Chronic medical conditions and risk of fall injury events at home in older adults

James G. Herndon, Charles G. Helmick, Richard Warren Sattin, Judy A. Stevens, Carolee De Vito, Phyllis A. Wingo

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Abstract

OBJECTIVE: To evaluate the association between selected chronic medical conditions (CMCs) and fall injury events at home among community-dwelling older persons. DESIGN: Population-based case-control study. SETTING: The general community. PARTICIPANTS: Persons aged 65 and older living at home, excluding those using a wheelchair; 467 cases and 691 control subjects were studied. MEASUREMENTS: The main independent variables were self-reported histories of 10 CMCs: diabetes, high blood pressure, anemia, heart attack, Parkinson's disease, stroke, emphysema, cancer (other than skin), cataracts, and glaucoma. RESULTS: The final multivariate model included variables for age, sex, body mass, dependency in activities of daily living, current exercise (three or more times per week), mental status scores, and three CMCs. Persons with a history of stroke or anemia had an increased risk of a fall injury event: for stroke the adjusted odds ratio (aOR) equalled 1.7 (95% confidence interval (CI), 1.0-3.0); for anemia the aOR equalled 1.5 (95% CI 1.0-2.2). Those with a history of high blood pressure had decreased risk (aOR = .7, 95% CI 0.50.9). CONCLUSIONS: Persons 65 and older with a self reported history of anemia or stroke are at increased risk of a fall injury event in the home, whereas those with a self-reported history of high blood pressure are at decreased risk.

Original languageEnglish (US)
Pages (from-to)739-743
Number of pages5
JournalJournal of the American Geriatrics Society
Volume45
Issue number6
DOIs
StatePublished - Jan 1 1997

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ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Herndon, J. G., Helmick, C. G., Sattin, R. W., Stevens, J. A., De Vito, C., & Wingo, P. A. (1997). Chronic medical conditions and risk of fall injury events at home in older adults. Journal of the American Geriatrics Society, 45(6), 739-743. https://doi.org/10.1111/j.1532-5415.1997.tb01480.x