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. 2013 Apr 3;32(2):86–91. [Article in Spanish] doi: 10.1016/S0212-6567(03)70742-2

Prevalencia de caídas en ancianos que viven en la comunidad

Prevalence of falls in the elderly living in the community

M Pujiula Blanch 1,*, M Quesada Sabaté 1; Grupo apoc abs Salt1,*
PMCID: PMC7684342  PMID: 12841994

Abstract

Objective

To calculate the prevalence of falls, linked factors and their consequences in elderly people ≥70 in two communities, prior to an intervention study.

Design

Descriptive cross-sectional study.

Setting

2 mixed urban-rural communities.

Participants

Sample of people ≥70, 329 in the intervention group (IG) and 372 in the control group (CG). Randomised and systematic sampling.

Main measurements and results

With a 95% confidence interval, we observed the differences between the IG (first) and the CG (second): men, 38.9% (33.6-44.4) and 41.6% (36.6-46.9); mean age, 80.11 (79.49-80.73) and 78.42 (77.77-79.07) years old; over 80, 41.9% (37.4-46.4) and 32.8% (29.5-36); high level of dependence on Katz index, 10.3% (9.2-11.4) and 13.2% (11.9-14.5); 28.9% (25.8-31.9) and 32% (28.8-35.2) had fallen in the preceding year; recurrent falls in people who had already fallen, 34.7% (25.2-45.2) and 37% (28.3-46.3); total number of falls, 166 and 218. Of the total number of falls, 45.4% (37.1-54) and 30.3% (24.3-36.8) required medical care; 7.3% (3.8-12.3) and 5% (2.5-8.8) needed hospital admission; and 10.4% (6-16.3) and 6.9% (3.9-11.2) presented fractures. Falls mainly occurred at home (61% and 56.5%); for reasons of their environment (40% and 54%) and mobility problems (37.5% and 36%). The most common lesions were cuts and bruises (86.1% and 77.9%).

Conclusion

In both groups the prevalence of people who had fallen coincided with most other studies. Nor were there relevant differences concerning the main features of the falls and the lesions occasioned.

