Show simple item record

dc.contributor.authorSanders, KM
dc.contributor.authorLim, K
dc.contributor.authorStuart, AL
dc.contributor.authorMacleod, A
dc.contributor.authorScott, D
dc.contributor.authorNicholson, GC
dc.contributor.authorBusija, L
dc.date.accessioned2020-12-21T01:35:41Z
dc.date.available2020-12-21T01:35:41Z
dc.date.issued2017-10-01
dc.identifierpii: 10.1007/s00198-017-4145-6
dc.identifier.citationSanders, K. M., Lim, K., Stuart, A. L., Macleod, A., Scott, D., Nicholson, G. C. & Busija, L. (2017). Diversity in fall characteristics hampers effective prevention: the precipitants, the environment, the fall and the injury. OSTEOPOROSIS INTERNATIONAL, 28 (10), pp.3005-3015. https://doi.org/10.1007/s00198-017-4145-6.
dc.identifier.issn0937-941X
dc.identifier.urihttp://hdl.handle.net/11343/256575
dc.description.abstractFalls among the elderly are common and characteristics may differ between injurious and non-injurious falls. Among 887 older Australian women followed for 1.6 years, 32% fell annually. Only 8.5% resulted in fracture and/or hospital admission. The characteristics of those falls are indistinguishable from those not coming to medical attention. INTRODUCTION: The precipitants and environment of all falls occurring among a large cohort of older Caucasian women were categorised by injury status to determine if the characteristics differed between injurious and non-injurious falls. METHODS: Among 887 Australian women (70+ years), falls were ascertained using monthly postcard calendars and a questionnaire was administered for each fall. Hospital admissions and fractures were independently confirmed. RESULTS: All falls were reported for a mean observation time of 577 (IQR 546-607) days per participant, equating to a total 1400 person-years. Thirty-two percent fell at least once per year. The most common features of a fall were that the faller was walking (61%) at home (61%) during the day (88%) and lost balance (32%). Only 12% of all falls occurred at night. Despite no difference in the type of injury between day and night, the likelihood of being hospitalised from a fall at night was 4.5 times greater than that of a daytime fall with adjustment for injury type and participant age (OR 4.5, 95% CI 2.1, 9.5; p < 0.001). Of all falls, approximately one third were associated with no injury to the faller (31%), one third reported a single injury (37%) and one third reported more than one injury (32%). In 95% of falls, the faller was not admitted to hospital. Only 5% of falls resulted in fracture(s). CONCLUSIONS: Our findings demonstrate the significant diversity of precipitants and environment where falls commonly occur among older community-dwelling women. Falls resulting in fracture and/or hospital admission collectively represent 8.5% of all falls and their characteristics are indistinguishable from falls not coming to medical attention and incurring no apparent cost to the health system.
dc.languageEnglish
dc.publisherSPRINGER LONDON LTD
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0
dc.titleDiversity in fall characteristics hampers effective prevention: the precipitants, the environment, the fall and the injury
dc.typeJournal Article
dc.identifier.doi10.1007/s00198-017-4145-6
melbourne.affiliation.departmentMedicine, Western Health
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleOsteoporosis International
melbourne.source.volume28
melbourne.source.issue10
melbourne.source.pages3005-3015
melbourne.identifier.nhmrc251682
dc.rights.licenseCC BY-NC
melbourne.elementsid1224280
melbourne.contributor.authorScott, David
melbourne.contributor.authorSanders, Kerrie
dc.identifier.eissn1433-2965
melbourne.identifier.fundernameidNHMRC, 251682
melbourne.accessrightsOpen Access


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record