Study limitations
Several limitations of the present study were
found. Firstly, because of the limited data, it is difficult
to analyze prevalence rates of fall but only admission
rates.Additionally, these figures may include falls during
hospitalization. Secondly, there is the potential
misclassification of data collection wherein some
patients were either inappropriately included or
excluded based on ICD-10 codes. Thirdly, many data
associated with risk factors of fall are unavailable such
as history of falls, balance and gait, associated
medications and cognitive assessment. Finally, the
impact of falls on some aspects is lacking, such as
functional capacity in activities of daily living post fall
and post-hospital costs. Therefore the results of the
present study need to be interpreted in the context of
its limitations.
Conclusion
The admission rates and mortality rates of fallrelated
injury increased with age. Slipping, tripping or
stumbling were the common causes of hospitalization
with fall. Comprehensive fall assessment should be done
in these elders including gait and balance problems,
visual disturbance, and environmental hazard. The
elderly with falls and fractures were associated with an
increased length of stay and health care costs. Alliedhealthcare
workers need to routinely inquire about fall
risks to elders, address and educate modifiable
underlying risk factors to elders and their families such
as home hazard modifications, avoidance of medication
interactions and side effects, and the use of proper
protective equipments during daily activities.
Acknowledgement
The authors wish to acknowledge the support
of the Khon Kaen University Publication Clinic,
Research and Technology Transfer Affairs, Khon Kaen
University, for their assistance
Potential conflicts of interest
None.
Study limitationsSeveral limitations of the present study werefound. Firstly, because of the limited data, it is difficultto analyze prevalence rates of fall but only admissionrates.Additionally, these figures may include falls duringhospitalization. Secondly, there is the potentialmisclassification of data collection wherein somepatients were either inappropriately included orexcluded based on ICD-10 codes. Thirdly, many dataassociated with risk factors of fall are unavailable suchas history of falls, balance and gait, associatedmedications and cognitive assessment. Finally, theimpact of falls on some aspects is lacking, such asfunctional capacity in activities of daily living post falland post-hospital costs. Therefore the results of thepresent study need to be interpreted in the context ofits limitations.ConclusionThe admission rates and mortality rates of fallrelatedinjury increased with age. Slipping, tripping orstumbling were the common causes of hospitalizationwith fall. Comprehensive fall assessment should be donein these elders including gait and balance problems,visual disturbance, and environmental hazard. Theelderly with falls and fractures were associated with anincreased length of stay and health care costs. Alliedhealthcareworkers need to routinely inquire about fallrisks to elders, address and educate modifiableunderlying risk factors to elders and their families suchas home hazard modifications, avoidance of medicationinteractions and side effects, and the use of properprotective equipments during daily activities.AcknowledgementThe authors wish to acknowledge the supportof the Khon Kaen University Publication Clinic,Research and Technology Transfer Affairs, Khon KaenUniversity, for their assistancePotential conflicts of interestNone.
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