Assessment of factors that increase risk of falling in older women by four different clinical methods.
Falls
Older
Risk factors
Women
Journal
Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
11
03
2019
accepted:
08
05
2019
pubmed:
23
5
2019
medline:
13
6
2020
entrez:
23
5
2019
Statut:
ppublish
Résumé
Women aged 65 years and over are at increased risk of falling. Falls in this age group increase the risk of morbidity and mortality. The aim of the present study was to find the most common factors that increase the risk of falling in older women, by using four different assessment methods. 682 women, who attended a geriatric outpatient clinic and underwent comprehensive geriatric assessment, were included in the study. History of falling last year, the Timed Up and Go (TUG) test, Performance-Oriented Mobility Assessment (POMA), and 4-m walking speed test were carried out on all patients. The mean age (SD) of patients were 74.4 (8.5) years. 31.5% of women had a history of falling in the last year. 11%, 36.5%, and 33.3% of patients had a falling risk according to POMA, TUG and 4-m walking speed test, respectively. We identified the following risk factors that increase the risk of falling, according to these four methods: urinary incontinence, dizziness and imbalance, using a walking stick, frailty, dynapenia, higher Charlson Comorbidity Index and Geriatric Depression Scale score, and lower basic and instrumental activities of daily living scores (p < 0.05). We found a significant correlation between all the assessment methods (p < 0.001). There is a strong relationship between fall risk and dizziness, using a walking stick, dynapenia, high number of comorbidities, low functionality, and some geriatric syndromes such as depression, frailty, and urinary incontinence in older women. Therefore, older women should routinely be screened for these risk factors.
Sections du résumé
BACKGROUND
BACKGROUND
Women aged 65 years and over are at increased risk of falling. Falls in this age group increase the risk of morbidity and mortality.
AIMS
OBJECTIVE
The aim of the present study was to find the most common factors that increase the risk of falling in older women, by using four different assessment methods.
METHODS
METHODS
682 women, who attended a geriatric outpatient clinic and underwent comprehensive geriatric assessment, were included in the study. History of falling last year, the Timed Up and Go (TUG) test, Performance-Oriented Mobility Assessment (POMA), and 4-m walking speed test were carried out on all patients.
RESULTS
RESULTS
The mean age (SD) of patients were 74.4 (8.5) years. 31.5% of women had a history of falling in the last year. 11%, 36.5%, and 33.3% of patients had a falling risk according to POMA, TUG and 4-m walking speed test, respectively. We identified the following risk factors that increase the risk of falling, according to these four methods: urinary incontinence, dizziness and imbalance, using a walking stick, frailty, dynapenia, higher Charlson Comorbidity Index and Geriatric Depression Scale score, and lower basic and instrumental activities of daily living scores (p < 0.05). We found a significant correlation between all the assessment methods (p < 0.001).
CONCLUSION
CONCLUSIONS
There is a strong relationship between fall risk and dizziness, using a walking stick, dynapenia, high number of comorbidities, low functionality, and some geriatric syndromes such as depression, frailty, and urinary incontinence in older women. Therefore, older women should routinely be screened for these risk factors.
Identifiants
pubmed: 31115877
doi: 10.1007/s40520-019-01220-8
pii: 10.1007/s40520-019-01220-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM