Can we prevent falls in older individuals?

Yıl 2021, Cilt: 38 Sayı: 4, 445 - 450, 09.10.2021

Savaş Sezik

Öz

Falls are a major public health problem globally. Each year, 2.8 million elderly people (defined as those aged ≥65) are treated in emergency departments for fall injuries. A questionnaire containing 15 questions, prepared by researchers, was provided to patients who visited the emergency department due to falls and were aged≥65. Patients who had fallen on the ground were included in the study group and were categorised using the following criteria: age, gender, education, socioeconomic status, life spots, fall location, chronic illnesses, previous falling episodes, cause of falls, medications used, hospital procedures undergone and the outcome of those procedures. A questionnaire was given to 159 patients that visited our emergency department as a result off alls. When those patients that did not respond to the questionnaires, those who had high falls, and those who did not remember their traumas were excluded, there were 119 remaining. There were 83 female participants (69.7%) and 79.87 (SD, 7.98) were participants in the study. In our study, 21 (17.6%) patients were identified as having had previous falls. Age, gender, education status, living environment, number of drugs used, diseases and p values were compared according to old operative emoticons: 0.434, 0.855, 0.607, 0.502, 0.778, 0.324and 0.384, and there are no significant statistical differences between them. Despite the challenges mentioned above, educating people about the benefits of healthy ageing and taking preventive measures will likely help to reduce negative outcomes in the future.

Anahtar Kelimeler

Aged, Healthy Aging, Emergency Service, Accidental Falls

Destekleyen Kurum

none

Kaynakça

• Bergen, G., Stevens, M.R., Burns, E.R., 2016. Falls and Fall Injuries Among Adults Aged ≥65 Years —United States, 2014. MMWR Morb Mortal Wkly Rep. 65, 993–998.
• Burns, E.B., Stevens, J.A., Lee, R.L., 2016. The direct costs of fatal and non-fatal falls among older adults—United States. J Safety Res. 58, 99-103.
• Campbell, A.J., Borrie, M.J., Spears, G.F., Jackson, S.L., Brown, J.S., Fitzgerald, J.L., 1990. Circumstances and Consequences of Falls Experienced by a Community Population 70 Years and over during a Prospective Study. Age Ageing. 19, 136–141.
• Campbell, A.J., Robertson, M.C., Gardner, M.M., Norton, N.R., Buchner, D.M., 1999. Psychotropic medication withdrawal and a home-based exercise program to prevent falls: a randomized, controlled trial. J Am Geriatr Soc. 47, 850-853.
• Centers for disease control and prevention. 10 leading causes of injury deaths by age group highlighting unintentional injury deaths, United States-2015. [Internet]. 2015. Available from: https://www.cdc.gov/injury/images/lc-charts/leading_causes_of_injury_deaths_unintentional_injury_2015_1050w760h.gif
• Centers for disease control and prevention. Older adults falls. [Internet]. 2018. Available from: https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html
• Crandall, M., Duncan, T., Mallat, A., Greene, W., Violano, P., Christmas, A.B., Barraco, R., 2016 Prevention of fall-related injuries in the elderly: An Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 81, 196-206.
• Duckham, R.L., Masud, T., Taylor, R., Kendrick, D., Carpenter, H., Iliffe, S., Morris, R., Gage, H., et al. 2015. Randomised controlled trial of the effectiveness of community group and home-based falls prevention exercise programmes on bone health in older people: the ProAct65+ bone study. Age Ageing. 44, 573-579.
• Gillespie, L.D., Gillespie, W.J., Robertson, M.C., Sherrington, C., Gates, S., Clemson, L.M., Lamb, S.E., 2003. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 12, CD000340.
• Kenny, R.A.M., Rubenstein, L.Z., Tinetti, M.E., Brewer, K., Cameron, K.A., Capezuti, E.A., et al. 2011. Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons. J Am Geriatr Soc. 59,148-157.
• Lord, S., Ward, J.A., Anstey, K.J., 1994. Physiological factors associated with falls in older community-dwelling women. J Am Geriatr Soc. 42, 1110-1117.
• Masud, T., Morris, R.O., 2001. Epidemiology of falls. Age Ageing. 4, 3-7.
• Muir, S.W., Berg, K., Chesworth, B., Klar, N., Speechley, M., 2010. Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults: a systematic review and meta-analysis. J Clin Epidemiol. 63, 389-406.
• Nilson, F., Moniruzzaman, S., Andersson, R., 2013. Fall-related fracture trends among elderly in Sweden--exoring transitions among hospitalized cases. J Safety Res. 45, 141-145.
• Public Health Agency of Canada. Seniors’ falls in Canada: second report [Internet]. Ottawa (ON): Public Health Agency of Canada; 2014 [cited 2014 Apr 4]. Available from: https://www.canada.ca/content/dam/phac-aspc/migration/phac-aspc/seniors-aines/publications/public/injury-blessure/seniors_falls-chutes_aines/assets/pdf/seniors_falls-chutes_aines-eng.pdf
• Rao, S.S., 2005. Prevention of falls in older patients. Am Fam Physician.72, 81-88.
• Rubenstein, L.Z., Josephson, K.R., 2002. The epidemiology of falls and syncope. Clinics in Geriatric Medicine. 18, 141-158.
• Stinchcombe, A., Kuran, N., Powell, S., 2014. Report summary. Seniors' Falls in Canada: Second Report: key highlights. Chronic Dis Inj Can. 34, 171-174.
• Talarska, D., Strugała, M., Szewczyczak, M., Tobis, S., Michalak, M., Wróblewska, I., Wieczorowska-Tobis, K., 2017. Is independence of older adults safe considering the risk of falls? BMC Geriatr. 17, 66.
• Tinetti, M.E., Baker, D.I., McAvay, G., Claus, E.B., Garrett, P., Gottschalk, M., Koch, M.L., Trainor, K., Horwitz, R.I., 1994. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 331,821-827.
• WHO Global Report on Falls Prevention in Older Age [Internet]. 2007. Available from: http://www.who.int/ageing/publications/Falls_prevention7March.pdf.