Factors associated with unrecovered falls among older adults

Tatiana Karpusenko¹, Maynara Alfonsi², Nayara Tasse de Oliveira Cirino³, Erika Yukie Ishigaki⁴, Adriana Sanudo⁵, Sergio Marcio Pacheco Paschoal¹, Luiz Eugênio Garcez Leme⁶, Monica Rodrigues Perracini⁷

Affiliations

¹ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil.
² PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil. Electronic address: maynara.alfonsi@mail.usf.edu.br.
³ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Department of Physical Therapy, Universidade de Cuiabá, Avenida Virgílio Favetti, 1200, Zip code: 78.306-211, Tangará da Serra, Mato Grosso, Brazil.
⁴ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Centro Universitário Faculdade de Medicina do ABC, Avenida Lauro Gomes, 2000, Zip code: 09060-870, Santo André, Brazil. Electronic address: erika.ishigaki@fmabc.br.
⁵ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Department of Preventive Medicine, Universidade Federal de São Paulo, Rua Botucatu, 740, Zip code: 04023-062, São Paulo, Brazil.
⁶ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Institute of Orthopedics and Traumatology, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil. Electronic address: luiz.garcez@hc.fm.usp.br.
⁷ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Master's and Doctoral Programs in Physical Therapy, Rua Cesáreo Galeno, 448, Zip code: 03071-000, São Paulo, Brazil; Master's and Doctoral Programs in Gerontology, Rua Tessália Vieira de Camargo, 126, Zip code: 13083-887, Campinas, Brazil. Electronic address: monica.perracini@unicid.edu.br.

PMID: 37084686
DOI: 10.1016/j.gerinurse.2023.03.010

Factors associated with unrecovered falls among older adults

Tatiana Karpusenko et al. Geriatr Nurs. 2023 May-Jun.

. 2023 May-Jun:51:323-329.

doi: 10.1016/j.gerinurse.2023.03.010. Epub 2023 Apr 20.

Authors

Affiliations

¹ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil.
² PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil. Electronic address: maynara.alfonsi@mail.usf.edu.br.
³ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Department of Physical Therapy, Universidade de Cuiabá, Avenida Virgílio Favetti, 1200, Zip code: 78.306-211, Tangará da Serra, Mato Grosso, Brazil.
⁴ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Centro Universitário Faculdade de Medicina do ABC, Avenida Lauro Gomes, 2000, Zip code: 09060-870, Santo André, Brazil. Electronic address: erika.ishigaki@fmabc.br.
⁵ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Department of Preventive Medicine, Universidade Federal de São Paulo, Rua Botucatu, 740, Zip code: 04023-062, São Paulo, Brazil.
⁶ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Institute of Orthopedics and Traumatology, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil. Electronic address: luiz.garcez@hc.fm.usp.br.
⁷ PrevQuedas Brazil Research Group, Faculty of Medicine, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333, Cerqueira Cesar, Zip code: 05403-010, São Paulo, Brazil; Master's and Doctoral Programs in Physical Therapy, Rua Cesáreo Galeno, 448, Zip code: 03071-000, São Paulo, Brazil; Master's and Doctoral Programs in Gerontology, Rua Tessália Vieira de Camargo, 126, Zip code: 13083-887, Campinas, Brazil. Electronic address: monica.perracini@unicid.edu.br.

PMID: 37084686
DOI: 10.1016/j.gerinurse.2023.03.010

Abstract

This cross-sectional exploratory study investigated factors associated with unrecovered falls among older patients with a history of falls in the previous year participating in a clinical trial on fall prevention by asking them about their inability to get up independently after the fall. Participants' sociodemographic, clinical, functional (ADL/IADL, TUG, chair-stand test, hand grip, risk of falling) and fall location were investigated. We conducted a multivariate regression analysis adjusted for covariates to identify the main factors associated with unrecovered falls. Out of 715 participants (mean age: 73.4 years; 86% women), 51.6% (95% IC; 47.9 - 55.3%) experienced unrecovered falls. Depressive symptoms, ADL/IADL limitation, mobility limitation, undernutrition, and outdoor falls were associated with unrecovered falls. While assessing the risk of falling, professionals should consider preventive strategies and preparedness procedures for those who are more likely to experience unrecovered falls, such as training to get up from the floor, alarms, and support services.

Keywords: Accidental falls; Aged; Depression; Mobility limitation; Undernutrition.

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Factors associated with unrecovered falls among older adults

Affiliations

Factors associated with unrecovered falls among older adults

Authors

Affiliations

Abstract

Conflict of interest statement

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources