Predictors for functional decline after an injurious fall: a population-based cohort study.
Aging Clin Exp Res
; 33(8): 2183-2190, 2021 Aug.
Article
en En
| MEDLINE
| ID: mdl-33161531
ABSTRACT
BACKGROUND:
The functional consequences of injurious falls are well known. However, studies of the factors that can modify trajectories of disability after an injury from a fall are scarce.AIMS:
We aimed to investigate whether sociodemographic and health-related factors may impact this association.METHODS:
The study population consisted of 1426 community-dwelling older adults (≥ 60 years) from the SNAC-K cohort study in Stockholm, Sweden. Functional status over 12 years of follow-up was assessed using the number of limitations in basic and instrumental activities of daily living. Sex, cohabitation status, physical activity, and self-rated health were assessed at baseline. Injurious falls were defined as falls requiring healthcare and were assessed over 3 years starting at baseline. Data were analyzed using linear-mixed effects models.RESULTS:
The fastest increase in the number of disabilities was observed in those who had endured an injurious fall and were living alone (ß coefficient = 0.408; p < 0.001), been physically inactive (ß coefficient = 0.587; p < 0.001), and had poor self-rated health (ß coefficient = 0.514; p < 0.001). The negative impact of these factors was more pronounced among fallers compared to non-fallers.DISCUSSION:
Living alone, being physically inactive, and having poor self-rated health magnifies the negative effect of an injurious fall on functional status. Among individuals who endure an injurious fall, the heterogeneity in long-term functional status is substantial, depending on the individuals' characteristics and behaviors.CONCLUSIONS:
These findings emphasize the need for a person-centered approach in care provision and can guide secondary prevention within health care.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Accidentes por Caídas
/
Actividades Cotidianas
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Aged
/
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Aging Clin Exp Res
Asunto de la revista:
GERIATRIA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Suecia