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. 2021 Jun;33(6):1677-1682.
doi: 10.1007/s40520-020-01635-8. Epub 2020 Jun 27.

Cognitive status as a robust predictor of repeat falls in older Veterans in post-acute care

Amber D Rochette  1 , Neil B Alexander  2   3 , Christine T Cigolle  2   3 , Robert Hogikyan  2   3 , Kristin Phillips  2 , Fareeha A Khan  4 , Julija Stelmokas  5   6   7
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Cognitive status as a robust predictor of repeat falls in older Veterans in post-acute care

Amber D Rochette et al. Aging Clin Exp Res. 2021 Jun.

Abstract

Background: While repeat falls are common in post-acute care (PAC), risk factors have not been fully elucidated.

Aims: The objective of thids study is to evaluate the contribution of cognitive function to repeat falls in older PAC Veterans.

Methods: Data were collected from medical records for 91 single and 30 repeat fallers over 5 consecutive years (2011-2016).

Results: After controlling for demographic and medical factors, lower Mini-Mental State Exam (MMSE) score was associated with increased odds of repeat falls. MMSE scores below 20 (with age held constant at the mean) were associated with a greater than 50% chance of a repeat fall (compared to 24.7% base rate). Admission for a neurologic reason further increased risk.

Discussion: PAC Veterans who experience a fall have an increased risk of repeat falls with concomitant cognitive dysfunction and/or admission for neurologic reasons.

Conclusions: Results support tailoring multi-component interventions for those with cognitive dysfunction utilizing standardized mental status screening upon admission.

Keywords: Cognitive function; Older adults; Post-acute care; Repeat falls.

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References

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    1. Rochat S, Monod S, Seematter-Bagnoud L et al (2013) Fallers in postacute rehabilitation have worse functional recovery and increased health services use. JAMDA 14:832–836 - PubMed

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