Risk of Fall among Older Adults and its Association with Cognitive Impairment in a Semi-Urban Community.
Risk of Fall among Older Adults and its Association with Cognitive Impairment in a Semi-Urban Community.
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DOI：
10.4103/ijcm.ijcm_491_19
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发表时间：
2020-10
期刊：
影响因子：
--
通讯作者：
Mathew E
中科院分区：
文献类型：
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作者：
Monachan D;Vargese SS;Johny V;Mathew E
老年人跌倒是一个主要的公共卫生问题。三分之二的跌倒死亡是可以预防的。因此，对老年人进行风险评估是确定高风险群体以计划基于需求的干预的第一步。该研究的目的是确定老年人跌倒风险的患病率及其与认知障碍和社会人口学特征的关系。在印度南喀拉拉邦的一所教学医院的社区医学系的实地实践领域进行了一项横断面研究。采用半结构式问卷调查的方法收集数据。采用贝格平衡量表和Mini-Cog测验测量跌倒和认知功能障碍的风险。采用SPSS软件进行描述性统计和Logistic回归分析。在老年人中，45%有跌倒的风险，男性42.4%，女性57.6%。跌倒风险与认知功能障碍显著相关（比值比= 3.89，95%置信区间= 2.06-7.31，P < 0.001）。高龄、女性、失业状态与跌倒风险显著相关。跌倒患病率的风险很高，与认知障碍、高龄、女性性别和职业状况显著相关，目前不工作的人中有一半以上的风险较高。这项研究将建议定期随访的风险群体，以防止一个良好的比例下降，从而相关的伤害。
Fall in older people is a major public health concern. Two-third of the death due to fall are preventable. Risk assessment in older adults therefore is the first step to identify the high-risk group to plan need-based intervention. The aim of the study was to determine the prevalence of risk of fall among older adults and its association with cognitive impairment and sociodemographic characteristics. A cross-sectional study was conducted in the field practice areas of the department of community medicine in a teaching hospital in South Kerala, India. A semi-structured questionnaire was used to collect the data. Berg Balance Scale and Mini-Cog Test were used for measuring risk of fall and cognitive impairment. Descriptive statistics and logistic regression were used for the statistical analysis using SPSS. Among the older adults, 45% were at risk of fall, 42.4% in males and 57.6% in females. The risk of fall was found to be significantly associated with cognitive impairment, (odds ratio = 3.89, confidence interval at 95% = 2.06–7.31, P < 0.001). Advanced age, female gender, and unemployed status were significantly associated with the risk of fall. The risk of fall prevalence was high and significantly related to cognitive impairment, advanced age, female gender, and occupational status, with more than half of those currently not working having a higher risk. The study would recommend regular follow-up of risk groups for prevention a good percentage of fall and thereby the related injuries.