Risk factors for falls in patients with arterial hypertension

Falls are a serious multi-factorial problem faced by the elderly persons which is associated with serious complications, loss of functional autonomy, disability and death. One of the common comorbidities among the elderly persons is arterial hypertension (AH) which increases the risk of falls. Aim. To study the risk factors for falls among patients with AH. Materials and methods. Examined 155 patients of geriatric department with the presence of at least one fall in the last year: 133 (85.8%) women (75,29±8.31 years) and 22 (14.2%) men (79,14±4.64 years). Risk of falls and risk factors of falls were assessed in patients with AH. Results. 148 (95.5%) patients had AH. The most common risk factors for hypertension in the elderly were atherosclerosis and decreased physical activity. Target organ lesions of varying severity were observed in all patients. In 25.7% of cases, BP figures outside the target values were noted. 18 (12.2%) patients received hypotensive therapy irregularly. On avera-ge, at admission, patients received of 2.06±0.63 anti-hypertensive drug. The frequency of falls in patients with hypertension made up 2.59±2.2, two or more falls happened in 91 persons (61.5%). According to the self-assessment risk of falls scale 131 (88.5%) patients had a high risk of falls. A high risk of falling in hospital (on the Morse scale) was identified in 63 (42.6%) patients. The most common risk factors for falls in patients with AH were previous falls in anamnesis, sensory de-ficit, imbalance, osteoarthritis. The CGA results demonstrate that patients with hypertension with blood pressure below the target values in comparison with the target and even high numbers of blood pressure have a higher prevalence of frailty, worse indicators of functional status, higher incidence and high risk of falls on the Morse scale. Conclusion. The most common risk factors for falls among patients with AH are previous falls in anamnesis, sensory deficit, imbalance, osteoarthritis. For patients with hypertension, low blood pressure is a predictor of high risk of falls and a worse prognosis. When blood pressure is below the target, there is a higher prevalence of frailty and worse indicators of functional status, which is a poor prognostic sign for the elderly.

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Parkinson’s Disease and Symptomatic Osteoarthritis Are Independent Risk Factors of Falls in the Elderly

Clinical Medicine Insights Arthritis and Musculoskeletal Disorders ◽

10.1177/1179544119884936 ◽

2019 ◽

Vol 12 ◽

pp. 117954411988493 ◽

Cited By ~ 2

Author(s):

Anneli Teder-Braschinsky ◽

Aare Märtson ◽

Marika Rosenthal ◽

Pille Taba

Keyword(s):

Risk Factors ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Knee Osteoarthritis ◽

The Elderly ◽

Control Group ◽

Increased Risk ◽

Symptomatic Knee ◽

Risk Of Falls ◽

Risk Factors For Falls

Objectives: Deteriorating functionality and loss of mobility, resulting from Parkinson’s disease, may be worsened by osteoarthritis, which is the most common form of joint disease causing pain and functional impairment. We assessed the association between symptomatic hip or knee osteoarthritis, falls, and the ability to walk among patients with Parkinson’s disease compared to a control group. Methods: A total of 136 patients with Parkinson’s disease in Southern Estonia and 142 controls with an average age of 76.8 and 76.3 years, respectively, were enrolled in a retrospective case-control study. Information on falls and related fractures during the previous year was collected from the patients with Parkinson’s disease and controls. Covariates included gender, age, mobility, duration of Parkinson’s disease, and fractures. Results: Patients with Parkinson’s disease were at an increased risk of falls compared to the control group, and for the higher risk of fractures. Symptomatic knee or hip osteoarthritis was a significant independent predictor of falls in both patients with Parkinson’s disease and controls. The higher risk for fractures during the previous year was demonstrated in symptomatic osteoarthritis. Risk factors for falls included also female gender, use of sleep pills, and the inability to walk 500 m. Conclusions: Symptomatic hip and knee osteoarthritis are risk factors for falls and related fractures among the elderly population with and without Parkinson’s disease. The inability to walk 500 m could be used as a simple predictive factor for the increased risk of falls among elderly populations.

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Anemia in the Elderly and the Risk of Injurious Falls.

Blood ◽

10.1182/blood.v106.11.1333.1333 ◽

2005 ◽

Vol 106 (11) ◽

pp. 1333-1333

Author(s):

Mei S. Duh ◽

Samir H. Mody ◽

Patrick Lefebvre ◽

Richard C. Woodman ◽

Sharon Buteau ◽

...

Keyword(s):

Risk Factors ◽

Linear Trend ◽

Head Injuries ◽

The Elderly ◽

Community Dwelling ◽

Significant Linear Trend ◽

Injurious Falls ◽

Risk Of Falls ◽

Increasing Risk ◽

Risk Factors For Falls

Abstract Background: Anemia commonly occurs in the elderly (≥65), and has been associated with a number of adverse consequences. Thirty percent of the community-dwelling elderly fall annually and this risk increases to 50% by the age of 80. Serious injuries caused by a fall, such as fractures and head injuries, are sustained by about 10% of the elderly and often lead to functional disability, increased health care costs, and increased mortality. Identification of reversible risk factors is critical for the management of falls and related injuries. The purpose of the current study is to investigate whether anemia increases the risk of injurious falls (IF) in the elderly. Methods: Health claims data from over 30 health plans from 01/1999 through 04/2004 were used. Patients ≥65 years with ≥1 hemoglobin (Hb) measurement were selected. IF were defined as a fall claim followed by an injurious event claim within 30 days after the fall. Injurious events were defined as fractures of the hip, pelvis, femur, vertebrae, ribs, humerus, and lower limbs, Colle’s fracture, head injuries, or hematomas. An open-cohort design was employed to classify patients’ observation periods by: (1) by anemia status based on WHO criteria (< 12 g/dL for women; < 13 g/dL for men), and (2) by Hb level: <10, 10-<12, 12-<13, and ≥13 g/dL. The incidence rates (IF events / person-years of observation) were compared by anemia status and Hb levels, respectively. Subset analyses based on IF of the hip (including pelvis and femur) and the head were further conducted. The association of IF with anemia and Hb levels, respectively, was analyzed using both univariate and multivariate (adjusted for age, gender, health plan, comorbidities, concomitant medications) approaches. Results: Among the 47,530 study subjects, a statistically significant linear trend of increasing risk of falls (i.e., IF and non-IF events) with decreasing Hb was observed (p<.0001). The incidence of IF was 15.8, 14.0, 9.8, and 6.5 per 1,000 person-years for Hb levels of <10, 10-<12, 12-<13, and ≥13 g/dL, respectively (trend: p<.0001). Based on the univariate analysis, anemia increased the risk of IF by 1.66 times (95% CI: 1.41–1.95) compared to no anemia, and the effects of anemia on IF of the hip and head were more pronounced (rate ratio (RR)=2.25 [95% CI: 1.74–2.89] and 1.77 [95% CI: 1.22–2.55], respectively, (p<.01 for both)). Multivariate analysis revealed that Hb levels were significantly associated with the risk of IF (RR = 1.57, 1.48, 1.17 for Hb levels of <10, 10-<12, 12-<13 g/dL, respectively, compared to Hb≥ 13 g/dL), and the negative linear trend of the risk of IF by Hb levels remained statistically significant (p<.0001). In the subset of hip and head IF, the association with anemia was even stronger (Hip: RR=3.37, 1.83, 1.36 for Hb levels of <10, 10-<12, 12-<13 g/dL, respectively; Head: RR=1.65, 1.47, 1.18, respectively), with a statistically significant linear trend observed (Hip: p<.0001; Head: p=0.07). Anemia (esp. Hb < 10) had comparable risk to other well-known risk factors for falls such as Alzheimer’s disease, Parkinson’s disease, and osteoarthritis. Conclusion: Anemia was significantly and independently associated with an increasing risk for IF, especially IF to the hip and head, in elderly persons. Furthermore, the risk of IF increased as the anemia worsened. The impact of anemia correction on the risk of falls and IF needs to be evaluated.

