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Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls

机译:跌倒后住院的老年患者反复跌倒的个人和环境因素

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摘要

Falls and recurrent falls cause great health and social consequences in older people. However, these problems are poorly understood in Vietnam. A cross-sectional study was performed at seven hospitals in Thai Binh province, Vietnam, to investigate the individual and environmental factors associated with recurrent falls among elderly patients hospitalized due to fall injuries in Vietnam. A history of recurrent falls within the last 12 months, sociodemographic, health, and clinical characteristics, as well as environmental conditions, were obtained via self-reported interviews. Multivariate logistic and Poisson regression models were used to identify associated factors. Overall, the mean fall episodes in the last 12 months were 1.8 (Standard deviation—SD = 1.2) episodes, and the 12-month prevalence of recurrent falls was 40.5%. The individual risk factors included not receiving fall prevention guidelines, walking with devices, loss of sensation in hand or foot, and using pain relief medications. The environmental risk factors comprised having too-high stairs and not having dry, clean, and nonslippery bathrooms. This study highlights a significantly high 12-month prevalence of recurrent falls in older patients hospitalized after falls in Vietnam. Moreover, regular assessments of functional disabilities and hazardous environmental conditions, as well as the provision of prevention programs, have potential to prevent falls and recurrent falls.
机译:跌倒和反复跌倒会给老年人带来巨大的健康和社会后果。但是,越南对这些问题知之甚少。在越南泰平省的七家医院进行了一项横断面研究,以调查与越南跌倒受伤住院的老年患者反复跌倒相关的个人和环境因素。过去12个月内反复发作的历史,通过自我报告的访谈获得了社会人口统计学,健康状况,临床特征以及环境状况。多变量logistic和Poisson回归模型用于确定相关因素。总体而言,最近12个月的平均跌倒发作为1.8(标准差-SD = 1.2)发作,而反复跌倒的12个月患病率为40.5%。个别风险因素包括未接受预防跌倒的指导方针,使用器械行走,手或脚失去知觉以及使用止痛药。环境风险因素包括楼梯太高以及没有干燥,干净且没有防滑的浴室。这项研究突显了越南跌倒后住院的老年患者反复跌倒的流行率很高,为期12个月。此外,对功能障碍和危险环境状况的定期评估以及预防计划的提供,有可能预防跌倒和反复跌倒。

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