Risk factors for hospital admission after a fall: a prospective cohort study of community-dwelling older people

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• dc.contributor.author Abell, Jessica
• dc.contributor.author Lassale, Camille
• dc.contributor.author Batty, G. David
• dc.contributor.author Zaninotto, Paola
• dc.date.accessioned 2022-02-23T08:53:52Z
• dc.date.issued 2021
• dc.description.abstract Background: Falls in later life that require admission to hospital have well-established consequences for future disability and health. The likelihood and severity of a fall will result from the presence of one or more risk factors. The aim of this study is to examine risk factors identified for their ability to prevent falls and to assess whether they are associated with hospital admission after a fall. Methods: Analyses of data from the English Longitudinal Study of Aging (ELSA), a prospective cohort study. In a sample of 3783 men and women older than 60 years old, a range of potential risk factors measured at Wave 4 (demographic, social environment, physical, and mental functioning) were examined as predictors of fall-related hospitalizations, identified using International Classification of Diseases, 10th Revision (ICD-10) code from linked hospital records in the United Kingdom. Subdistribution hazard models were used to account for competing risk of death. Results: Several risk factors identified by previous work were confirmed. Suffering from urinary incontinence (subdistribution hazard ratio = 1.49; 95% CI: 1.14, 1.95) and osteoporosis (subdistribution hazard ratio = 1.48; 95% CI: 1.05, 2.07), which are not commonly considered at an early stage of screening, were found to be associated with hospital admission after a fall. Both low and moderate levels of physical activity were also found to somewhat increase the risk of hospital admission after a fall. Conclusions: Several predictors of having a fall, severe enough to require hospital admission, have been confirmed. In particular, urinary incontinence should be considered at an earlier point in the assessment of risk.
• dc.format.mimetype application/pdf
• dc.identifier.citation Abell JG, Lassale C, Batty GD, Zaninotto P. Risk factors for hospital admission after a fall: a prospective cohort study of community-dwelling older people. J Gerontol A Biol Sci Med Sci. 2021 Mar 31; 76(4): 666-74. DOI: 10.1093/gerona/glaa255
• dc.identifier.doi http://dx.doi.org/10.1093/gerona/glaa255
• dc.identifier.issn 1079-5006
• dc.identifier.uri http://hdl.handle.net/10230/52549
• dc.language.iso eng
• dc.publisher Oxford University Press
• dc.rights © Oxford University Press. This is a pre-copyedited, author-produced version of an article accepted for publication in The journals of gerontology. Series A, Biological sciences and medical sciences, following peer review. The version of record bell JG, Lassale C, Batty GD, Zaninotto P. Risk factors for hospital admission after a fall: a prospective cohort study of community-dwelling older people. J Gerontol A Biol Sci Med Sci. 2021 Mar 31; 76(4): 666-74 is available online at: https://academic.oup.com/biomedgerontology/article-abstract/76/4/666/5918411?redirectedFrom=fulltext&login=true. http://dx.doi.org/10.1093/gerona/glaa255
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Falls
• dc.subject.keyword Hospital admission
• dc.subject.keyword Risk factors
• dc.subject.keyword Urinary incontinence
• dc.title Risk factors for hospital admission after a fall: a prospective cohort study of community-dwelling older people
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion