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Can J Aging. 2010 Mar;29(1):119-37. doi: 10.1017/S0714980809990365.

A cross-sectional study of the prevalence, correlates, and costs of falls in older home care clients 'at risk' for falling.

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1
McMaster University, School of Nursing, Hamilton, Ontario. mreid@mcmaster.ca

Abstract

This study examined the six-month prevalence, risk factors, and costs of falls in older people using home support services who are at risk of falling. Of the 109 participants, 70.6 per cent reported >or= one fall in the previous six months, and 27.5 per cent experienced multiple falls. Although there was no statistically significant difference in any fall-related risk factor between fallers (1+ falls) and non-fallers (0 falls), fallers had clinically important trends towards lower levels of physical, social, and psychological functioning. There was no statistically significant difference between fallers and non-fallers in the total per-person costs of use of health services in the previous six months; however, there were significant differences between groups in specific types of health services. The multivariate analysis revealed the presence of five risk factors for falls: neurological disorder (e.g., cognitive impairment, Parkinson's disease), age >or= 85 years, environmental hazards, previous slip or trip, and visual impairment.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00463658.

PMID:
20202270
DOI:
10.1017/S0714980809990365
[Indexed for MEDLINE]
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