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Analysis of Multi-variate Recurrent Fall Risk Factors in Elderly People Using Residential Assessment Instrument-Home Care - Comparisons between Single and Recurrent Fallers -
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In-Young Yoo
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J Korean Acad Nurs 2011;41(1):119-128. Published online February 28, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.1.119
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 Abstract
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Purpose
This study was done to determine the risk factors for recurrent fallers (2+falls) compared to single fallers.
Methods
Participants were 104 community-dwelling people 65 yr of age or older. The data were collected from June 1, 2008 to June 30, 2009 using the Residential Assessment Instrument-Home Care.
Results
Over the past 90 days, 55.7% of the 104 participants fell once, and 44.2% experienced recurrent falls (2+falls). In comparison of recurrent fallers with single fallers, there were significant differences in scores on the following factors: gender (χ2=4.22, p=.040), age (χ2=5.74, p=.017), educational level (χ2=5.22, p=.022), living arrangements (χ2=35.02, p<.001), cardiovascular diseases (χ2=17.10, p<.001), hypertension (χ2=4.43, p=.035), diabetes mellitus (χ2=4.44, p=.035), glaucoma (χ2=13.95, p<.001), Minimal Data Set (MDS)-Pain (t=-2.56, p=.012), fear of falling (χ2=4.08, p=.034), reduced vision (t=-3.06, p=.003), MDS-activity of daily living (t=3.46, p=.001), MDS-Instrumental Activities of daily living (t=3.24, p=.002), cognition (MDS-Cognition Performance Scale) (t=3.40, p=.001), and 'difficulties entering and leaving the house' (χ2=4.53, p=.033).
Conclusion
It is important to assess the risk factors for recurrent falls and develop differentiated strategies that will help prevent recurrent falls. Additionally, utilizing a standardized tool, such as RAI-HC, would help health professionals assess multi-variate fall risk factors to facilitate comparisons of different community care settings.
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Citations
Citations to this article as recorded by  - Determining the Health Care Behavior Needs of Older Adults Based on the Omaha System
Nazmiye Kızılkaya, Gulumser Kubilay, Gulten Sucu Dag
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