knee

Purpose.Postoperative pulmonary complications (PPCs) are common after major surgeries. However, the number of studies regarding PPCs following total knee arthroplasty (TKA) is limited. The aim of this study was to determine the incidence of early PPCs following TKA by computed tomography (CT) scan and to identify associated risk factors.Methods.Patients, who were diagnosed with osteoarthritis or rheumatoid arthritis and underwent primary TKA at our institution, were included in this prospective cohort study. Patients received a standard procedure of TKA under general anesthesia. Chest CT scan was performed during 5–7 days postoperatively. Univariate analysis and multivariate logistic regression analysis were employed to identify the risk factors.Results.The total incidence of early PPCs following TKA was 45.9%. Rates of pneumonia, pleural effusion, and atelectasis were 14.4%, 38.7%, and 12.6%, respectively. Lower body mass index and perioperative blood transfusion were independent risk factors for PPCs as a whole and associated with atelectasis. Postoperative acute episode of hypoxemia increased the risk of pneumonia. Blood transfusion alone was related to pleural effusion.Conclusions.The incidence of early PPCs following TKA was high. For patients with relevant risk factors, positive measures should be adopted to prevent PPCs.

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