Falling in Old Age in Samsun: 2010-2015
DOI:
https://doi.org/10.17986/blm.2017127137Keywords:
Old Age, Falling, Femur FractureAbstract
Objective: The purpose of this study is to evaluate cases over the age of 65 who are admitted for falling and to lead the way for the measures to be taken to minimize the harm.
Materials and Methods: 489 patients at and over the age of 65 who were admitted to Ondokuz Mayıs University Health Application and Research Center due to falling between the dates of 01.08.2010 and 31.07.2015 were included in the study.
Forensic files and hospital automation system data of the cases were analyzed and their genders, ages, time of admission, type of fall, wound areas, fractured bones, presence of comorbid disease, the department in which they were treated and their treatment status were examined retrospectively. The data obtained from this cross- sectional study were assessed with SPSS 15.0 program.
Results: 230 (47,0%) of the cases were men, while 259 (53,0%) were women. The cases were mostly admitted in July (12.3%), on Sundays (15.7%) and between 16.00 and 23.59 (46.6%). The most frequent place of fall was inside the house (43,3%). Internal organ injury was seen in 16,4% of the patients while bone fracture was seen in 53,2%. Most frequently fractured bone was the femur (41,5%).
Conclusion: Injuries associated with falling due to the increase in old population creates an important social problem. Falling is not an inevitable result of old age. Preventing falls in old age will decrease the dependency about daily life activities, increase life quality and decrease health care costs.
Downloads
References
Zecevic AA, Salmoni AW, Speechley M, Vandervoort AA. Defining a fall and reasons for falling: comparisons among the views of seniors, health care providers, and the research literature. Gerontologist. 2006; 46(3): 367-76. DOI: https://doi.org/10.1093/geront/46.3.367
Holtzer R, Friedman R, Lipton RB, Katz M, Xue W, Verghese J. The relationship between specific cognitive functions and falls in aging. Neuropsychology. 2007; 21(5): 540-8. https://doi.org/10.1037/0894-4105.21.5.540 DOI: https://doi.org/10.1037/0894-4105.21.5.540
Aoyagi K, Ross PD, Davis Jw, Wasnich RD, Hayashi T, Takemoto T. Falls among community-dwelling elderly in Japan. J Bone Miner Res 1998; 13: 1468-74. https://doi.org/10.1359/jbmr.1998.13.9.1468 DOI: https://doi.org/10.1359/jbmr.1998.13.9.1468
Bueno-Cavanillas A, Padilla-Ruiz F, Jimenez-Moleon JJ, Peİnado-Monso CA, Galvez-Vargas R. Risk factors in falls among the elderly acoording to extrinsic and intrinsic precipitating causes. Eur J Epidemiol 2000; 16: 849-59. DOI: https://doi.org/10.1023/A:1007636531965
Graafmans WC, Ooms ME, Hofstee HM, Bezemer PD, Bouter LM. Lips P. Falls in the elderly: A prospective study of risk factors and risk profiles. Am J Epidemiol 1996; 143: 1129-36. DOI: https://doi.org/10.1093/oxfordjournals.aje.a008690
Lipsitz LA, Jonsson PV, Kelley MM, Koestner JS. Causes and correlates of recurrent falls in ambulatory frail elderly. J Gerontol 1991; 46: 114-22. DOI: https://doi.org/10.1093/geronj/46.4.M114
Robbins AS, Rubenstein LZ, Josephson KR, Schulman BL, Osterweil D, Fine G. Predictors of falls among elderly people. Results of two population-based studies. Arch Intern Med 1989; 149: 1628-33. DOI: https://doi.org/10.1001/archinte.149.7.1628
Ryynanen OP, Kivela SL, Honkanen R, Lappala P. Saano V. Medications and chronic diseases as risk factors for falling injuries in the elderly. Scand J Soc Med 1993; 21: 264-71. DOI: https://doi.org/10.1177/140349489302100406
Tinetti ME, Williams TF, Mayewski R. Fail risk index for elderly patients based on number of chronic disabilities. Am J Med 1986; 80: 429-34. DOI: https://doi.org/10.1016/0002-9343(86)90717-5
Karataş GK, Maral I. Ankara- Gölbaşı ilçesinde geriatrik popülasyonda 6 aylık dönemde düşme sıklığı ve düşme için risk faktörleri. Turkish Journal of Geriatrics 2001; 4 (4): 152-8.
Masud T, Morris RO. Epidemiology of falls. Age Ageing. 2001; 30: 3-7. DOI: https://doi.org/10.1093/ageing/30.suppl_4.3
Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin North Am. 2006; 90: 807-24. https://doi.org/10.1016/j.mcna.2006.05.013 DOI: https://doi.org/10.1016/j.mcna.2006.05.013
Tinetti ME, Doucette J, Claus E, Marottoli RA. Risk factors for serious injury during falls by older persons in the community. J Am Geriatr Soc. 1995; 43: 1214-21. DOI: https://doi.org/10.1111/j.1532-5415.1995.tb07396.x
Sattin RW, Huber DAL, DeVito CA, Rodriquez JE, Ros A, Bacchelli S, et al. The incidence of fall injury events among the elderly in a defined population. Am J Epidemiol. 1990; 131: 1028-37. DOI: https://doi.org/10.1093/oxfordjournals.aje.a115594
Kiel DP, O'Sullivan P, Teno JM, Mor V. Health care utilization and functional status in the aged following a fall. Med Care. 1991; 29(3): 221-8. DOI: https://doi.org/10.1097/00005650-199103000-00004
Suzuki M, Ohyama N, Yamada K, Kanamori M. The Relationship Between Fear of Falling, Activities of Daily Living and Quality of Life Among Elderly Individuals. Nursing and Health Sciences 2002; 4(4): 155-61. DOI: https://doi.org/10.1046/j.1442-2018.2002.00123.x
World Health Organization. WHO global report on falls prevention in older age, 2007. World Health Organization, 1-7.
