Falling and recurrent falling
Of all study residents, 24% experienced a fall and 12% experienced recurrent falling during the 6-month observation period. Table 5 shows the logistic regression results for falling. Of all covariates examined, age 75–84 years ( p¼0.049), age 85þ years ( p¼0.016), ADL score ( p¼0.019), anemia status ( p50.001), chronic kidney disease ( p¼0.023), and psychoactive medication use (sedatives, hypnotics, antidepressants, antipsychotics, p¼0.001) were significantly associated with falling; factors associated with more than twice the risk of falling included anemia (OR¼2.26), psychoactive medication use (OR¼2.18), and age 85þ years (OR¼2.08). Most residents (68%) received at least one concurrent psychoactive medication during the study period. Thirty-nine percent of residents studied received a psychoactive medication and were also identified as anemic. Ten of the 138 residents (7%) who fell were hospitalized with fractures during the 6-month post-index period. Of these, all were anemic and nine had received a psychoactive medication. When Hb level and gender were substituted for anemia status in the model, gender was not associated
with a change in risk of falling, though adjusted risk of falls was found to change by 19% for each 1-g/dL change in Hb level ( p¼0.001) (Table 5).
Table 6 provides results for the logistic regression for recurrent falls. Age 75–84 years ( p¼0.024), age 85þ years ( p¼0.024), psychoactive medication use ( p¼0.005), chronic kidney disease ( p¼0.006), and anemia ( p¼0.005) were associated with more than twice the risk of recurrent falls. Balance score ( p¼0.020) was also significantly related to recurrent falls. Adjusted risk of recurrent falls was found to change by 24% for each 1-g/dL change in Hb level ( p¼0.001) (Table 6).
Falling and recurrent fallingOf all study residents, 24% experienced a fall and 12% experienced recurrent falling during the 6-month observation period. Table 5 shows the logistic regression results for falling. Of all covariates examined, age 75–84 years ( p¼0.049), age 85þ years ( p¼0.016), ADL score ( p¼0.019), anemia status ( p50.001), chronic kidney disease ( p¼0.023), and psychoactive medication use (sedatives, hypnotics, antidepressants, antipsychotics, p¼0.001) were significantly associated with falling; factors associated with more than twice the risk of falling included anemia (OR¼2.26), psychoactive medication use (OR¼2.18), and age 85þ years (OR¼2.08). Most residents (68%) received at least one concurrent psychoactive medication during the study period. Thirty-nine percent of residents studied received a psychoactive medication and were also identified as anemic. Ten of the 138 residents (7%) who fell were hospitalized with fractures during the 6-month post-index period. Of these, all were anemic and nine had received a psychoactive medication. When Hb level and gender were substituted for anemia status in the model, gender was not associatedwith a change in risk of falling, though adjusted risk of falls was found to change by 19% for each 1-g/dL change in Hb level ( p¼0.001) (Table 5). Table 6 provides results for the logistic regression for recurrent falls. Age 75–84 years ( p¼0.024), age 85þ years ( p¼0.024), psychoactive medication use ( p¼0.005), chronic kidney disease ( p¼0.006), and anemia ( p¼0.005) were associated with more than twice the risk of recurrent falls. Balance score ( p¼0.020) was also significantly related to recurrent falls. Adjusted risk of recurrent falls was found to change by 24% for each 1-g/dL change in Hb level ( p¼0.001) (Table 6).
