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Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study

BACKGROUND: Coronavirus disease 2019 (COVID-19) social distancing policies resulted in reductions in community movement, however, fall rates during this time have not been described. METHODS: This prospective study included adults ≥65 years old participating in the Ambulatory Blood Pressure in Older...

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Autores principales: Bowling, C Barrett, Wei, Rong X, Qian, Lei, Shimbo, Daichi, Schwartz, Joseph E, Muntner, Paul, Cannavale, Kimberly L, Harrison, Teresa N, Reynolds, Kristi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9214135/
https://www.ncbi.nlm.nih.gov/pubmed/35690355
http://dx.doi.org/10.1093/gerona/glac131
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author Bowling, C Barrett
Wei, Rong X
Qian, Lei
Shimbo, Daichi
Schwartz, Joseph E
Muntner, Paul
Cannavale, Kimberly L
Harrison, Teresa N
Reynolds, Kristi
author_facet Bowling, C Barrett
Wei, Rong X
Qian, Lei
Shimbo, Daichi
Schwartz, Joseph E
Muntner, Paul
Cannavale, Kimberly L
Harrison, Teresa N
Reynolds, Kristi
author_sort Bowling, C Barrett
collection PubMed
description BACKGROUND: Coronavirus disease 2019 (COVID-19) social distancing policies resulted in reductions in community movement, however, fall rates during this time have not been described. METHODS: This prospective study included adults ≥65 years old participating in the Ambulatory Blood Pressure in Older Adults (AMBROSIA) cohort and who completed ≥1 monthly falls calendar (August 2019–March 2021; n = 250). Months were grouped to correspond to the fall 2020 phased reopening (August–October) and the shelter-in-place policy during the winter 2020 surge (November–January) in Los Angeles, California and compared to the same months, 1 year earlier (ie, before the pandemic). RESULTS: Participants had a mean (standard deviation [SD]) age of 75.2 (6.1) years, 49.6% were White, and 53.2% were women. We obtained 2 795 falls calendars during follow-up. Overall, 110 (44.0%) participants reported a total of 421 falls (rate 15.1 per 100 calendar months). The highest monthly fall rate during the pandemic was 22.9 (95% confidence interval [CI] 16.4–31.1) per 100 calendar-months in August 2020. The lowest fall rate during the pandemic was 8.6 (95% CI 3.5–17.8) per 100 calendar-months in February 2021. During the pandemic, fall rates in August, September, and October 2020 were higher than the previous year (rate ratio 1.8 [95% CI 1.1–2.9]), and fall rates in November and December 2020 and January 2021 were lower than the previous year (rate ratio 0.5 [95% CI 0.4–0.8]). CONCLUSION: As the pandemic continues and older adults resume community mobility after a shelter-in-place period, providers should pay attention to the risk of falls.
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spelling pubmed-92141352022-06-22 Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study Bowling, C Barrett Wei, Rong X Qian, Lei Shimbo, Daichi Schwartz, Joseph E Muntner, Paul Cannavale, Kimberly L Harrison, Teresa N Reynolds, Kristi J Gerontol A Biol Sci Med Sci THE JOURNAL OF GERONTOLOGY: Medical Sciences BACKGROUND: Coronavirus disease 2019 (COVID-19) social distancing policies resulted in reductions in community movement, however, fall rates during this time have not been described. METHODS: This prospective study included adults ≥65 years old participating in the Ambulatory Blood Pressure in Older Adults (AMBROSIA) cohort and who completed ≥1 monthly falls calendar (August 2019–March 2021; n = 250). Months were grouped to correspond to the fall 2020 phased reopening (August–October) and the shelter-in-place policy during the winter 2020 surge (November–January) in Los Angeles, California and compared to the same months, 1 year earlier (ie, before the pandemic). RESULTS: Participants had a mean (standard deviation [SD]) age of 75.2 (6.1) years, 49.6% were White, and 53.2% were women. We obtained 2 795 falls calendars during follow-up. Overall, 110 (44.0%) participants reported a total of 421 falls (rate 15.1 per 100 calendar months). The highest monthly fall rate during the pandemic was 22.9 (95% confidence interval [CI] 16.4–31.1) per 100 calendar-months in August 2020. The lowest fall rate during the pandemic was 8.6 (95% CI 3.5–17.8) per 100 calendar-months in February 2021. During the pandemic, fall rates in August, September, and October 2020 were higher than the previous year (rate ratio 1.8 [95% CI 1.1–2.9]), and fall rates in November and December 2020 and January 2021 were lower than the previous year (rate ratio 0.5 [95% CI 0.4–0.8]). CONCLUSION: As the pandemic continues and older adults resume community mobility after a shelter-in-place period, providers should pay attention to the risk of falls. Oxford University Press 2022-06-11 /pmc/articles/PMC9214135/ /pubmed/35690355 http://dx.doi.org/10.1093/gerona/glac131 Text en Published by Oxford University Press on behalf of The Gerontological Society of America 2022. This work is written by (a) US Government employee(s) and is in the public domain in the US.
spellingShingle THE JOURNAL OF GERONTOLOGY: Medical Sciences
Bowling, C Barrett
Wei, Rong X
Qian, Lei
Shimbo, Daichi
Schwartz, Joseph E
Muntner, Paul
Cannavale, Kimberly L
Harrison, Teresa N
Reynolds, Kristi
Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study
title Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study
title_full Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study
title_fullStr Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study
title_full_unstemmed Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study
title_short Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study
title_sort changes in fall rates from before to during the covid-19 pandemic: findings from the prospective ambrosia study
topic THE JOURNAL OF GERONTOLOGY: Medical Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9214135/
https://www.ncbi.nlm.nih.gov/pubmed/35690355
http://dx.doi.org/10.1093/gerona/glac131
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