• Psychogeriatrics · Jul 2017

    Falls, risk factors and fear of falling among persons older than 65 years of age.

    • Tatjana Gazibara, Ilma Kurtagic, Darija Kisic-Tepavcevic, Selmina Nurkovic, Nikolina Kovacevic, Teodora Gazibara, and Tatjana Pekmezovic.
    • Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
    • Psychogeriatrics. 2017 Jul 1; 17 (4): 215-223.

    AimFalling represents a major public health problem among older persons because it leads to premature mortality, loss of independence, and placement in assisted-living facilities. The purpose of this study was to assess the main features and risks for falls among persons older than 65 years of age as well as to quantify their fear of falling.MethodsA total of 354 persons older than 65 years of age were recruited at a community health centre. Characteristics of the most recent fall were obtained through detailed interviews with study participants. The Falls Efficacy Scale was used to quantify fear of falling.ResultsFrequency of falling was 15.8%. Falls occurred most often while walking (49%). One-half of fallers (49.1%) sustained an injury. Head haematomas and soft tissues contusions were the most common consequences of falls. The average Falls Efficacy Scale score was significantly higher in fallers ( P = 0.001). Multiple logistic regression analysis showed that having a fear of falling (odds ratio = 4.14, 95% confidence interval: 1.22-14.08, P = 0.02) and being a woman (odds ratio = 2.10, 95% confidence interval: 0.97-4.53, P = 0.05) were independent risk factors for falling among older persons.ConclusionThe frequency of falls among older people was similar to those in other populations. These results could be used to help select older persons who should be enrolled in fall prevention programmes.© 2017 Japanese Psychogeriatric Society.

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