In-Young Yoo

doi:10.4040/jkan.2011.41.1.119

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Original Article
Analysis of Multi-variate Recurrent Fall Risk Factors in Elderly People Using Residential Assessment Instrument-Home Care - Comparisons between Single and Recurrent Fallers -: In-Young Yoo; Journal of Korean Academy of Nursing 2011;41(1):119-128.
DOI: https://doi.org/10.4040/jkan.2011.41.1.119
Published online: February 28, 2011

Assistant Professor, Department of Nursing, Jeonju University, Jeonju, Korea.

Address reprint requests to: Yoo, In-Young. Department of Nursing, Jeonju University, 1200 Hyoja-dong 3-ga Wansan-gu, Jeonju 560-759, Korea. Tel: +82-63-220-2759, Fax: +82-63-220-2054, yiny@jj.ac.kr

• Received: April 12, 2010 • Accepted: February 25, 2011

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Abstract
NOTES
REFERENCES

Abstract

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.
Keywords: Elderly; Recurrent; Falls

This work was supported by research grant from Jeonju University in 2009.

REFERENCES

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Table 1

Demographic Characteristics of Participants (N=104)

Table 2

Differences in Intrinsic Factors between Single and Recurrent Fallers (N=104)

^*Fisher's exact test. MDS-ADL=Minimum Data Set-Activities of Daily Living; MDS-IADL=Minimum Data Set-Instrumental Activities of Daily Living; MDS-CPS=Minimum Data Set-Cognitive Performance Scale; MDS-DRS=Minimum Data Set-Depression Rating Scale.

Table 3

Differences in Extrinsic Factors between Single and Recurrent Fallers (N=104)

^*Fisher's exact test.

Figure & Data

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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 -

J Korean Acad Nurs. 2011;41(1):119-128. Published online February 28, 2011

DOI: https://doi.org/10.4040/jkan.2011.41.1.119

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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 -

Table 1

Demographic Characteristics of Participants (N=104)

Table 2

Differences in Intrinsic Factors between Single and Recurrent Fallers (N=104)

Table 3

Differences in Extrinsic Factors between Single and Recurrent Fallers (N=104)

^*Fisher's exact test.

Table 1 Demographic Characteristics of Participants (N=104)

Table 2 Differences in Intrinsic Factors between Single and Recurrent Fallers (N=104)

Table 3 Differences in Extrinsic Factors between Single and Recurrent Fallers (N=104)

^*Fisher's exact test.