Fall risk assessment predicts fall-related injury, hip fracture, and head injury in older adults
Journal article
Nilsson, , Eriksson, Joel, Larsson, Berit A. M., Odén, Anders, Johansson, Helena and Lorentzon, Mattias. (2016). Fall risk assessment predicts fall-related injury, hip fracture, and head injury in older adults. Journal of the American Geriatrics Society. 64(11), pp. 2242 - 2250. https://doi.org/10.1111/jgs.14439
Authors | Nilsson, , Eriksson, Joel, Larsson, Berit A. M., Odén, Anders, Johansson, Helena and Lorentzon, Mattias |
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Abstract | Objectives To investigate the role of a fall risk assessment, using the Downton Fall Risk Index (DFRI), in predicting fall‐related injury, fall‐related head injury and hip fracture, and death, in a large cohort of older women and men residing in Sweden. Design Cross sectional observational study. Setting Sweden. Participants Older adults (mean age 82.4 ± 7.8) who had a fall risk assessment using the DFRI at baseline (N = 128,596). Measurements Information on all fall‐related injuries, all fall‐related head injuries and hip fractures, and all‐cause mortality was collected from the Swedish Patient Register and Cause of Death Register. The predictive role of DFRI was calculated using Poisson regression models with age, sex, height, weight, and comorbidities as covariates, taking time to outcome or end of study into account. Results During a median follow‐up of 253 days (interquartile range 90–402 days) (>80,000 patient‐years), 15,299 participants had a fall‐related injury, 2,864 a head injury, and 2,557 a hip fracture, and 23,307 died. High fall risk (DFRI ≥3) independently predicted fall‐related injury (hazard ratio (HR) = 1.43, 95% confidence interval (CI) = 1.39–1.49), hip fracture (HR = 1.51, 95% CI =1.38–1.66), head injury (HR = 1.12, 95% CI = 1.03–1.22), and all‐cause mortality (HR = 1.39, 95% CI = 1.35–1.43). DFRI more strongly predicted head injury (HR = 1.29, 95% CI = 1.21–1.36 vs HR = 1.08, 95% CI = 1.04–1.11) and hip fracture (HR = 1.41, 95% CI = 1.30–1.53 vs HR = 1.08, 95% CI = 1.05–1.11) in 70‐year old men than in 90‐year old women (P < .001). Conclusion Fall risk assessment using DFRI independently predicts fall‐related injury, fall‐related head injury and hip fracture, and all‐cause mortality in older men and women, indicating its clinical usefulness to identify individuals who would benefit from interventions. |
Keywords | fall risk assessment; fall-related head injury; hip fracture; men; women |
Year | 2016 |
Journal | Journal of the American Geriatrics Society |
Journal citation | 64 (11), pp. 2242 - 2250 |
Publisher | Wiley-Blackwell Publishing, Inc. |
ISSN | 0002-8614 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/jgs.14439 |
Scopus EID | 2-s2.0-84995588356 |
Open access | Open access |
Page range | 2242 - 2250 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | License |
Place of publication | United States of America |
https://acuresearchbank.acu.edu.au/item/8q36x/fall-risk-assessment-predicts-fall-related-injury-hip-fracture-and-head-injury-in-older-adults
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License: CC BY-NC-ND 4.0 |
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