• Atencion primaria · Jun 2015

    [Prevalence and associated factors of falls in community-dwelling elderly].

    • Ana Lavedán Santamaría, Pilar Jürschik Giménez, Teresa Botigué Satorra, Carmen Nuin Orrio, and Maria Viladrosa Montoy.
    • Departamento de Enfermería, Universidad de Lleida, Lleida, España. Electronic address: ana.lavedan@infermeria.udl.es.
    • Aten Primaria. 2015 Jun 1; 47 (6): 367-75.

    ObjectiveTo estimate the prevalence of falls and to identify their associated factors in community-dwelling elderly.DesignA descriptive, cross-sectional study.SettingPrimary Health Care, Lleida.ParticipantsSix hundred and forty people aged 75 and older were included, in possession of a health card and living in single-family houses, through random sampling. Main measurements Data source comes from the survey of frailty in Lleida (FRALLE Survey). The variables used were the occurrence of falls, sociodemographic factors, health status, quality of life related to health and fear of falling.ResultsThe prevalence of falls was 25.0% (95% CI 24.8-25.1). After multivariate analysis, basic disability (OR=2.17; 95% CI 1.32-3.58), depressive symptoms (OR=1.67; 95% CI 1.07-2.59) and fear of falling (OR=2.53; 95% CI 1.63-3.94) were the only factors independently associated with falls in the last year.ConclusionsOne out of 4 older people reported at least a fall in the last year. This study demonstrates that fear of falling, depressive symptoms and basic disability are independent variables associated with previous falls. These 3 factors can lead to a flattering spiral of falling and may be potential targets for effective functioning in the context of falls.Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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