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Article

Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study

1
Departament of Physiotherapy, DomusVi Remedios Center, Avda. Córdoba, 98, Aguilar de la Frontera, 14920 Córdoba, Spain
2
Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, C/Avicena s/n, 41009 Seville, Spain
3
Department of Physiotherapy, Faculty of Health Sciences, University of Malaga, Arquitecto Francisco Peñalosa 3, Ampliación de Campus de Teatinos, 29071 Malaga, Spain
*
Author to whom correspondence should be addressed.
Equal contributions.
Int. J. Environ. Res. Public Health 2020, 17(19), 7234; https://doi.org/10.3390/ijerph17197234
Received: 27 July 2020 / Revised: 26 September 2020 / Accepted: 30 September 2020 / Published: 3 October 2020
Falls in the elderly are associated with morbidity and mortality. Research about fall risk factors in Spanish care facilities is scarce. This study aimed to assess the prevalence of falls among residents living in long-term care Spanish institutions and to identify fall risk factors in this population. A nationwide retrospective cohort study was conducted in 113 centers. Persons over 70 years old who were living in a residential setting for at least 1 year were included. Simple and multiple regression analyses were conducted to estimate the associations between the main clinical variables registered in the databases and the presence of falls. A total of 2849 subjects were analyzed (mean age 85.21 years). The period prevalence of fallers in the last 12 months was 45.3%, with a proportion of recurrent fallers of 51.7%. The presence of falls was associated with lower Tinetti Scale scores (OR = 1.597, 95% CI: 1.280, 1.991; OR = 1.362, 95% CI: 1.134, 1.635), severe or moderate cognitive impairment (OR= 1.992, 95% CI: 1.472, 2.695; OR = 1.507, 95% CI: 1.231, 1.845, respectively), and polypharmacy (OR = 1.291, 95% CI: 1.039, 1.604). Fall prevention interventions should focus on the prevention of balance and cognitive deterioration and the improvement of these functions when possible. It should also focus on a periodical medication history revision aiming to avoid inappropriate prescriptions. View Full-Text
Keywords: aged; accidental falls; residential facilities; accident prevention aged; accidental falls; residential facilities; accident prevention
MDPI and ACS Style

Díaz, L.B.; Casuso-Holgado, M.J.; Labajos-Manzanares, M.T.; Barón-López, F.J.; Pinero-Pinto, E.; Romero-Galisteo, R.P.; Moreno-Morales, N. Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study. Int. J. Environ. Res. Public Health 2020, 17, 7234. https://doi.org/10.3390/ijerph17197234

AMA Style

Díaz LB, Casuso-Holgado MJ, Labajos-Manzanares MT, Barón-López FJ, Pinero-Pinto E, Romero-Galisteo RP, Moreno-Morales N. Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health. 2020; 17(19):7234. https://doi.org/10.3390/ijerph17197234

Chicago/Turabian Style

Díaz, Lourdes B., María J. Casuso-Holgado, María T. Labajos-Manzanares, Francisco J. Barón-López, Elena Pinero-Pinto, Rita P. Romero-Galisteo, and Noelia Moreno-Morales. 2020. "Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study" International Journal of Environmental Research and Public Health 17, no. 19: 7234. https://doi.org/10.3390/ijerph17197234

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