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Falling and recurrent falling
Of all study residents, 24% experienced a fall and 12% experienced recurrent falling during the 6-month observation period. Table 5 shows the logistic regression results for falling. Of all covariates examined, age 75–84 years ( p¼0.049), age 85þ years ( p¼0.016), ADL score ( p¼0.019), anemia status ( p50.001), chronic kidney disease ( p¼0.023), and psychoactive medication use (sedatives, hypnotics, antidepressants, antipsychotics, p¼0.001) were significantly associated with falling; factors associated with more than twice the risk of falling included anemia (OR¼2.26), psychoactive medication use (OR¼2.18), and age 85þ years (OR¼2.08). Most residents (68%) received at least one concurrent psychoactive medication during the study period. Thirty-nine percent of residents studied received a psychoactive medication and were also identified as anemic. Ten of the 138 residents (7%) who fell were hospitalized with fractures during the 6-month post-index period. Of these, all were anemic and nine had received a psychoactive medication. When Hb level and gender were substituted for anemia status in the model, gender was not associated
with a change in risk of falling, though adjusted risk of falls was found to change by 19% for each 1-g/dL change in Hb level ( p¼0.001) (Table 5).
Table 6 provides results for the logistic regression for recurrent falls. Age 75–84 years ( p¼0.024), age 85þ years ( p¼0.024), psychoactive medication use ( p¼0.005), chronic kidney disease ( p¼0.006), and anemia ( p¼0.005) were associated with more than twice the risk of recurrent falls. Balance score ( p¼0.020) was also significantly related to recurrent falls. Adjusted risk of recurrent falls was found to change by 24% for each 1-g/dL change in Hb level ( p¼0.001) (Table 6).
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ตกซ้ำตก
ของผู้อยู่อาศัยและการศึกษาทั้งหมด 24 % ประสบการณ์ฤดูใบไม้ร่วง และ 12% ในช่วง 6 เดือนที่ประสบกำเริบลดลงสังเกตระยะเวลา ตารางที่ 5 แสดงการถดถอยโลจิสติกเพื่อล้ม ทุกความรู้ตรวจสอบ อายุ 75 – 84 ปี ( p ¼ 0.049 ) þ อายุ 85 ปี ( p ¼ 0.016 ) คะแนน ADL ( P ¼ 0.019 ) โลหิตจาง สถานะ ( p50.001 ) โรคไตเรื้อรัง ( P ¼ 0.023 ) and psychoactive medication use (sedatives, hypnotics, antidepressants, antipsychotics, p¼0.001) were significantly associated with falling; factors associated with more than twice the risk of falling included anemia (OR¼2.26), psychoactive medication use (OR¼2.18), and age 85þ years (OR¼2.08). Most residents (68%) received at least one concurrent psychoactive medication during the study period.สามสิบเก้าเปอร์เซ็นต์ของประชากรที่ศึกษา ได้รับยา psychoactive และยังระบุว่าเป็นโลหิตจาง สิบของ 138 คน ( ร้อยละ 7 ) ผู้ล้มเข้าโรงพยาบาลกับกระดูกหักในช่วง 6 เดือนหลังดัชนีระยะเวลา เหล่านี้ทั้งหมดเป็นโลหิตจางและเก้าได้รับยา psychoactive . เมื่อระดับฮีโมโกลบินและเพศทดแทนสำหรับภาวะโลหิตจางในรูปแบบ , เพศไม่มีความสัมพันธ์
with a change in risk of falling, though adjusted risk of falls was found to change by 19% for each 1-g/dL change in Hb level ( p¼0.001) (Table 5).
Table 6 provides results for the logistic regression for recurrent falls. Age 75–84 years ( p¼0.024), age 85þ years ( p¼0.024), psychoactive medication use ( p¼0.005), chronic kidney disease ( p¼0.006), and anemia ( p¼0.005 ) มีความสัมพันธ์กับความเสี่ยงของการล้มมากกว่าสองร่วมกัน คะแนนสมดุล ( P ¼ 0.020 ) มีความสัมพันธ์กับ Falls กําเริบ การปรับความเสี่ยงตกซ้ำ พบว่ามีการเปลี่ยนแปลงโดย 24% สำหรับแต่ละ 1-g / dl การเปลี่ยนแปลงในระดับฮีโมโกลบิน ( P ¼ 0.05 ) ( ตารางที่ 6 )
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