Description of Fall Risk Factors on Falling Incidents Among the Elderly in the Working Area of Krueng Barona Jaya Health Center (original) (raw)
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2021
Background: Falls are common problem among older people, WHO (2014) estimated 424,000 fatal cases of falls occur every year, making fall as the one of the causes of death in the older adult due to accidental injury. This study aimed to assess the risk of falling among community dwelling older adult in rural and urban area. Method: Using a proportional sample size we determine 2 areas that describe rural and urban area in West Java Prefecture. The incidence of fall in the last 12 month is selected as outcome variable. Sociodemographic background, chronic medical condition, fear of falling, visual and hearing impairment, Activity Daily Living (ADL) Barthel index, the physical performance (Short Performance Physical Battery (SPPB)), and living environment were assessed to identify the factor contribute to the incidence of falling. Result: a total of 611 older people participated this study consist of 381 (62%)older persons living in rural area and 230 (38%) person are living in urban a...
Intrinsic and Extrinsic Risk Factor for Fall among Community Dwelling Indonesian Elderly
Open Access Macedonian Journal of Medical Sciences, 2022
BACKGROUND: Fall-related injuries are identified as a public health problem that has major consequences in affecting the lives of elderly people. Recent studies showed that one out of four elderly people suffers from this condition annually. AIM: This study aims at identification of fall risk factors that involve intrinsic and extrinsic factor to predict the future fall. MATERIALS AND METHODS: This study uses an observational design and a descriptive-analytic approach with a cross-sectional method which was used to identify risk factors for falls. This study targeted 60 years and above who live in West Java region. Afterward, a total of 420 people were obtained and divided into two regions, 215 people in Bandung Regency and 205 people in Bandung City. Furthermore, the sampling technique used was for cluster random sampling. RESULTS: The elderly who experienced incontinence in controlling urination had the potential of falling by 4 times compared to those who did not AOR = 3.73; 95% CI (1.038-13.428). Furthermore, those who had history of falling in the past 12 months were 2.4 times exposed compared to those who had not fallen AOR = 2.438; 95% CI (1.219-4.875). Balance disorders also contributed in increasing the risk of fall by 2 times with a value of AOR = 1.703; 95% CI (1.018-2.849). An extrinsic factor, namely, unsafe home environment has higher possibility to increase the risk of falling 2.6 times compared to those in safer environment (AOR = 2.603; 95% CI [1.331-5.087]). CONCLUSION: This study succeeded in identifying the risk factors for falls among the elderly in intrinsic and extrinsic approach. This finding can be used as a reference in planning health promotion programs for elderly people, specifically in the primary prevention of morbidity and mortality that occur due to falls.
2016
INTRODUCTION Fall is a major cause of injuries and can increase the risk of early mortality among elderly. The objective of this study was to determine the prevalence of falls among community-dwelling elderly in rural Malaysia and its associated factors. METHODS Data were obtained from a cross-sectional survey in five randomly selected districts in the state of Perak, Malaysia. A total of 250 households were randomly selected. A total of 811 individuals aged 60 years or more were recruited and interviewed using a structured questionnaire. Information about socio-demographic, history of falls in the past 1 year, medical history, drug history and physical activity level were enquired. RESULTS The prevalence of falls in the past 1 year among community-dwelling elderly was reported to be 4.07%. Indigenous elderly (Adjusted odd ratio, AOR = 6.06, 95% CI = 1.10-33.55, p = 0.039) and living alone (AOR = 2.60, 95% CI = 1.04-6.50, p = 0.042) were shown to be factors associated with falls. Ph...