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Assessment of Risk Factors for Falls among Patients with Parkinson’s Disease

BioMed Research International ◽

10.1155/2021/5531331 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Jacek Wilczyński ◽

Magdalena Ścipniak ◽

Kacper Ścipniak ◽

Kamil Margiel ◽

Igor Wilczyński ◽

...

Keyword(s):

Risk Factors ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

High Risk ◽

Fear Of Falling ◽

External Factors ◽

Low Risk ◽

Risk Of Falling ◽

Risk Of Falls ◽

Risk Factors For Falls

Introduction. The aim of this study was to assess the risk factors for falls in patients with Parkinson’s disease. Materials and Methods. The study comprised 53 participants (52.8% women and 47.2% men). The Hoehn and Yahr 5-point disability scale was used to assess the severity of Parkinson’s disease. The Tinetti Balance and Gait Scale were used to evaluate the risk of falls. The Katz scale was used to test the independence of people with PD. The Falls Efficacy Scale-International Short Form (FES-I) was implemented to assess fear of falling. Results. The majority of participants was at a high risk of falls, being at the same level for women and men. A significant relationship was noted between the risk of falls and subjective assessment of mobility ( χ 2 = 31.86 , p < 0.001 ), number of falls ( χ 2 = 37.92 , p < 0.001 ), independence of the subjects ( χ 2 = 19.28 , p < 0.001 ), type of injury suffered during the fall ( χ 2 = 36.93 , p < 0.001 ), external factors ( χ 2 = 33.36 , p < 0.001 ), and the level of fear of falling ( χ 2 = 8.88 , p < 0.001 ). A significant relationship also occurred between the number of falls and the fear of falling ( χ 2 = 33.49 , p < 0.001 ) and between the number of falls and disease severity ( χ 2 = 45.34 , p < 0.001 ). The applied physiotherapy did not reduce the risk of falls ( χ 2 = 3.18 , p = 0.17 ). Conclusions. Individuals who rated their mobility as good or excellent were at a low risk of falls. People who fell more times were at a high risk of falling. People more independent were at a low risk of falls. Previous injuries were the most associated with being at risk of falling. Uneven surfaces and obstacles on one’s path are the external factors most associated with the risk of falling. People with low levels of fall anxiety were at a low risk of falls. Most people with low fall anxiety have never fallen. Additionally, the majority of patients with stage 1 of the disease have not fallen at all. The reason for the ineffectiveness of physiotherapy may be due to the exercise programs used and the lack of systematic implementation of them. PD is different for each patient; thus, it is important to select individually customized physiotherapy depending on motor and nonmotor symptoms, as well as general health of a patient.

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Abstract P084: When To Expect And Why To Analyze Cognitive Disorders In Arterial Hypertension

Hypertension ◽

10.1161/hyp.76.suppl_1.p084 ◽

2020 ◽

Vol 76 (Suppl_1) ◽

Author(s):