Aktaş B. Doktora Tezi; “Yaşlı Bireylerde Düşmeleri Önlemeye Yönelik Rehber Geliştirme ve Rehber Doğrultusunda Verilen Eğitimin Düşmeye Etkisi” Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü, Tez Yöneticisi; Prof. Dr. Behice Erci Erzurum 2012.
Işık A, Cankurtaran M, Doruk H, Mas MR. Geriatrik Olgularda Düşmelerin Değerlendirilmesi. Turkish Journal of Geriatrics 2006; 9 (1): 45-50.
Todd C, Skelton D. What are The Main Risk Factors for Falls Among Older People and What are the Most Effective Interventions to Prevent These Falls? 2004 Copenhagen, WHO Regional Office for Europe (Health Evidence Network report; http://www.euro.who.int/document/E82552.pdf) , erişim tarihi: 14 Aralık 2015.
Hawk C, Hyland JK, Rupert R, Colonvega M, Hall S. Assessment of Balance and Risk for Falls in a Sample of Community-Dwelling Adults Aged 65 and Older. Chiropractic & Osteopathy 2006; 14: 3. https://doi.org/10.1186/1746-1340-14-3 DOI: https://doi.org/10.1186/1746-1340-14-3
Campbell AJ. Spears CiF, Borrie MJ. Examinatîon by logistic rEgression modelling of the variables which erease the relative risk of elderly women falling compared to elderly men. J Clin Epidemiol 1990; 44: 1415-20. DOI: https://doi.org/10.1016/0895-4356(90)90110-B
Downton JH, Andrews K. Prevalence, characteristics and factors associated with falls among the elderly living at home. Aging 1991; 3: 219-28. DOI: https://doi.org/10.1007/BF03324009
Tinetti M, Speechley M. Prevention of Falls Among the Elderly. The New England Journal of Medicine 1989; 320(16): 1055-9. https://doi.org/10.1056/NEJM198904203201606 DOI: https://doi.org/10.1056/NEJM198904203201606
Lök N. Yüksek Lisans Tezi; “Yaşlılarda Düşmelere Sebep Olan Ev İçi Çevresel Risk Faktörleri ve Düşme ile İlişkisi” Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü, Tez Yöneticisi: Doç.Dr.Belgin Akın Konya- 2010.
Cassels C. Falls in the Elderly: a Major Cause of TBI Death, The Centers for Disease Control and Prevention, Injury Journal and Safety Research 2008; 39: 269-72.
Zararsız İ, Kaya E, Savaş N, Meydan S, Davran R, Tutanç M, ve ark. Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Acil Servise Kırık Nedeniyle Başvuran Hastalarda Kırık Dağılımı ve Sıklığı, F.Ü.Sağ. Bil.Tıp Derg. 2009; 23(3): 155-8.
Taviloğlu K, Aydın A, Çuhalı BD, Demiralp T, Güloğlu R, Ertekin C. Olgularımızın birinci derece travma merkezine sevk edilme kriterlerine uygunluğunun değerlendirilmesi. Ulusal Travma Dergisi 2001; 7: 146-50.
Ritsema TS, Kelen GD, Pronovost PJ, Pham JC. The national trend in quality of emergency department pain management for long bone fractures. Acad Emerg Med 2007; 14: 163-9. https://doi.org/10.1197/j.aem.2006.08.015 DOI: https://doi.org/10.1111/j.1553-2712.2007.tb01762.x
Hadjidakis DJ, Kokkinakis EP, Sfakianakis ME, Raptis SA. Bone density patterns after normal and premature menopause. Maturitas 2003; 44: 279-86. DOI: https://doi.org/10.1016/S0378-5122(03)00040-9
Koç Z. Hastaneye Yatan 60 Yaş ve Üzeri Bireylerin Günlük Yaşam Aktivite Durumlarının Değerlendirilmesi. Sağlık ve Toplum 2006; 16(3): 84-96.
Rubensteın LZ. Falls in Older People: Epidemiology, Risk Factors and Strategies for Prevention. Age Ageing 2006; 35(Supplement 2): ii37-ii41. https://doi.org/10.1093/ageing/afl084 DOI: https://doi.org/10.1093/ageing/afl084
MacReady N. Psychotropic Medications Associated With Falls in Elderly Patients Archives of Internal Medicine 2009; 169: 1952-60. DOI: https://doi.org/10.1001/archinternmed.2009.357
Kawanabe K, Kawashima A, Sashimoto I, Takeda T, Sato Y, Iwamoto J. Effect of Whole-Body Vibration Exercise and Muscle Strengthening, Balance, and Walking Exercises on Walking Ability in The Elderly. The Keio Jornal of Medicine 2007; 56(1): 28-33. DOI: https://doi.org/10.2302/kjm.56.28
Yaman H. Akdeniz M, Kanevetci Z. Ülkemizde Beklenilen Demografik Değişime Hazırlık: Yaşlı Dostu Birincil Bakım Merkezleri, RNA Aile Hekimliği Dergisi 2008; 2(4): 14-21.
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
