Falls and fractures among older adults living in long-term care

Revista Brasileira de Epidemiologia

Antes, Danielle Ledur²  Del Duca, Giovâni Firpo²  Hallal, Pedro Curi¹ 

[1] Universidade Federal de Pelotas, Pelotas, Brasil;Universidade Federal de Santa Catarina, Florianópolis, Brasil

关键词: Aging;    Aged;    Institutionalization;    Health of Institutionalized Elderly;    Accidental Falls;    Fractures Bone;    Cross-Sectional Studies;   

DOI  :  10.1590/S1415-790X2013000100007

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

OBJECTIVE: To investigate the prevalence of falls and fractures over the past 12 months and associated factors among older adults living in long-term care. METHODS: Census of all long-term care located in the city of Pelotas, Brazil, in 2008. Falls over the past 12 months were assessed using the following question: "Over the last 12 months, have you fallen?" For those who replied positively, another question was asked: "In any of these falls, have you fractured a bone?" Sex, age, schooling, disability relating to basic activities of daily living, type of financing of the long-term care and hospital admissions were the independent variables. We used chi-square tests for heterogeneity and linear trend in the unadjusted analysis, and Poisson regression with robust variance in the adjusted one. RESULTS: Within the 24 long-term care studied, we collected data for 466 individuals. The prevalence of falls in the past year was 38.9% (95%CI 34.5; 43.4). Among those who have fallen, 19.2% had fractures. Femur (hip) was the most frequent site fractured (43.4%), followed by wrist (10%). In the adjusted analysis, older age, disability for 1-5 basic activities of daily living, living in public institutions and hospital admissions in the last year were associated with higher risk of falls. CONCLUSION: The high prevalence of falls and fractures highlights the fragility of the individuals living in long-term care. Special attention should be paid to older adults and those with hospital admissions in the last year.

【 授权许可】

Unknown