Recurrent falls and its risk factors among older men living in the veterans retirement communities: A cross-sectional study. (May 2017)

• Record Type: Journal Article
• Authors: Hung, Cheng-Hao; Wang, Chih-Jen; Tang, Ting-Ching; Chen, Liang-Yu; Peng, Li-Ning; Hsiao, Fei-Yuan; Chen, Liang-Kung
• Is Part Of: Archives of gerontology and geriatrics. Volume 70(2017)
• Page Start: 214
• Page End: 218
• Publication Date: 2017-05
• Subjects: Depression -- Fall -- Long term care -- Recurrent fall; Aging -- Periodicals; Geriatrics -- Periodicals; Gerontology -- Periodicals; Electronic journals; 305.26
• DOI: 10.1016/j.archger.2017.02.001
• Languages: English
• ISSNs: 0167-4943

Abstract

Highlights: Single fallers and recurrent fallers share some common clinical characteristics, but not completely the same. Presence of depressive mood was the common risk factors for both single and recurrent falls. Urinary incontinence was an independent risk factor for recurrent falls, but not single falls. Abstract: Aim: To evaluate the prevalence of recurrent falls and their risk factors among older men living in the Veterans Homes in Taiwan. Methods: This cross-sectional study enrolled 871 residents and all participants received the comprehensive geriatric assessment, including Barthel Index, Mini-Mental Status Examination (MMSE), Geriatric Depression Scale-5 questions (GDS-5), Mini-Nutrition Assessment Short Form (MNA-SF), the status of urinary incontinence, stool incontinence, polypharmacy, past history of falls, multimorbidity, and medication history. Results: Overall, 871 subjects (mean age: 85.5 ± 5.2 years, all males) participated in this study, whereas 222(25.5%) of them had experienced falls in the past year, and 91 were recurrent fallers. Comparisons between non-fallers, single fallers and recurrent fallers disclosed that they were significantly different in the following characteristics: diabetes mellitus, chronic kidney disease, coronary artery disease, Charlson Comorbidity Index (CCI), Barthel Index, GDS-5, MNA-SF, polypharmacy, use of hypnotics, urinary incontinence, and stool incontinence (P for trend all <0.05). Multiple regression analysis identified that GDS-5 was significantly associated with single falls and recurrent falls (OR 1.256, 95% CI 1.094–1.441, P = 0.001 for single fallers; OR 1.480, 95% CI 1.269–1.727, P < 0.001 for recurrent fallers). Besides, urinary incontinence was the independently associated with recurrent fallers only (OR 2.369, 95% CI 1.449–3.817, P < 0.001), but not single fallers. Conclusion: Urinary incontinence and depressive symptoms were independent associated factors for falls among older men living in the retirement communities. However, urinary incontinence was associated with recurrent falls, but not single falls. Intervention study is needed to reduce recurrent falls through management of urinary incontinence.