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Sökning: onr:"swepub:oai:DiVA.org:umu-2819" > Risk factors for fa...

Risk factors for falls in people with and without a diagnosis of dementia living in residential care facilities : a prospective study

Eriksson, Staffan (författare)
Umeå universitet,Sjukgymnastik,Geriatrik
Gustafson, Yngve (författare)
Umeå universitet,Geriatrik
Lundin-Olsson, Lillemor (författare)
Umeå universitet,Sjukgymnastik
 (creator_code:org_t)
Elsevier BV, 2008
2008
Engelska.
Ingår i: Archives of gerontology and geriatrics (Print). - : Elsevier BV. - 0167-4943 .- 1872-6976. ; 46:3, s. 293-306
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • People with dementia are at increased risk of falling. The purpose of this study was to identify predisposing risk factors for falls in older people with and without a diagnose of dementia living in residential care facilities, and to compare the results. Eighty-three residents without dementia (mean age ± S.D.; 83.5 ± 7.1 years) and 103 with dementia (83.6 ± 6.3 years) in Umeå, Sweden, participated. The baseline assessment included probable risk factors like walking ability, diagnoses and treatment with drugs. The follow-up period was 6 months. In people with dementia, the fall rate was higher (crude incidence rate ratio 2.55, 95% CI 1.60–4.08) and a larger proportion experienced falls (62% versus 41%). In the group without dementia 54.8% of the variation in falls was explained by a model including orthostatism, “women walking with aid”, and treatment with Angiotensin Converting Enzyme (ACE) inhibitors. In the group with dementia 25.5% of the variation in falls was explained by a model including “man walking with aid”. Our results show that with the same set of common risk factors for falls a considerably lower proportion of the variation in falls can be explained in the group of people with dementia.

Nyckelord

accidental falls
risk factors
dementia
male sex
walking ability

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