Titre :
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Differential risk factor profiles for indoor and outdoor falls in older people living at home in Nottingham, UK. (1999)
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Auteurs :
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P.A. BATH ;
K. MORGAN ;
Centre for Ageing and Rehabilitation Studies. School for Health and Related Research. University of Sheffield. Sheffield. GBR
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Type de document :
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Article
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Dans :
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European journal of epidemiology (vol. 15, n° 1, 1999)
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Pagination :
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65-73
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Langues:
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Anglais
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Mots-clés :
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Chute
;
Traumatisme
;
Epidémiologie
;
Facteur risque
;
Mortalité
;
Personne âgée
;
Homme
;
Royaume Uni
;
Europe
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Résumé :
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[BDSP. Notice produite par INIST 7MwG3R0x. Diffusion soumise à autorisation]. The objectives of this work were : to estimate the incidence of falls within an at-risk group of community-dwelling elderly people : to assess the risk factors associated with incident falls ; to examine the effects of incident falls on survival. A random sample of 1042 community-dwelling older people in Nottingham (UK) were interviewed in 1985 and survivors re-interviewed at 4-year follow-up. The at-risk group was defined as survivors who had not fallen in the year prior to the baseline interview (n=444). One-year fall recall was assessed using a questionnaire and included physical health, mobility, prescribed drugs and time spent walking. Body-weight and handgrip strength were measured. Eight-year post-fall mortality was recorded. In 1989 117 new fallers were identified. These people fell a total of 233 times in the year prior to re-interview (incidence rate : 524.8 per 1000 person-years at risk : 95% confidence intervals (CI) 473.3 576.3). People aged less than 75 were more likely to fall outdoors than people aged 75 and over (X2=5.715, df=1, p=0.017). Risk factors associated with falling were ; being less healthy (odds ratio (OR) : 0.55 : p=0.052) ; having a walking speed in the range stroll/very slow/non-ambulant compared with normal brisk fast (OR : 1.99 ; p
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