Discrepancies between Perceived and Physiological Fall Risks and Repeated Falls among Community-Dwelling Medicare Beneficiaries Aged 65 Years and Older
Discrepancies between Perceived and Physiological Fall Risks and Repeated Falls among Community-Dwelling Medicare Beneficiaries Aged 65 Years and Older
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DOI：
10.1080/07317115.2020.1833267
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发表时间：
2020-10-24
影响因子：
2.8
通讯作者：
Li, Yingru
中科院分区：
文献类型：
--
作者：
Ng, Boon Peng;Thiamwong, Ladda;Li, Yingru
ObjectivesThis study examined the associations of differences between perceived and physiological fall risk with repeat福尔斯.MethodsWe analyzed the 2016 Medicare Current Beneficiary Survey of 2，487 Medicare beneficiaries against>= 65 years with >= 1 fall.结果变量为反复福尔斯（>= 2福尔斯），关键自变量是一个分类变量之间的差异感知（害怕跌倒）和生理跌倒风险结果在>= 1次跌倒的医疗保险受益人中，25.1%的人对跌倒的恐惧程度较低，但生理跌倒风险较高（低恐惧-高生理），9.4%的人高度恐惧跌倒但低生理跌倒风险（高恐惧-低生理），23.5%的人高度恐惧跌倒但低生理跌倒风险（低恐惧-低生理），42.0%的人高度恐惧跌倒但高生理跌倒风险（高恐惧-高生理）。与低恐惧-低生理相比，高恐惧-高生理与反复福尔斯跌倒有关（OR = 2.14; p <0.001）。具有低恐惧-高生理和高恐惧-低生理与重复福尔斯无关。结论鉴于高恐惧-高生理与重复福尔斯相关，并且许多处于风险中的医疗保险受益人具有高恐惧-高生理，预防工作可以考虑针对那些风险最大的人，包括具有高度恐惧的医疗保险受益人，高生理。临床意义评估感知和生理跌倒风险具有临床相关性，考虑到它可以为临床医生和其他利益相关者中不同的风险医疗保险受益人提供有针对性的干预措施。
ObjectivesThis study examined the associations of discrepancies between perceived and physiological fall risks with repeated falls.MethodsWe analyzed the 2016 Medicare Current Beneficiary Survey of 2,487 Medicare beneficiaries aged >= 65 years with >= 1 fall. The outcome variable was repeated falls (>= 2 falls), the key independent variable was a categorical variable of discrepancies between perceived (fear of falling) and physiological fall risks (physiological limitations), assessed using multivariate logistic regression.ResultsAmong Medicare beneficiaries with >= 1 fall, 25.1% had low fear of falling but high physiological fall risk (Low Fear-High Physiological), 9.4% had high fear of falling but low physiological fall risk (High Fear-Low Physiological), 23.5% had low fear of falling and low physiological fall risks (Low Fear-Low Physiological), and 42.0% had high fear of falling and high physiological fall risks (High Fear-High Physiological). Having High Fear-High Physiological was associated with repeated falls (OR = 2.14; p < .001) compared to Low Fear-Low Physiological. Having Low Fear-High Physiological and High Fear-LowPhysiological were not associated with repeated falls.ConclusionsGiven that High Fear-High Physiological was associated with repeated falls and that many at-risk Medicare beneficiaries had High Fear-High Physiological, prevention efforts may consider targeting those most at-risk including Medicare beneficiaries with High Fear-High Physiological.Clinical ImplicationsAssessing both perceived and physiological fall risks is clinically relevant, given it may inform targeted interventions for different at-risk Medicare beneficiaries among clinicians and other stakeholders.