Falls among older adults at home. Characteristics of fall victims and circumstances of the fall. “Hospitalization” section of the ChuPADom survey
Falls are a leading cause of morbidity and mortality, making them a major public health issue. ChuPADom is a prospective, multicenter study consisting of two components. The "Hospitalization" component aimed to describe the characteristics and circumstances of falls at home among hospitalized individuals aged 65 and older and to identify profiles of fallers. Following a description of the sample, faller profiles were identified using cluster analysis and ascending hierarchical classification. The sample consisted of 1,467 patients, 69% of whom were women. The mean age was 84.5 years. Nearly 80% of patients fell during the day. The activities most frequently cited at the time of the fall were hygiene/personal care (15%) and walking (14%); the location of the fall was the bedroom in 20% of cases, and in 43% of cases, the fall was from standing height or a low height. More than half of the patients had already experienced a fall in the 12 months prior to the survey. Nearly 45% of the patients in the sample suffered a fracture as a result of the fall, and 26% had a wound. Approximately 16% suffered a head injury, 14% had rhabdomyolysis, and only 4% had post-fall syndrome. Five profiles of fallers were identified: young seniors taking risks who fall from a great height; seniors living in a house who fall on the stairs; independent older adults who fall due to a loss of balance or from their own height; dependent older adults falling during low-intensity activities; and very old adults, limited in activities of daily living, for whom reported information is often missing. These results may contribute to the implementation of targeted prevention measures and will be supplemented by the "Sequelae" component, which will describe the consequences one year after the fall according to the profiles.
Author(s): Torres Marion, Pédrono Gaëlle, Lasbeur Linda, Carcaillon-Bentata Laure, Rigou Annabel, Beltzer Nathalie
Publishing year: 2020
Pages: 139 p.
Collection: Studies and Surveys
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