International Journal of Physiotherapy, 2015
Background: The elderly population is growing, both in size and proportion with the total population and fall is a major problem for elderly. The aim of this study was to determine the prevalence and correlates of falls among elderly. Methods: A cross sectional survey with Snowball sampling technique was used to recruit 100 elderly persons, 52 male and 48 female, 65 years and above. A modified self administered closed ended questionnaire was used. The data obtained were summarized using descriptive statistics of mean and Standard Deviation. Inferential statistics of Chi square, phi and Cramer's V were used to analyze the data. Result: The result showed that 49% of the elderly had one or more falls with 65.3%falls occurring once and 34.7% occurring two or more times. Women fall more than men, accounting for 61.2% and 38.8% of the population respectively. A significant association was found between fall, age, sex, and reduced balance. Conclusion: The study concluded that there is high prevalence of falls in elderly with women experiencing more fall than men. It is recommended that modifications in the environment, counseling to the elderly and their families should be done to prevent further falls.
2021
Falls are one of the common problems among older adults; it is estimated that 684,000 fatal cases of falls occur every year. Furthermore, falls constitute one of the leading causes of mortality due to accidental injury. This study aims to identify the risk factors for falls in the older adults who live in the community, according to the dimensions of the living area: in urban and rural. The proportional sampling method was used to identify the rural and urban areas in West Java Prefecture; meanwhile, the incidence of fall in the last 12 months was selected as the outcome variable. Furthermore, sociodemographic background, chronic medical condition, fear of falling, visual and hearing impairments, Activity of Daily Living (ADL), Barthel index, physical performance (Short Performance Physical Battery (SPPB)), and living environment were analyzed to identify the risk factors that contribute to the incidence of falls. A total of 611 older adults participated in this study: 62% of them a...
Current Gerontology and Geriatrics Research, 2018
Objective. To assess the prevalence and health correlates of fall-related injury in a national population-based community-dwelling sample of older Indonesians. Methods. Participants were 6698 older adults, 50 years and older (median age 58.0 years, IQR=11.0, and age range of 50-101 years), who took part in in the Indonesia Family Life Survey (IFLS-5) in 2014-15. They provided information about sociodemographic, various health variables, including a falling down and received treatment history in the last two years. Results. Overall, 12.8% had one or more fall-related injuries in the past two years, 14.0% among women and 11.5% among men, 7.6% had a single fall, and 5.2% multiple fall-related injuries in the past two years. In multivariable logistic regression models, having two or more chronic conditions, urinary problems, and functional disability was independently associated with multiple fall-related injuries in the past two years in both sexes. Sex-specific risk factors were former tobacco use, having or having had a cataract, sleep disturbance, and sleep impairment in men and poorer economic background, depression symptoms, and low cognitive functioning in women. Conclusion. A significant proportion of older adults in Indonesia have fall-related injury. Several homogenous between the sexes and sex-specific risk factors for fall-related injury were identified that can help in designing fall-prevention strategies.
Background: Approaching 100 million in number, India has the second largest population of elderly people after China. India's elderly are growing faster than the general population. By the year 2050, the number of elderly population is expected to increase to 323 million. In the geriatric population, fall is the leading cause of nonfatal injuries and hospital admissions. Falls account for 40% of all injury deaths, and the death rates are the highest among 60 years and above in all the regions of the world. Objectives: The objective of this study is to assess the factors associated with the risk of fall among the elderly of 60 years and older in rural Kattankulathur block. Materials and Methods: The study is a community-based casecontrol design among the elders in a rural setting. Those who had fallen in the past 12 months were selected as cases, and an equal number of age-and gender-matched controls were selected. Multiple logistic regression was conducted with biological, behavioral, environmental, and socioeconomic variables. Results: Of the 747 elderly contacted for the survey, 140 cases and 140 controls each were selected based on self-reported fall in the previous 12 months. The mean age of the participants was 66 with 95% confidence interval (65-67). Individual risk factors for fall were fear of falling (odds ratio [OR] 6.7) and dizziness (OR 4.9). Conclusions: There is now, more than ever, a need to refocus public health priorities for falls prevention in rapidly aging elders in India. This study provides a much-needed information for further investigation into fall and fall-related injury in developing countries like India. How to cite this article: Peter RM, Joseph A, John K R, Logaraj M. A community-based case-control study on the risk of fall among the elderly in rural Kattankulathur block, Tamil Nadu.Indian J Community Med 2019;44:277-280 How to cite this URL: Peter RM, Joseph A, John K R, Logaraj M. A community-based case-control study on the risk of fall among the elderly in rural Kattankulathur block, Tamil Nadu. Indian J Community Med [serial online] 2019 [cited 2020 Jul 8 ];44:277-280
International Journal Of Community Medicine And Public Health, 2018
Background: More than 1/3 rd of older adults fall each year and 10-20% of falls cause serious injuries. Vast majority of these falls (>99.9%) are unintentional. This research is focused to identify prevalence of the risk of fall among elderly and associated factors were assessed in the present study. We are going assess the risk of falls and associated factors among elderly. Methods: A cross-sectional study conducted in urban field practice area of Community Medicine Department, Andhra Medical College among people of age >60 years during November 2017. A sample size of 100 is obtained by taking prevalence of falls among elderly on the last 6 months as 36.8% and absolute precision is 10%. A structured interview schedule has been adopted for the study which was developed by Peninsula Health Falls Prevention Services. Results: Mean age is 69±7 years. 65% are females. 20% have medium to high risk of fall. 17% have severely impaired cognitive status. 19% have history of fall one or more times in last 3-12 months. Conclusions: 20% risk of fall may not be neglected as fall in elderly can lead to disability. It is recommended to health care providers to assess the risk of fall among elderly patients seeking their services using fall risk assessment tool (FRAT) and advice accordingly.
Background: Fall injuries are a major cause of morbidity and disability in elderly. The magnitude of association of risk factors, the economic burden, and other consequences of fall in the elderly is less studied in India. Methods: A Community based matched case-control study was conducted among elderly ≥60 years, elders with a history of fall in the past 1 year was identified as cases. One control per case were selected, each case and control were matched for age and gender. Both groups were randomly selected from older people (age ≥60) living in Kaniyambadi block identified by door-to-door survey. Univariate analysis, stratified analysis and multivariate analysis was performed. Results: Having 141 cases of fall among 776 elders contacted, 18.17% (15.6-21.1) was estimated as the incidence of fall. The independent risk factors were identified as dizziness OR 2 (1.3 to 3.8) times and difficulty in walking OR 3 (1.7 to 5.9) times more likely for fall. Certain risk factors were found to be different in men and women. Among the 141 falls 110 (78%) had economic burden due to fall. Rs. 2370 was the mean expense for a fall, maximum of Rs 33,000 to a minimum of Rs 10 were spent because of falling. Conclusion: This study was one of the first community bases case-control studies in India on the risk of fall in elderly people. The study provides the important information on risk and protective factors for fall in rural Indians. The information could be used to develop targeted interventions to prevent the fall in this vulnerable age group.
Proceedings of the International Conference on Environmental Awareness for Sustainable Development in conjunction with International Conference on Challenge and Opportunities Sustainable Environmental Development, ICEASD & ICCOSED 2019, 1-2 April 2019, Kendari, Indonesia, 2019
This research aims to determine the factors associated with the risk of falls in the elderly in Tresna Elderly Social Institution Kendari. This research uses design of Analytical observational with cross sectional. The sample of this study used a proportional random sampling technique of 66 people who were taken based on inclusion and exclusion criteria. Data analysis used chi-square test to see the relationship between independent and dependent variables with a significance level of p <0.05. The results showed that intrinsically the elderly with reduced risk of musculoskeletal system function (86.37%) and extrinsic factors showed that the environment was at risk (13.63%) and the elderly with at risk devices (19.70%) of the elderly. The results of the test chi-square showed that the decrease in the musculoskeletal system p = 0.004, the environment p = 0.419 and the tool p = 0,000. The conclusion of this study is that there is a relationship between a decrease in the function of the musculoskeletal system and a tool with the risk of falling in the elderly and no environmental relationship with the risk of falling in the elderly.