Key words: Falls, Elderly, Community

Bibliografía

  • 1.Satttin R.W. Falls among older persons: a public health perspective. Annu rev Public Health. 1999;13:489–508. doi: 10.1146/annurev.pu.13.050192.002421. [DOI] [PubMed] [Google Scholar]
  • 2.Tinetti M., Speechley M., Ginter S. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–1707. doi: 10.1056/NEJM198812293192604. [DOI] [PubMed] [Google Scholar]
  • 3.Tinetti M.E., Baker D.I., McAvay G., Claus E.B., Garret P., Gottschalk M. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994;331:821–827. doi: 10.1056/NEJM199409293311301. [DOI] [PubMed] [Google Scholar]
  • 4.Rizzo J.A., Baker D.I., McAvay G., Tinetti M.E. The Cost-Effectiveness of a Multifactorial Targeted Prevention Program for Falls Among Community Elderly Persons. Med Care. 1996;34:954–969. doi: 10.1097/00005650-199609000-00007. [DOI] [PubMed] [Google Scholar]
  • 5.Reinsch S., MacRae P., Lauchenbruc P.A., Tobis J.S. Attempts to prevent fall and injury: a prospective community study. Gerontologist. 1992;32:450. doi: 10.1093/geront/32.4.450. [DOI] [PubMed] [Google Scholar]
  • 6.Gillespie LD, Gillespie WJ, Cumming R, Lamb SE, Rowe BH. Interventions to reduce the incidence of falling in the elderly. The Cochrane Library, 2001; issue 2
  • 7.Guide to Clinical Preventive Services. 2nd ed. Report of the US Preventive Services Task Force. Williams & Wilkins; Maryland: 1996. Report of the US Preventive Services Task Force. Counseling to Prevent Household and Recreational Injuries; pp. 659–685. [Google Scholar]
  • 8.King M.B., Tinetti M.E. A multifactorial approach to reducing injurious falls. Clin Geriatr Med. 1996;12:745–759. [PubMed] [Google Scholar]
  • 9.Josephson K.R., Fabacher D.A., Rubenstein L.Z. Home safety and fall prevention. Clin Geriatr Med. 1991;7:707–731. [PubMed] [Google Scholar]
  • 10.Prieto Marcos M., Alba Romero C., Calonge García M.E. Caídas del anciano en la comunidad ¿Qué debe hacer el médico de atención primaria? Fmc. 1996;3:419–425. [Google Scholar]
  • 11.Ytterstad B. The Harstad injury prevention study: community based prevention of fall-fractures in the elderly evaluated by means of a hospital based injury recording system in Norway. J Epidemiol Community Health. 1996;50:551–558. doi: 10.1136/jech.50.5.551. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Province M.A., Hadley E.C., Hombrook M.C., Lipsitz L.A., Miller J.P., Mulrow C.D. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Jama. 1995;273:1341–1347. [PubMed] [Google Scholar]
  • 13.Wagner E.H., LaCroix A.Z., Grothaus L., Leveille S.G., Hecht J.A., Artz K. Preventing Disability and falls in Older Adults: A Population-Based Randomized Trial. Am J Public Health. 1994;84:1800–1806. doi: 10.2105/ajph.84.11.1800. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Campbell A.J., Robertson M.C., Gardner M.M., Norton R.N., Tilyard M.W., Brichner D.M. Randomised controlled trial of a general practice programme of home based to prevent falls in elderly women. Bmj. 1997;315:1065–1069. doi: 10.1136/bmj.315.7115.1065. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Connell B.R. Role of the environment in falls prevention. Clin Geriatr Med. 1996;12:859–880. [PubMed] [Google Scholar]
  • 16.Pujiula M., Grupo APOC ABS Salt Efectividad de una intervención multifactorial para la prevención de las caídas en ancianos de una comunidad. Aten Primaria. 2001;28:431–435. doi: 10.1016/S0212-6567(01)70407-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Álvarez Solar M., De Alaiz A.T., Bruce E., Cabañeros J.J., Colzón M., Cosío I. Capacidad funcional de pacientes mayores de 65 años, según el índice de Katz. Fiabilidad del método. Aten Primaria. 1992;10:812–816. [PubMed] [Google Scholar]
  • 18.Servei Català de la Salut; Barcelona: 1996. (Servei Català de la Salut. Enquesta de Salut de Catalunya 1994). [Google Scholar]
  • 19.Buchner D.M., Hornbrook M.C., Kutner N.G., Tinetti M.E., Ory M.G., Mulrow C.D. Development of the Common Data Base for the FICSIT Trials. J Am Geriatr Soc. 1993;41:297–308. doi: 10.1111/j.1532-5415.1993.tb06708.x. [DOI] [PubMed] [Google Scholar]
  • 20.Cwikel J. Falls among elderly people living at home: medical and social factors in national sample. Isr J Med Sci. 1992;28:446–453. [PubMed] [Google Scholar]
  • 21.De Vito C.A., Lambert D.A., Sattin R.W., Bacchelli S., Ros A., Rodríguez J.G. Fall injuries among the elderly. Jags. 1988;36:1029–1035. doi: 10.1111/j.1532-5415.1988.tb04371.x. [DOI] [PubMed] [Google Scholar]
  • 22.Connell B.R. Role of the environment in falls prevention. Clin Geriatr Med. 1996;12:859–880. [PubMed] [Google Scholar]
  • 23.Josephson K.R., Fabacher D.A., Rubenstein M.D. Home safety and fall prevention. Clin Geriatr Med. 1991;7:707–731. [PubMed] [Google Scholar]
  • 24.Méndez J.I., Zunzunegui M.V., Béland F. Prevalencia y factores asociados a las caídas en las personas mayores que viven en la comunidad. Med Clin (Barc) 1997;108:128–132. [PubMed] [Google Scholar]

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