2016
DOI: 10.2215/cjn.11111015
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Association of Reduced eGFR and Albuminuria with Serious Fall Injuries among Older Adults

Abstract: Background and objectives Falls are common and associated with adverse outcomes in patients on dialysis. Limited data are available in earlier stages of CKD.Design, setting, participants, & measurements We analyzed data from 8744 Reasons for Geographic and Racial Differences in Stroke Study participants $65 years old with Medicare fee for service coverage. Serious fall injuries were defined as a fall-related fracture, brain injury, or joint dislocation using Medicare claims. Hazard ratios (HRs) for serious fal… Show more

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Cited by 45 publications
(38 citation statements)
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“…In a recent report, a higher degree of albuminuria but not eGFR was associated with increased risk for serious falls among Medicare beneficiaries aged ≥65 years, even after adjustment for demographic, comorbid, and fall risk factors [21]. This is consistent with our results as slower gait speed is associated with increased falls risk [22].…”
Section: Discussionsupporting
confidence: 91%
“…In a recent report, a higher degree of albuminuria but not eGFR was associated with increased risk for serious falls among Medicare beneficiaries aged ≥65 years, even after adjustment for demographic, comorbid, and fall risk factors [21]. This is consistent with our results as slower gait speed is associated with increased falls risk [22].…”
Section: Discussionsupporting
confidence: 91%
“…Although further studies are warranted to determine the clinical implications of these findings, our data suggest that there is a need for heightened awareness of postural BP behavior in those with diminished kidney function. Assessment of the postural BP response merits further study in the CKD population as a potential means of identifying individuals at higher risk of developing hypotension‐related events such as falls, an important outcome not predicted by kidney function alone …”
Section: Discussionmentioning
confidence: 99%
“…11 Using a previously published algorithm, we defined serious fall injuries as an Emergency Department (ED) or an inpatient claim for fall-related fractures, brain injuries or joint dislocations. 6,12 In the absence of a fall-related code, a serious fall injury was defined as an ED or inpatient claim for any of the above serious injuries without a motor vehicle accident. 6,12,13 For the analysis of serious fall injuries, each participant was followed from their REGARDS in-home study visit to the first occurrence of a serious fall injury, loss of Medicare fee-for-service Parts A or B coverage, initiation of Part C coverage, death or December 31, 2014.…”
Section: Methodsmentioning
confidence: 99%