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Rural older people had lower mortality after accidental falls than non-rural older people

OBJECTIVE: This study aimed to investigate the mortality rate after falls of rural and non-rural older people and to explore the risk factors of mortality after falls among older people. PATIENTS AND METHODS: This population-based case–control study identified two groups from a nationwide claim data...

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Autores principales: Huang, Jen-Wu, Lin, Yi-Ying, Wu, Nai-Yuan, Chen, Yu-Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5230733/
https://www.ncbi.nlm.nih.gov/pubmed/28123289
http://dx.doi.org/10.2147/CIA.S119186
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author Huang, Jen-Wu
Lin, Yi-Ying
Wu, Nai-Yuan
Chen, Yu-Chun
author_facet Huang, Jen-Wu
Lin, Yi-Ying
Wu, Nai-Yuan
Chen, Yu-Chun
author_sort Huang, Jen-Wu
collection PubMed
description OBJECTIVE: This study aimed to investigate the mortality rate after falls of rural and non-rural older people and to explore the risk factors of mortality after falls among older people. PATIENTS AND METHODS: This population-based case–control study identified two groups from a nationwide claim database (National Health Insurance Research Database in Taiwan): a rural group and a non-rural group, which included 3,897 and 5,541 older people, respectively, who were hospitalized for accidental falls (The International Classification of Diseases, Ninth Revision, Clinical Modification: E880–E888) during 2006–2009. Both groups were followed up for 4 years after falls. Four-year cumulative all-cause mortality rate after falls was calculated, and the demographic factor, comorbidity, and medications were considered as the potential risk factors of mortality after falls. RESULTS: The rural group had a significantly higher frequency of fall-related hospitalizations (7.4% vs 4.3%, P<0.001), but a lower 4-year cumulative all-cause mortality rate after falls than the non-rural group (8.8% vs 23.4%, P<0.001). After adjusting for age, gender, comorbidity, and medication use, the rural group had a significantly lower risk of mortality after falls than the non-rural group (adjusted odds ratio =0.32, 95% confidence interval =0.28–0.37, P<0.001). Age, gender, place of residence, comorbidity, number of medications, and inappropriate medication use were independent risk factors of mortality after falls. CONCLUSION: The rural older people had a higher frequency of fall-related hospitalizations but lower mortality after falls than the non-rural older people. Fall prevention programs should be adjusted for difference in place of residence.
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spelling pubmed-52307332017-01-25 Rural older people had lower mortality after accidental falls than non-rural older people Huang, Jen-Wu Lin, Yi-Ying Wu, Nai-Yuan Chen, Yu-Chun Clin Interv Aging Original Research OBJECTIVE: This study aimed to investigate the mortality rate after falls of rural and non-rural older people and to explore the risk factors of mortality after falls among older people. PATIENTS AND METHODS: This population-based case–control study identified two groups from a nationwide claim database (National Health Insurance Research Database in Taiwan): a rural group and a non-rural group, which included 3,897 and 5,541 older people, respectively, who were hospitalized for accidental falls (The International Classification of Diseases, Ninth Revision, Clinical Modification: E880–E888) during 2006–2009. Both groups were followed up for 4 years after falls. Four-year cumulative all-cause mortality rate after falls was calculated, and the demographic factor, comorbidity, and medications were considered as the potential risk factors of mortality after falls. RESULTS: The rural group had a significantly higher frequency of fall-related hospitalizations (7.4% vs 4.3%, P<0.001), but a lower 4-year cumulative all-cause mortality rate after falls than the non-rural group (8.8% vs 23.4%, P<0.001). After adjusting for age, gender, comorbidity, and medication use, the rural group had a significantly lower risk of mortality after falls than the non-rural group (adjusted odds ratio =0.32, 95% confidence interval =0.28–0.37, P<0.001). Age, gender, place of residence, comorbidity, number of medications, and inappropriate medication use were independent risk factors of mortality after falls. CONCLUSION: The rural older people had a higher frequency of fall-related hospitalizations but lower mortality after falls than the non-rural older people. Fall prevention programs should be adjusted for difference in place of residence. Dove Medical Press 2017-01-06 /pmc/articles/PMC5230733/ /pubmed/28123289 http://dx.doi.org/10.2147/CIA.S119186 Text en © 2017 Huang et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Huang, Jen-Wu
Lin, Yi-Ying
Wu, Nai-Yuan
Chen, Yu-Chun
Rural older people had lower mortality after accidental falls than non-rural older people
title Rural older people had lower mortality after accidental falls than non-rural older people
title_full Rural older people had lower mortality after accidental falls than non-rural older people
title_fullStr Rural older people had lower mortality after accidental falls than non-rural older people
title_full_unstemmed Rural older people had lower mortality after accidental falls than non-rural older people
title_short Rural older people had lower mortality after accidental falls than non-rural older people
title_sort rural older people had lower mortality after accidental falls than non-rural older people
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5230733/
https://www.ncbi.nlm.nih.gov/pubmed/28123289
http://dx.doi.org/10.2147/CIA.S119186
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