A prospective cohort study of the risk factors for new falls and fragility fractures in self-caring elderly patients aged 80 years and over

BMC Geriatrics

Jin-Ping Liu¹  Jian Zhou¹  Ming-Zhao Qin¹  Bo Liu² 

[1] Department of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing100730, China. No.1 of Dong Jiao Min Xiang, Dongcheng District, 100730, Beijing, China;Department of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing100730, China. No.1 of Dong Jiao Min Xiang, Dongcheng District, 100730, Beijing, China;Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University) , Ministry of Education, Beijing100730, China. No.1 of Dong Jiao Min Xiang, Dongcheng District, 100730, Beijing, China;

关键词: Falls;    Fragility fractures;    Aged 80 years and over;    Timed up-and-go (TUG) test;    Walking speed;   

DOI  :  10.1186/s12877-021-02043-x

来源: Springer

【 摘 要 】

BackgroundThis study aimed to prospectively analyze the risk factors for new falls and fragility fractures in self-caring elderly patients and to find suitable evaluation tools for community screening and follow-up interventions. Methods: A total of 300 participants (187 male and 113 female), aged 80 or above and capable of caring for themselves, were enrolled in this study and observed for a period of 12 months. Their medical histories were collected, various indicators were measured, and the risk factors for new falls and fragility fractures were analyzed.ResultsA total of 290 participants were included in the statistical analysis. Eighty-seven participants (30%) had new falls. The incidence was negatively correlated with the activities of daily living (ADL, represented by the Barthel Index) score (P=0.008) but was positively correlated with the timed up-and-go (TUG) test score> 12 s (P=0.021). The results also revealed that 33 fragility fractures occurred in 29 patients (10.0%), which was positively correlated with new falls (P=0.000). New fragility fractures were negatively correlated with the bone mineral density (BMD) of the lumbar vertebrae (P=0.012) and walking speed (P=0.000).ConclusionTUG, walking speed, the ADL score, and the fall risk assessment scale can simply and effectively assess the risk of new falls and fragility fractures in the elderly population, and their use should be widely implemented in the community.

【 授权许可】

CC BY