Viktoriia Krotova ◽

Tatyana Khomazyuk

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Cognitive Impairment ◽

High Risk ◽

Arterial Hypertension ◽

Social Activity ◽

Life Quality ◽

Cognitive Disorders ◽

Daily Monitoring ◽

Close Relatives

To study the relationship between quality of life (LQ) and cognitive impairment, as well as to identify risk factors for their development in patients with arterial hypertension (AH). Examined 509 outpatients with controlled AH stage II with SCORE risk of CVD <5 %. Non-dementia cognitive impairment were found 24,32±0,11 points on МCA scale in 164 (32.2 %). Patients also demonstrated a significant (p <0.001) decrease in the LQ indicators on all SF-36 scales compared to healthy ones by an average of 24.5-66.0 points. According to the results of correlation analysisthe most significant was the direct relationship between cognitive impairment on МCA scale and assessment of physical health (rs=+0,65; p<0,001), mental health (rs=+0,60; p<0,001), life activity limitations (rs=+0,33; p<0,001) and social activity (rs=+0,35; p<0,001), indicating an association between deterioration in LQ components and cognitive impairment.It turned out that the risk factors for developing cognitive impairment with AH were a history of cognitive impairment in close relatives (2.79 (95 % CI 1.15-6.77) compared with healthy people and 2.41 (95 % CI 1.01-5.88) - AH patients without cognitive impairment), a high vegetative index (rs +0.15; p <0.05) according to daily monitoring of BP and elevated levels of systolic BP variability in day and at night, that increased the chances of developing cognitive impairment in AH patients by 2.11 times, (rs = + 0.57 and rs = + 0.61; p<0.001). It was found that the likelihood of developing cognitive impairment exceeds 50 % (high risk) if the level of systolic BP variability is above 12 mm Hg in day (area under ROC curve AUC = 0.891; 95 % CI 0.883-0.940. (AUC = 0.891; 95 % CI 0.883-0.940; ST = 82.5 % and SP = 92.9 %) and at night – over 10 mm Hg (AUC = 0.922; 95 % CI 0.861-0.963; ST = 82.5 % and SP = 85.7 %) according to daily BP monitoring. In patients with AH for more than 10 years with dissatisfaction of life quality, even with controlled blood pressure, the presence of cognitive impairment needs to be clarified in immediate families, and pay attention to the high autonomic index and variability of systolic blood pressure monitored day and night, due to the high risk of development and progression of cognitive impairment, which worsens the prognosis of cardiovascular events.

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Assessment of risk factors and clinical effectiveness in the treatment of arterial hypertension in patients with the metabolic syndrome

Лечащий врач ◽

10.51793/os.2021.24.7.003 ◽

2021 ◽

Author(s):

Э.И. Полозова ◽

В.В. Скворцов ◽

Е.В. Пузанова ◽

А.А. Сеськина ◽

Н.С. Нефедов

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Metabolic Syndrome ◽

Arterial Hypertension ◽

Inpatient Treatment ◽

Blood Pressure Reduction ◽

Age Groups ◽

Excess Body Weight ◽

The Metabolic Syndrome ◽

Target Values

Высокая распространенность метаболического синдрома во всем мире, неуклонный рост заболеваемости у людей разных возрастных групп делают его одной из самых серьезных проблем в клинике внутренних болезней и позволяют по праву считать неинфекционной эпидемией XXI века. Учитывая, что одним из основных компонентов метаболического синдрома является артериальная гипертензия, целью работы явилось изучение и оценка факторов риска и эффективности лечения артериальной гипертонии у больных метаболическим синдромом. В исследовании приняли участие 110 пациентов с верифицированным диагнозом артериальной гипертонии II стадии и метаболическим синдромом. Все пациенты из группы исследования находились на стационарном лечении в ГБУЗ РМ «Республиканская клиническая больница № 5» г. Саранска с 2018 по 2020 гг. Проведена оценка факторов риска и проанализировано лечение артериальной гипертонии у больных метаболическим синдромом. Клиническое исследование показало, что наиболее распространенными факторами риска неблагоприятного прогноза у пациентов с метаболическим синдромом и артериальной гипертензией выступают психоэмоциональный стресс, избыточная масса тела, гиподинамия и наследственная отягощенность по артериальной гипертензии и метаболическому синдрому. Назначаемая в стационаре пациентам с метаболическим синдромом для лечения артериальной гипертонии комбинированная гипотензивная терапия была рациональной в 100% случаев. Стационарное лечение больных метаболическим синдромом было эффективным, что определялось снижением артериального давления до уровня целевых значений в средние сроки 5,86 ± 0,94 дня. The high prevalence of metabolic syndrome worldwide, the steady growth of morbidity in people of different age groups makes it one of the most serious problems in the clinic of internal diseases, rightfully considering it an epidemic of the 21st century. Taking into account that one of the main components of the metabolic syndrome is arterial hypertension, we studied and assessed the risk factors and effectiveness of the treatment of arterial hypertension in patients with metabolic syndrome. Purpose of the paper: To assess the risk factors and effectiveness of the treatment of arterial hypertension in patients with the metabolic syndrome. The study involved 110 patients with a verified diagnosis of Stage II arterial hypertension and metabolic syndrome. All patients in the study group were treated as inpatients at Saransk Republican Clinical Hospital № 5 during the period 2018-2020. Risk factors were assessed and the treatment of arterial hypertension in patients with metabolic syndrome was analysed. The clinical study showed that the most common risk factors for adverse prognosis in patients with metabolic syndrome and arterial hypertension are psycho-emotional stress, excess body weight, hypodynamia and hereditary burden of arterial hypertension and metabolic syndrome. Inpatient treatment of arterial hypertension in patients with the metabolic syndrome with combined hypotensive therapy was rational in 100% of cases. Inpatient treatment of patients with metabolic syndrome was effective, which was determined by a reduction in blood pressure to the level of target values. The average time of blood pressure reduction in the patients of the analyzed group was 5,86 ± 0,94 days.

