Quedas: revisão de novos conceitos

Cruz, Esteban; González, Mariana; López, Manuel López; Godoy, Illythia D.; Pérez, Mario Ulises

doi:10.12957/rhupe.2014.11522

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…Given the multi-causality of falls in the older population, both first time and recurrent, it is important to implement a multifactorial assessment of risk of falling. The risk factors for falls are multiple and interrelated, and include having a history of previous falls, gait alterations, osteoporosis, loss of functional capacity, fear of future falls, visual alterations, impaired cognitive capacity, urinary incontinence, cardiovascular problems, medication intake, fatigue and the environment [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls

Pellicer-García

Antón-Solanas

Ramón-Arbués

et al. 2020

IJERPH

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Falls in the elderly are one of the main geriatric syndromes and a clear indicator of fragility in the older adult population. This has serious consequences, leading to an increase in disability, institutionalization and death. The purpose of this cross-sectional study was to analyze the prevalence of risk of falling and associated factors in a population of 213 non-institutionalised, able older adults with a history of falling in the previous year. We used the following assessment tools: Questionnaire of the WHO for the study of falls in the elderly, Geriatric Depression Scale and Tinetti’s Gait and Balance Assessment Tool. Age, using ambulatory assistive devices, polymedication, hospital admission following a fall and depression were significantly associated with risk of falling. In order to prevent fall reoccurrence, community-based fall prevention programs should be implemented.

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Section: Introductionmentioning

confidence: 99%

Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls

Pellicer-García

Antón-Solanas

Ramón-Arbués

et al. 2020

IJERPH

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“…Increasing longevity in Latin America, as elsewhere, introduces new challenges to health and research policies. According to the United Nations, the population aged 60 years and over is expected to increase from 10% to 20% during the period from 2010 to 2040 in the Latin American and Caribbean regions, making aging a priority on the public agenda ( Cruz et al, 2014 ; Instituto Nacional de Geriatría [INGER], 2022; Marques-Vieira et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

“…It has been documented that the main consequences of falls are fractures (mainly hip), immobility, reduction in activities of daily living (ADL), and fear of falls (also called Post-Fall Syndrome or Ptophobia) (Beltrán, 2002 in CENAPRECE, 2015, 2017; Cruz et al, 2014 ; Secretariado Técnico del Consejo Nacional para la Prevención de Accidentes, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Adaptation and Validation of the Falls Efficacy Scale-International (FES-I) in Community-Dwelling Older Mexican Adults

Medina-Jiménez,

Acosta-Quiroz,

García-Flores

2023

Gerontology and Geriatric Medicine

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The objective of this study was to evaluate the reliability and validity of the FES-I scale in community-dwelling older Mexican adults. Participants were 222 older adults, with a mean age of 70 years; 75% were women who completed a sociodemographic data sheet, a Spanish version of the FES-I scale, intended to explore measures of depression, quality of life, and instrumental activities of daily living. Discriminant validity was demonstrated for all items on the FES-I scale and when groups of older adults were compared according to age. Evidence of internal consistency was found in all the items of the FES-I scale (α = .91) and convergent and divergent validity of the FES-I scale with measures of depression and quality of life, except instrumental activities of daily living. The Confirmatory Factor Analysis shows that the FES-I scale partially retains its two-factor measurement properties since five items were removed from the model to fit the data. The FES-I scale is a valid and reliable measure for clinical evaluations of fear of falls in older Mexican adults in the community.

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“…In addition to the physical outcome, there are also psychological consequences (termed the post-fall syndrome), which can affect up to 50% of persons who have suffered a fall. The fear of suffering another fall often provokes a loss of confidence in the ability to perform everyday activities, thus reducing mobility and functional capacity (Cruz et al, 2014). Falls were the second most reported adverse event in hospitals in 2018 (The Joint Commission, 2019), while the prevalence of falls by patients in Spanish hospitals has been estimated at 6.3% (Durán et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Relation between hyponatraemia and falls by acute hospitalised patients: A case‐control study

Aranda-Gallardo

Gonzalez-Lozano

Oña-Gil

et al. 2021

Journal of Clinical Nursing

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Aims and objectives To investigate the possible association between hyponatremia and falls, in a sample of hospitalised adult patients. Background In‐hospital falls are a problem of major importance, provoking a significant decline in the quality of life of many patients. Recent studies have identified a relationship between such falls and the presence of hyponatremia. Design Analytical retrospective observational case‐control study. Methods The study population consisted of hospitalised patients who had suffered an in‐hospital fall during the period 2014–2016. For each case, two controls who had not suffered any such fall were recruited. These cases and controls were matched according to gender, age, hospitalisation unit and date of admission. Study data were obtained from the hospital’s record of falls, regarding the patients’ socio‐demographic factors, physical and psychological conditions and blood levels of sodium, potassium, urea and creatinine. The study is reported in accordance with STrengthening the Reporting of OBservational studies in Epidemiology guidelines. Results The study sample consisted of 555 patients (185 cases and 370 controls). Hyponatraemia was detected in 57 cases (30.8%). A statistically significant relationship was found between the presence of hyponatraemia and the occurrence of falls: OR = 2.04. Other risk factors for falls were hypercreatinaemia OR 2.49, hyperuraemia OR 1.82, disorientation, need for ambulatory assistance and longer hospital stay. Conclusions From the study findings, we conclude that hyponatraemia is a predictor of falls by acute hospitalised patients. Further research is needed on the relationship between hypercreatinaemia, hyperuraemia and falls. Relevance to clinical practice The assessment of risk factors for falls, such as hyponatraemia, can alert us to the possibility of this event occurring and facilitate the implementation of preventive measures. This parameter should be included as a significant new factor in assessment instruments designed to assess the risk of falls, thus enhancing the reliability and diagnostic validity of these instruments.

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Quedas: revisão de novos conceitos

Cited by 4 publications

References 16 publications

Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls

Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls

Adaptation and Validation of the Falls Efficacy Scale-International (FES-I) in Community-Dwelling Older Mexican Adults

Relation between hyponatraemia and falls by acute hospitalised patients: A case‐control study

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