Recurrent Falls over Three Years among Older Adults Age 70+: Associations with Physical and Mental Health Status, Exercise, and Hospital Stay

被引:4
|
作者
Choi, Namkee G. [1 ,4 ]
Marti, C. Nathan [1 ]
Choi, Bryan Y. [2 ]
Kunik, Mark M. [3 ]
机构
[1] Univ Texas Austin, Steve Hicks Sch Social Work, Austin, TX USA
[2] Philadelphia Coll Osteopath Med & BayHealth, Dept Emergency Med, Dover, DE USA
[3] Baylor Coll Med, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Michael E DeBakey VA Med Ctr, Educ & Clin Ctr,VA South Cent Mental Illness Res, Houston, TX USA
[4] Univ Texas Austin, Steve Hicks Sch Social Work, 1925 San Jacinto Blvd, Austin, TX 78712 USA
关键词
falls; recurrent falls; balance; coordination; depression; anxiety; exercise; GREATER-THAN-OR-EQUAL-TO-65; YEARS; NATIONAL-HEALTH; NONFATAL FALLS; UNITED-STATES; RISK-FACTORS; DEVICE USE; DEPRESSION; INJURIES; PATIENT; ANXIETY;
D O I
10.1177/07334648221150884
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
We used the 2019-2021 U.S. National Health and Aging Trend Study (N = 3,063, age 70+) and multinomial logistic regression and generalized linear models with Poisson and log link to identify correlates of (1) recurrent falls (2 + falls) over 3 years (2019-2021); and (2) any subsequent fall among those who had a fall in 2019. We also examined the associations between falls and hospitalization in 2021. Results show that those with recurrent falls had greater physical/functional and psychological health problems in 2019, while single fallers over the 3 years were not significantly different from those without a fall. Exercise was associated with a lower likelihood of a subsequent fall among those who fell in 2019. Both a single fall and recurrent falls over the 3 years were associated with a higher risk of hospitalization in 2021. Multifactorial fall preventions including exercise and depression/anxiety treatment are needed to mitigate recurrent fall risks.
引用
收藏
页码:1089 / 1100
页数:12
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