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dc.contributor.authorDamian, Javier 
dc.contributor.authorPastor-Barriuso, Roberto 
dc.contributor.authorValderrama-Gama, Emiliana 
dc.contributor.authorPedro-Cuesta, Jesus de
dc.identifier.citationBMC Geriatr. 2013 Jan 15;13:6.es_ES
dc.description.abstractBACKGROUND: Falls have enormous impact in older adults. Yet, there is insufficient evidence regarding the effectiveness of preventive interventions in this setting. The objectives were to measure the frequency of falls and associated factors among older people living institutions. METHODS: Data were obtained from a survey on a probabilistic sample of residents aged ≥65 years, drawn in 1998-99 from institutions of Madrid (Spain). Residents, their caregivers, and facility physicians were interviewed. Fall rates were computed based on the number of physician-reported falls in the preceding 30 days. Adjusted rate ratios were computed using negative binomial regression models, including age, sex, cognitive status, functional dependence, number of diseases, and polypharmacy. RESULTS: The final sample comprised 733 residents. The fall rate was 2.4 falls per person-year (95% confidence interval [CI], 2.04-2.82). The strongest risk factor was number of diseases, with an adjusted rate ratio (RR) of 1.32 (95% CI, 1.17-1.50) for each additional diagnosis. Other variables associated with falls were: urinary incontinence (RR = 2.56 [95% CI, 1.32-4.94]); antidepressant use (RR = 2.32 [95% CI, 1.22-4.40]); arrhythmias (RR = 2.00 [95% CI, 1.05-3.81]); and polypharmacy (RR = 1.07 [95% CI, 0.95-1.21], for each additional medication). The attributable fraction for number of diseases (with reference to those with ≤ 1 condition) was 84% (95% CI, 45-95%). CONCLUSIONS: Number of diseases was the main risk factor for falls in this population of institutionalized older adults. Other variables associated with falls, probably more amenable to preventive action, were urinary incontinence, antidepressants, arrhythmias, and polypharmacy. VIRTUAL SLIDES: The virtual slide(s) for this article can be found here:
dc.description.sponsorshipThis work was supported by the Spanish "Fondo de Investigación Sanitaria" (grant 96/0201). Ana Villaverde-Hueso, pharmacist at the Rare Diseases Research Institute (Carlos III Institute of Health), carried out the identification and classification of medications.es_ES
dc.publisherBiomed Centrales_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshArrhythmias, Cardiac es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHomes for the Aged es_ES
dc.subject.meshHumans es_ES
dc.subject.meshInstitutionalization es_ES
dc.subject.meshMale es_ES
dc.subject.meshNursing Homes es_ES
dc.subject.meshPsychotropic Drugs es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshUrinary Incontinence es_ES
dc.subject.meshAccidental Falls es_ES
dc.titleFactors associated with falls among older adults living in institutionses_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderFondo de Investigaciones Sanitariases_ES
dc.identifier.journalBMC geriatricses_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES

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