TY  - JOUR
AU  - Sanders, KM
AU  - Lim, K
AU  - Stuart, AL
AU  - Macleod, A
AU  - Scott, D
AU  - Nicholson, GC
AU  - Busija, L
Y2  - 2020/12/21
Y1  - 2017/10/01
SN  - 0937-941X
UR  - http://hdl.handle.net/11343/256575
AB  - Falls 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.
LA  - English
PB  - SPRINGER LONDON LTD
T1  - Diversity in fall characteristics hampers effective prevention: the precipitants, the environment, the fall and the injury
DO  - 10.1007/s00198-017-4145-6
IS  - Osteoporosis International
VL  - 28
IS  - 10
SP  - 3005-3015
OP  - 251682
L1  - /bitstream/handle/11343/256575/PMC5624977.pdf?sequence=1&isAllowed=y
ER  -