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dc.contributor.authorPadron-Monedero, Alicia 
dc.contributor.authorPastor-Barriuso, Roberto 
dc.contributor.authorGarcia Lopez, Fernando Jose 
dc.contributor.authorMartínez-Martín, Pablo 
dc.contributor.authorDamian, Javier 
dc.date.accessioned2020-05-08T11:00:31Z
dc.date.available2020-05-08T11:00:31Z
dc.date.issued2020
dc.identifier.citationPLoS One. 2020 May 7;15(5):e0231618.es_ES
dc.identifier.issn1932-6203es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/9984
dc.descriptionhttp://hdl.handle.net/20.500.12105/ 9416 [Dataset]es_ES
dc.description.abstractOBJECTIVES: To assess the association between having suffered a fall in the month prior to interview and long-term overall survival in nursing-home residents. METHODS: Retrospective cohort study conducting an overall survival follow-up of 689 representative nursing-home residents from Madrid, Spain. Residents lived in three types of facilities: public, subsidized and private and its information was collected by interviewing the residents, caregivers and/or facility physicians. Residents contributed to follow-up time from their baseline interviews until death or being censored at the end of the 5-year follow-up period. The association between suffering a fall during the month prior to interview and long-term overall survival was analyzed using Cox proportional hazards models. To adjust for potential confounders we used progressive adjusted models. We then repeated the analyses with severity of the fall (no fall, non-severe, severe) as the main independent variable. RESULTS: After a 2408 person-year follow-up (median 4.5 years), 372 participants had died. In fully-adjusted models, residents who had suffered any kind of fall in the previous month showed virtually the same survival rates compared to non-fallers (hazard ratio (HR) = 1.03; 95% CI = 0.75-1.40). There was a weak graded relationship between increased fall severity and survival rates for the non-severe fall group (HR = 0.92; 95% CI = 0.58-1.45) and the severe fall group (HR = 1.36; 95% CI = 0.73-2.53) compared with residents who had not suffered any kind of fall. The hazard ratios for severe falls were higher in men, residents with less comorbidity, fewer medications, and those functionally independent. CONCLUSION: We found no associations between having suffered a fall in the month prior to interview and long-term survival; neither did we find a marked association when severity of fall was accounted for in the whole population. In some subgroups, however, the results merit further scrutiny.es_ES
dc.description.sponsorshipThis work was supported by the Carlos III Institute of Health (grant number, PI15CIII00037) to JD. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.es_ES
dc.language.isoenges_ES
dc.publisherPublic Library of Science (PLOS) es_ES
dc.type.hasVersionVoRes_ES
dc.relation.isreferencedbyhttp://hdl.handle.net/20.500.12105/ 9416es_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectFallses_ES
dc.subjectOlder adultses_ES
dc.subjectCare homeses_ES
dc.subjectLong-term survivales_ES
dc.titleFalls and long-term survival among older adults residing in care homeses_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-NoComercial 4.0 Internacional*
dc.identifier.pubmedID32379771es_ES
dc.format.volume15es_ES
dc.format.number5es_ES
dc.format.pagee0231618es_ES
dc.identifier.doi10.1371/journal.pone.0231618es_ES
dc.contributor.funderInstituto de Salud Carlos III 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1932-6203es_ES
dc.relation.publisherversionhttps://doi.org/10.1371/journal.pone.0231618es_ES
dc.identifier.journalPLOS ONEes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/PI15CIII00037es_ES
dc.rights.accessRightsopen accesses_ES


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Atribución-NoComercial 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Atribución-NoComercial 4.0 Internacional