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Identifying elderly persons who are at risk of falling and fall risk factors in the general population

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh170529171i ◽

2018 ◽

Vol 146 (7-8) ◽

pp. 396-402

Author(s):

Suncica Ivanovic ◽

Sanja Trgovcevic ◽

Biljana Kocic ◽

Snezana Todorovic-Tomasevic ◽

Milica Jeremic-Knezevic ◽

...

Keyword(s):

Risk Factors ◽

General Population ◽

Odds Ratio ◽

Female Gender ◽

The Elderly ◽

Health State ◽

Elderly Persons ◽

Risk Of Falling ◽

Self Assessment ◽

Risk Factors For Falls

Introduction/Objective. The aim of this study was to identify the elderly who are at increased risk of falling, as well as the risk factors for falls in the general population. Methods. This cross sectional study included a random sample of 400 people (164 men and 236 women) with the average age of 75.04 (65?94) years selected from the Register of the Primary Health Center in Nis, Serbia. Socio-demographic questionnaire, the Elderly Fall Screening Test, and the Multi-factor Falls Questionnaire were used. Odds ratio (OR) was evaluated and adjusted for gender, age, marital status, education level, and self-assessment of the health state. Results. The risk of falling and risk factors for falls were as follows: age [odds ratio (OR) = 1.129, confidence interval (CI) = 1.067?1.196], health self-assessed as good (OR = 0.365; CI = 0.142?0.938), limitation of activities (OR = 7.189; CI = 3.559?14.522), walking problems (OR = 2.153; CI = 1.046?4.428), osteoporosis (OR = 4.611; CI = 1.231?17.265), female gender (OR = 3.770, CI = 1.648?8.624), vision problems (OR = 2.719; CI = 1.588?108.581), cognitive problems (OR = 4.485; CI = 17.721), arthritis (OR = 6.524; CI = 2.077?20.496), and urination problems (OR = 2.511; CI = 1.083?5.820). Conclusion. Risk factors for falls were the following: age, self-assessment of health state, walking problems, osteoporosis, female gender, vision problems, arthritis, and urination problems.

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A cross sectional study on the prevalence and risk factors of fall among the elderly in an urban slum in Chennai

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190586 ◽

2019 ◽

Vol 6 (3) ◽

pp. 1102 ◽

Cited By ~ 1

Author(s):

R. Senthil Kumar ◽

Kamali Ravindran

Keyword(s):

Risk Factors ◽

Univariate Analysis ◽

The Elderly ◽

Urban Slum ◽

Cross Sectional Study ◽

Elderly Persons ◽

Sectional Study ◽

Cross Sectional ◽

Abnormal Gait ◽

Risk Factors For Falls

Background: Falls are an important cause of morbidity and mortality in elderly people. Falls lead to multiple medical and psychological problems in the elderly. Aim was to study the prevalence of falls among the elderly and to find the associated risk factors for falls among the elderly living in an urban slum in Chennai.Methods: A cross sectional study was conducted among elderly population over 60 years and above, in an urban slum area. About 150 elderly were selected using simple random sampling method, using the voters list as the sampling frame. A pretested questionnaire was administered to collect information about falls. In statistical analysis univariate and multivariate logistic regression was employed using SPSS version 22.Results: Of the 150 elderly persons studied, prevalence of falls rate is 35.3% (95% CI 28.13 to 43.26). Of them 64.1% had one episode of fall and 35.8% had recurrent falls. The prevalence of fall among persons with comorbidities like hypertension or diabetes was 39.3% and 36.1% respectively .The rate of fall among those using a walking stick was 58.3%, having tremors was 15% and having abnormal gait was 40%. The risk factors found to be significantly associated in univariate analysis were gender and presence of tremors (p<0.05). In multivariate analysis none of the factors showed statistical significance.Conclusions: Falls are very common among elderly. It is utmost important to prevent the falls by making necessary environmental modifications and following healthy lifestyle.

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SILENT ATRIAL FIBRILLATION AS A RISK FACTOR FOR FALLS IN THE ELDERLY

Успехи геронтологии ◽

10.34922/ae.2021.34.1.016 ◽

2021 ◽

pp. 117-121

Author(s):

А.В. Турушева ◽

Е.В. Фролова ◽

Ю.М. Петросян ◽

Р.Д. Думбадзе

Keyword(s):

Risk Factors ◽

Atrial Fibrillation ◽

At Risk ◽

Old Age ◽

Fold Increase ◽

The Elderly ◽

Risk Of Falls ◽

Patients At Risk ◽

Risk Factors For Falls ◽

Study Participants

Падения повышают риск травм, инвалидизации и смертности пожилых людей. Фибрилляция предсердий (ФП) является одним из факторов риска падений в пожилом возрасте, тем не менее, связь между «скрытой» ФП и падениями не исследована. В исследование были включены пациенты 60 лет и старше (n=131), находившиеся на лечении в Городском гериатрическом медикосоциальном центре. Диагностированная ранее ФП была выявлена у 13,7 % (n=18) участников исследования, «скрытая» ФП - у 11,5 % (n=15). Обе формы ФП были ассоциированы с четырехкратным увеличением частоты падений в пожилом возрасте: (95 % ДИ) 4,26 (1,18-15,40) для ранее выявленной ФП и 4,56 (1,25-16,66) для «скрытой» ФП. Скрининг ФП позволил выявить на 16,9 % (95 % ДИ 6,7-26,8 %; p<0,001) больше пациентов, находящихся в группе риска падений. Таким образом, «скрытая» ФП, как и ранее диагностированная, являются независимыми факторами риска падений. Проведение скрининга ФП позволяет выявлять большее число пожилых пациентов, находящихся в группе риска падений. Falls increase the risk of injury, disability, and death in the elderly. Atrial fibrillation (AF) is one of the risk factors for falls in old age, however, the relationship between «silent» AF and falls has not been investigated. The study included patients (n=131) from 60 years and older who admitted in the City geriatric medical and social center. Previously diagnosed AF was detected in 13,7 % (n=18) of the study participants, and «silent» AF was detected in 11,5 % (n=15). Both forms of AF were associated with a 4-fold increase in the incidence of falls in old age: (95 % CI) 4,26 (1,18-15,40) for previously detected AF and 4,56 (1,25-16,66) for «silent» AF. AF screening revealed 16,9 % (95 % CI 6,7-26,8 %; p<0,001) more patients at risk of falls. Thus, «silent» AF, as well as previously diagnosed, are independent risk factors for falls. Conducting AF screening allows to identify more elderly patients who are at risk of falls.

