Falls, fear of falling and related factors in community‐dwelling individuals aged 80 and over in Turkey

Şimşek, Hatice; Erkoyun, Erdem; Akoz, Ali; Ergör, Alp; Uçku, Reyhan

doi:10.1111/ajag.12673

Cited by 18 publications

(18 citation statements)

References 25 publications

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“…On the other hand, fear prevalence in our study was substantially lower than the 71% reported in a study of older Turkish patients who underwent total knee or hip replacement (Turhan Damar et al, 2018). The higher prevalence in that study may reflect cultural or demographic differences, or it may reflect the much higher proportion of women in that study (nearly 70%), since older women are more likely to fear falling, based on previous work (Lavedán et al, 2018; Eunmi et al, 2015; Simsek et al, 2020) and the present study.…”

Section: Discussionmentioning

confidence: 55%

Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Zhang

2021

Journal of Clinical Nursing

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Background The factors that lead to the fear of falling among older people after total knee arthroplasty (TKA) are poorly understood. The present study aims to examine the fear of falling among such patients and to determine the factors that are associated with that fear. Methods A total of 285 patients aged ≥65 with knee osteoarthritis who underwent TKA at an orthopaedic hospital between November 2019 and May 2020 completed surveys about their own first mobilisation after TKA. They were asked to indicate whether they were afraid of falling by asking a single question, and what their pain level was on a visual analogue scale. They also completed the General Anxiety Disorder scale, the Geriatric Depression Scale–Short Form and the Social Support Rating Scale. Multivariate logistic regression was used to identify risk factors for fear of falling during the first mobilisation after TKA. This study was reported in compliance with the STROBE checklist for cross‐sectional studies (see Supplementary File S1). Results Just over half (56.5%) of participants reported being afraid of falling. Multivariate logistic regression identified three independent risk factors that explained a total of 31% of the variance in the fear of falling: female sex (odds ratio (OR) = 4.21, 95% confidence interval (CI) = 2.35–7.55), higher body mass index (OR =3.93, 95% CI =1.53–10.10) and higher anxiety (OR = 1.56, 95% CI = 1.37–1.78). Conclusions Many older patients fear falling when they begin to move after TKA, particularly women and those with higher body mass index or anxiety. These subgroups may merit special attention from healthcare professionals to mitigate their fears and optimise recovery after TKA.

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Section: Discussionmentioning

confidence: 55%

Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Zhang

2021

Journal of Clinical Nursing

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“…However, that study may not have evaluated insomnia with an objective method. 46 In the present study, none of the patients used hypnotic drugs, benzodiazepines, non-benzodiazepines, melatonin, or orexin receptor antagonists in the insomnia or control group. Benzodiazepines are the most commonly used drugs for insomnia treatment.…”

Section: Discussionmentioning

confidence: 61%

“…In a study assessing community‐dwelling older people over the age of 80, sleep disturbance was not associated with fear of falling. However, that study may not have evaluated insomnia with an objective method 46 …”

Section: Discussionmentioning

confidence: 99%

Insomnia and falls in older adults: are they linked to executive dysfunction?

et al. 2021

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Background Insomnia increases the incidence of falls and impairs executive function. Moreover, falls are associated with executive function impairment. The relationship between falls and executive function in patients with insomnia is not clear. The aim of this study was to evaluate relationship between falls and executive function in individuals with insomnia and a control group. Methods This study involved 122 patients (47 insomnia, 75 controls). The Mini‐Mental State Examination, Quick Mild Cognitive Impairment Screen, Trail Making Test A, clock‐drawing test, and digit span test were used to measure executive function. Semantic and working memory dual task was also performed. Fall history was recorded and the Falls Efficacy Scale – International administered. Results The median age of the patients was 71 years (range: 65–89 years), and 60.7% were women. The insomnia group scored lower on the three‐word recall than the control group (P = 0.005), but there was no difference between the groups on cognitive tests. Fall history and fear of falling were more frequent in the insomnia group (P = 0.003, P < 0.001). Semantic and working memory dual tasks were correlated with clock‐drawing test only in the insomnia group (r = −0.316, P = 0.031; r = −0.319, P = 0.029). Depression (odds ratio (OR) = 9.65, P = 0.001) and Trail Making Test A (OR = 1.025, P = 0.07) were independently associated with insomnia. Four‐metre walking speed (OR = 2.342, P = 0.025), insomnia (OR = 3.453; P = 0.028), and the semantic memory dual task (OR = 1.589; P = 0.025) were also independently associated with falls. Conclusion Our study showed that dual tasking and executive function are related to falls in patients with insomnia. Managing insomnia and assessment of executive dysfunction may have beneficial effects on preventing falls.

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“…In total, 1075 elderly participants were evaluated (response rate 67.1%). The data on falls, fear of falls and associated risks have been published from this database elsewhere (14).…”

Section: Methodsmentioning

confidence: 99%

Unmet health and social care needs and associated factors among older people aged ≥ 80 years in Izmir, Turkey

Şimşek¹,

Erkoyun²,

Akoz³

et al. 2021

East Mediterr Health J.

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Background: The health and social care needs of people aged ≥ 80 years are a neglected topic. Aims: To determine the prevalence of unmet health and social care needs and associated factors in community-dwelling individuals aged ≥ 80 years in Izmir District of Balçova, Turkey. Methods: There were 1075 participants aged ≥ 80 years. The dependent variables were unmet health and social care needs. Independent variables were sociodemographic, socioeconomic and lifestyle characteristics. The data were collected in face-to-face interviews conducted at the homes and analysed by multiple logistic regression model. Ethical approval was obtained from the Non-Invasive Research Ethics Board of Dokuz Eylul University Medical Faculty (2017/26-24). Results: The mean age was 84.1 (3.7) years and 61.0% were female. Healthcare needs were expressed by 88.2% of the participants and 78.9% claimed that they had social care needs. Prevalence of unmet health and social care needs was 32.5% and 46.6%, respectively. Approximately 90.0% of their needs were covered by families. Perceived low-income status was a risk factor for unmet healthcare needs, and lack of social support was a risk factor for unmet social care needs. Additionally, not receiving formal education was a protective factor in unmet social care needs. Conclusion: Public health policy should be developed to enable better access to care, especially for the oldest people, considering that nearly one third of the participants in this study had unmet healthcare needs and almost half had unmet social care needs.

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Falls, fear of falling and related factors in community‐dwelling individuals aged 80 and over in Turkey

Cited by 18 publications

References 25 publications

Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Insomnia and falls in older adults: are they linked to executive dysfunction?

Unmet health and social care needs and associated factors among older people aged ≥ 80 years in Izmir, Turkey

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