Incidence of falls in the elderly population
Introduction. Falls and fall-related injuries are common in the geriatric population and may be associated with significant morbidity and mortality. The aim of this study was to determine differences in the incidence of falls and risk factors for falls between the community-dwelling and institutionalized elderly people. Material and Methods. The cross sectional study was conducted in the period from May 1, 2015 to December 1, 2015, including 300 community-dwelling elderly people and 110 nursing home residents. The research instruments were a sociodemographic questionnaire, Mini nutritional assessment, Katz index, and Lawton scale. Results. During the previous 12 months, at least one fall was reported in 17.1% of the total number of respondents. The incidence of falls was higher among nursing home residents (c2 = 13.550; p = 0.001). The risk factors for falls were multifactorial. Community-dwelling elderly suffered from urinary incontinence more frequently compared to nursing home residents (p = 0.004), but a significantly worse nutritional status was found in community-dwelling elderly people (p < 0.001). Assistance in basic activities of daily living was required by 3.9% of nursing home residents, and 8.3% of community-dwelling elderly people (p < 0.001). Statistically significant difference was not found in the performance of instrumental activities of daily living (p < 0.145). Conclusion. The incidence of falls was higher in nursing home residents. Risk factors for falls in both examined groups were visual and hearing impairments, urinary incontinence, use of 3 medications per day, damaged functional status, and malnutrition. Prevention of falls requires modification of environmental hazards, reduction of risk factors, their evaluation and strategy implementation.