Incidencia y factores explicativos de las caídas en ancianos que viven en la comunidad |
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| Institution: | 1. Especialista en Medicina Familiar y Comunitaria. Unidad de Geriatría. Servicio de Medicina Interna. Hospital de la Santa Creu i Sant Pau. Universidad Autónoma de Barcelona. Barcelona. España;2. Especialista en Medicina Interna y Geriatría. Unidad de Geriatría. Servicio de Medicina Interna. Hospital de la Santa Creu i Sant Pau. Universidad Autónoma de Barcelona. Barcelona. España;3. Doctor en Medicina y Especialista en Medicina Interna. Unidad de Geriatría. Servicio de Medicina Interna. Hospital de la Santa Creu i Sant Pau. Universidad Autónoma de Barcelona. Barcelona. España;1. Servicio de Oftalmología, Hospital Vall de Hebron, Barcelona, España;2. Departamento de Oftlamología, Instituto de Microcirugía Ocular, Barcelona, España;1. Servicio de Medicina Nuclear, Hospital Universitario Virgen del Rocío, Sevilla, España;2. Servicio de Dermatología y Venereología, Hospital Universitario Virgen del Rocío, Sevilla, España;1. Doctora en Medicina, Facultativo especialista en Oftalmología, Adjunta del Hospital comarcal de la Axarquía, Vélez-Málaga, Málaga, España;2. Licenciada en Medicina, Facultativo especialista en Oftalmología, Adjunta del Hospital comarcal de la Axarquía, Vélez-Málaga, Málaga, España;3. Licenciada en Medicina, Facultativo especialista en Oftalmología, Jefa del Servicio de Oftalmología, Hospital comarcal de la Axarquía, Vélez-Málaga, Málaga, España;4. Licenciada en Medicina, Facultativo especialista en Oftalmología, Jefa de Sección de la Unidad de Uveítis y SIDA de la Unidad de Gestión Clínica de Oftalmología, Hospital Regional de Málaga, Málaga, España;5. Doctor en Medicina, Facultativo especialista en Medicina Interna, Jefe de la Sección de Inmunología de la Unidad de Gestión Clínica de Medicina Interna, Hospital Regional de Málaga, Málaga, España;1. Servicio de Patología, Hospital Privado de Córdoba SA, Córdoba, Argentina;2. Servicio de Cirugía de Tórax, Hospital Privado de Córdoba SA, Córdoba, Argentina |
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| Abstract: | Introductionfalls in the elderly are a significant health problem that can be prevented once risk factors have been identified. The objective of this study was to determine the rate of falls among elderly persons living in the community and their risk factors.Patients and methodstwo hundred ambulatory individuals aged 75 years or older attending an outpatient clinic were evaluated by personal interview. Demographic and social variables, health characteristics, use of healthcare resources and falls were studied. Bivariate analysis was performed and significant variables were entered into a conditional logistic regression analysis.Resultsthe rate of falls per year was 56.5% and rate of recurrent falls was 10.5%. The factors associated with falls in the logistic regression model were living with a spouse (OR = 0.37), taking three or more drugs (OR = 5.30), cardiovascular diseases (OR = 0.29), and taking nitrates (OR = 0.21). The factors associated with recurrent falls were change of home (OR = 11.10), living with a spouse (OR = 0.20), respiratory (OR = 6.44) and cardiovascular diseases (OR = 0.27), and taking laxatives (OR = 9.55).Conclusionsin our study the rate of falls and recurrent falls was similar to that described in other studies in western countries. Our results suggest that taking at least three medications and the use of laxatives were potentially preventable risk factors. Living with a spouse seemed to protect from both falls and recurrent falls in elderly people living in the community. |
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