Differential risk factor profiles for indoor and outdoor falls in older people living at home in Nottingham, UK

摘要: The objectives of this work were: to estimate the incidence falls within an at-risk group community-dwelling elderly people; assess risk factors associated with incident falls; examine effects on survival. A random sample 1042 older people in Nottingham (UK) were interviewed 1985 and survivors re-interviewed at 4-year follow-up. was defined as who had not fallen year prior baseline interview (n=444). One-year fall recall assessed using a questionnaire included physical health, mobility, prescribed drugs time spent walking. Body-weight handgrip strength measured. Eight-year post-fall mortality recorded. In 1989 117 new fallers identified. These fell total 233 times re-interview (incidence rate: 524.8 per 1000 person-years risk; 95% confidence intervals (CI): 473.3–576.3). People aged less than 75 more likely outdoors 75␣and over (χ2=5.715, df=1, p=0.017). Risk falling being healthy (odds ratio (OR): 0.55; p=0.052); having walking speed range stroll/very slow/non-ambulant compared normal/brisk/fast (OR: 1.99; p<0.01); number 1.30; p=0.01). When analysed separately, indoor outdoor presented differential profiles, evidence that frailty, while compromised health status active people. 8-year monitoring, multiple (3+) showed significant excess mortality. differences for, prognoses following, falls, emphasise complex interactions between intrinsic extrinsic among