TY - JOUR
T1 - Chronic medical conditions and risk of fall injury events at home in older adults
AU - Herndon, James G.
AU - Helmick, Charles G.
AU - Sattin, Richard W.
AU - Stevens, Judy A.
AU - De Vito, Carolee
AU - Wingo, Phyllis A.
PY - 1997/6
Y1 - 1997/6
N2 - 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.
AB - 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.
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U2 - 10.1111/j.1532-5415.1997.tb01480.x
DO - 10.1111/j.1532-5415.1997.tb01480.x
M3 - Article
C2 - 9180670
AN - SCOPUS:0030988116
SN - 0002-8614
VL - 45
SP - 739
EP - 743
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 6
ER -
