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Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis

INTRODUCTION: Falls are one of the most important causes of injuries and accidental deaths among this segment of over the age of 65 years. The long-term follow-up study of fall-related injuries was conducted in elderly veterans over the age of 65 years, and the risk of falls in veterans and non-vete...

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Autores principales: Perng, Huey-Jen, Chiu, Yu-Lung, Chung, Chi-Hsiang, Kao, Senyeong, Chien, Wu-Chien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731917/
https://www.ncbi.nlm.nih.gov/pubmed/31481377
http://dx.doi.org/10.1136/bmjopen-2019-030650
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author Perng, Huey-Jen
Chiu, Yu-Lung
Chung, Chi-Hsiang
Kao, Senyeong
Chien, Wu-Chien
author_facet Perng, Huey-Jen
Chiu, Yu-Lung
Chung, Chi-Hsiang
Kao, Senyeong
Chien, Wu-Chien
author_sort Perng, Huey-Jen
collection PubMed
description INTRODUCTION: Falls are one of the most important causes of injuries and accidental deaths among this segment of over the age of 65 years. The long-term follow-up study of fall-related injuries was conducted in elderly veterans over the age of 65 years, and the risk of falls in veterans and non-veterans was compared. METHODS: This study used the National Health Insurance Research Database for the period from 2000 to 2013 in Taiwan. This longitudinal study tracked falls in veterans over the age of 65 years, designated a control group (non-veterans), using 1:2 pairing on the basis of sex and time receiving medical care, and used Cox regression to analyse and compare the risk of falls among veterans and non-veterans. RESULTS: This study subjects consisted of 35 454 of the veterans had suffered falls (9.5%), as had 55 037 of the non-veterans (7.4%). After controlling for factors such as comorbidities/complications, the veterans had 1.252 times the risk of falls of the non-veterans. Furthermore, among persons in the 75–84 years old age group, veterans had 1.313 times the risk of falls of non-veterans, and among persons with mental illnesses and diseases of the eyes, veterans had 1.300 and 1.362 times the risk of falls of non-veterans. In addition, each veteran had an average of 4.07 falls during the 2000–2013 period, which was significantly higher than in the case of non-veterans (3.88 falls). CONCLUSIONS: Veterans’ risk of falls and recurrent falls were both higher than those of non-veterans, and age level, comorbidities/complications and level of low urbanisation were all important factors affecting veterans’ falls. The responsible authorities should, therefore, use appropriate protective measures to reduce the risk of falls and medical expenses in high-risk groups.
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spelling pubmed-67319172019-09-20 Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis Perng, Huey-Jen Chiu, Yu-Lung Chung, Chi-Hsiang Kao, Senyeong Chien, Wu-Chien BMJ Open Public Health INTRODUCTION: Falls are one of the most important causes of injuries and accidental deaths among this segment of over the age of 65 years. The long-term follow-up study of fall-related injuries was conducted in elderly veterans over the age of 65 years, and the risk of falls in veterans and non-veterans was compared. METHODS: This study used the National Health Insurance Research Database for the period from 2000 to 2013 in Taiwan. This longitudinal study tracked falls in veterans over the age of 65 years, designated a control group (non-veterans), using 1:2 pairing on the basis of sex and time receiving medical care, and used Cox regression to analyse and compare the risk of falls among veterans and non-veterans. RESULTS: This study subjects consisted of 35 454 of the veterans had suffered falls (9.5%), as had 55 037 of the non-veterans (7.4%). After controlling for factors such as comorbidities/complications, the veterans had 1.252 times the risk of falls of the non-veterans. Furthermore, among persons in the 75–84 years old age group, veterans had 1.313 times the risk of falls of non-veterans, and among persons with mental illnesses and diseases of the eyes, veterans had 1.300 and 1.362 times the risk of falls of non-veterans. In addition, each veteran had an average of 4.07 falls during the 2000–2013 period, which was significantly higher than in the case of non-veterans (3.88 falls). CONCLUSIONS: Veterans’ risk of falls and recurrent falls were both higher than those of non-veterans, and age level, comorbidities/complications and level of low urbanisation were all important factors affecting veterans’ falls. The responsible authorities should, therefore, use appropriate protective measures to reduce the risk of falls and medical expenses in high-risk groups. BMJ Publishing Group 2019-09-03 /pmc/articles/PMC6731917/ /pubmed/31481377 http://dx.doi.org/10.1136/bmjopen-2019-030650 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Perng, Huey-Jen
Chiu, Yu-Lung
Chung, Chi-Hsiang
Kao, Senyeong
Chien, Wu-Chien
Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis
title Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis
title_full Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis
title_fullStr Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis
title_full_unstemmed Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis
title_short Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis
title_sort fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731917/
https://www.ncbi.nlm.nih.gov/pubmed/31481377
http://dx.doi.org/10.1136/bmjopen-2019-030650
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