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Prospective Study of Falls and Risk Factors for Falls in Adults With Advanced Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2011.40.7791 ◽

2012 ◽

Vol 30 (17) ◽

pp. 2128-2133 ◽

Cited By ~ 61

Author(s):

Carol A. Stone ◽

Peter G. Lawlor ◽

George M. Savva ◽

Kathleen Bennett ◽

Rose Anne Kenny

Keyword(s):

Risk Factors ◽

High Risk ◽

Advanced Cancer ◽

Proportional Hazards ◽

Primary Brain Tumor ◽

Cox Proportional Hazards ◽

Cox Proportional Hazards Models ◽

Palliative Care Services ◽

Risk Of Falls ◽

Risk Factors For Falls

Purpose Retrospective studies of inpatients with cancer suggest that a cancer diagnosis confers a high risk of falls. In adults with advanced cancer, we aimed to prospectively document the incidence of falls, identify the risk factors, and determine if falls in this population occur predominantly in older patients. Patients and Methods Patients admitted consecutively to community and inpatient palliative care services with metastatic or locoregionally advanced cancer who were mobile without assistance were recruited. Risk-factor assessment was conducted on initial encounter. Patients underwent follow-up via weekly telephone contact for 6 months or until time of fall or death. Relationship between covariates and time to fall was examined using hazard ratios (HRs) derived from univariate and multivariate Cox proportional hazards models. Results Of 185 participants (52.4% men; mean age 68 ± standard deviation of 12.6 years), 50.3% fell; 35 (53%) of 66 participants age < 65 years and 58 (48.7%) of 119 age ≥ 65 years fell; 61.3% of falls occurred in the community; 42% resulted in injury. Median time to fall was 96 days (95% CI, 64.66 to 127.34). Primary brain tumor or brain metastasis (HR 2.5; P = .002), number of falls in the preceding 3 months (HR, 1.27; P = .005), severity of depression (HR, 1.12; P = .012), benzodiazepine dose (HR, 1.05; P = .004), and cancer-related pain (HR, 1.96; P = .024) were independently associated with time to fall in multivariate analysis. Conclusion Fifty percent of adults with advanced cancer, regardless of age, will experience a fall associated with high risk of physical injury. There is a compelling need to assess the efficacy of assessment and management of modifiable fall risk factors in patients with advanced cancer.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN RESIKO JATUH PADA LANSIA DI BPPLU KOTA BENGKULU TAHUN 2017

Journal of Nursing and Public Health ◽

10.37676/jnph.v6i1.498 ◽

2018 ◽

Vol 6 (1) ◽

Author(s):

Ravika Ramlis

Keyword(s):

Risk Factors ◽

Soft Tissues ◽

Healing Process ◽

The Elderly ◽

Guidance And Counseling ◽

Extrinsic Factors ◽

Physical Discomfort ◽

Related Risk ◽

Risk Of Falls ◽

Risk Factors For Falls

The incidence of falls in the elderly group may cause injury to the soft tissues and fractures of the thigh or wrist and even result in death. In addition, the State also can cause a variety of health problems including: pain, physical discomfort, the limitations of mobilization, and the slow healing process so that it will have an impact towards kondisilansia, where they will experience the problem of addiction to perform daily activities.Research methods the research design used was descriptive analytic. The study tried to gather information on factor-related risk factors for falls in the elderly include factor intrinsic, extrinsic, and circumstantial. The sample in this study is the whole elderly in BPPLU city of Bengkulu , namely an amount of 60 people. The method of sampling in this research are the total sampling.The results showed that there is a relationship between the intrinsic risk factors for falls in the elderly in Bengkulu City Year 2017 BPPLU. There is a relationship between extrinsic factors with risk of falls in the elderly in Bengkulu City Year 2017 BPPLU. Researchers suggest to the BPPLU can be a cornerstone of the implementation of the programme of activities, coaching, guidance and counseling in an attempt to increase knowledge about the factors factors that are associated with the risk of falls in the elderly.

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