Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderly
Background. Falls as geriatric syndrome in elderly age are associated with high health risks, including serious injury, prolonged hospital stays, and medical and follow-up costs. The prevalence of falls in comorbid elderly patients without hypertension remains uncertain. Aim. To study the inciden...
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| Format: | Article |
| Language: | Russian |
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ZAO "Consilium Medicum"
2022-01-01
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| Series: | Consilium Medicum |
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| Online Access: | https://consilium.orscience.ru/2075-1753/article/viewFile/106363/80808 |
| _version_ | 1828351571466911744 |
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| author | Olga N. Tkacheva Nadezda K. Runikhina Liudmila I. Merkusheva Alexandra V. Luzina Natalia V. Sharashkina Valentina S. Ostapenko Sergei N. Lysenkov |
| author_facet | Olga N. Tkacheva Nadezda K. Runikhina Liudmila I. Merkusheva Alexandra V. Luzina Natalia V. Sharashkina Valentina S. Ostapenko Sergei N. Lysenkov |
| author_sort | Olga N. Tkacheva |
| collection | DOAJ |
| description | Background. Falls as geriatric syndrome in elderly age are associated with high health risks, including serious injury, prolonged hospital stays, and medical and follow-up costs. The prevalence of falls in comorbid elderly patients without hypertension remains uncertain.
Aim. To study the incidence of falls in the comorbid elderly with or without hypertension.
Materials and methods. The study included 5240 outpatients aged 60 and over with three or more chronic diseases treated at Moscow polyclinics with verified diagnoses according to medical records in 20152018. The exclusion criteria were acute illness, exacerbation of chronic diseases, disease decompensation, severe sensory impairment and dementia. Student's t-criterion was used to compare quantitative variables between groups and Fisher's exact test was used to compare binary variables.
Results. The age of study participants was 71.0 0.1 years, 72.4% women. The vast majority of patients (99.3%, n=5202) has been diagnosed with arterial hypertension or essential hypertension, and 0.7% of patients (n=38) had no such diagnoses. The incidence of falls in hypertensive patients was 16.4% (n=857), while 42.1% (n=16) of patients without hypertension reported falls (p=0.00018; odds ratio 3.69; 95% confidence interval 1.807.38).
Conclusion. The paradox of the greater frequency of falls in the group of elderly patients who experienced no blood pressure elevation episodes compared with hypertensive patients has not been fully understood yet and can indicate that the risk of falls in patients who experienced no blood pressure elevation is higher; however, further research is required. |
| first_indexed | 2024-04-14T01:41:04Z |
| format | Article |
| id | doaj.art-131a6792b75843b2bbc3fbae3a89ffbb |
| institution | Directory Open Access Journal |
| issn | 2075-1753 2542-2170 |
| language | Russian |
| last_indexed | 2024-04-14T01:41:04Z |
| publishDate | 2022-01-01 |
| publisher | ZAO "Consilium Medicum" |
| record_format | Article |
| series | Consilium Medicum |
| spelling | doaj.art-131a6792b75843b2bbc3fbae3a89ffbb2022-12-22T02:19:45ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702022-01-01241495210.26442/20751753.2022.1.2013814526Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderlyOlga N. Tkacheva0https://orcid.org/0000-0002-4193-688XNadezda K. Runikhina1https://orcid.org/0000-0001-5272-0454Liudmila I. Merkusheva2https://orcid.org/0000-0003-2112-9164Alexandra V. Luzina3https://orcid.org/0000-0002-1695-9107Natalia V. Sharashkina4https://orcid.org/0000-0002-6465-4842Valentina S. Ostapenko5https://orcid.org/0000-0003-1222-3351Sergei N. Lysenkov6https://orcid.org/0000-0002-5791-7712Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityBackground. Falls as geriatric syndrome in elderly age are associated with high health risks, including serious injury, prolonged hospital stays, and medical and follow-up costs. The prevalence of falls in comorbid elderly patients without hypertension remains uncertain. Aim. To study the incidence of falls in the comorbid elderly with or without hypertension. Materials and methods. The study included 5240 outpatients aged 60 and over with three or more chronic diseases treated at Moscow polyclinics with verified diagnoses according to medical records in 20152018. The exclusion criteria were acute illness, exacerbation of chronic diseases, disease decompensation, severe sensory impairment and dementia. Student's t-criterion was used to compare quantitative variables between groups and Fisher's exact test was used to compare binary variables. Results. The age of study participants was 71.0 0.1 years, 72.4% women. The vast majority of patients (99.3%, n=5202) has been diagnosed with arterial hypertension or essential hypertension, and 0.7% of patients (n=38) had no such diagnoses. The incidence of falls in hypertensive patients was 16.4% (n=857), while 42.1% (n=16) of patients without hypertension reported falls (p=0.00018; odds ratio 3.69; 95% confidence interval 1.807.38). Conclusion. The paradox of the greater frequency of falls in the group of elderly patients who experienced no blood pressure elevation episodes compared with hypertensive patients has not been fully understood yet and can indicate that the risk of falls in patients who experienced no blood pressure elevation is higher; however, further research is required.https://consilium.orscience.ru/2075-1753/article/viewFile/106363/80808comorbiditygeriatricsaccidental fallsfrailtyhypertensionaged |
| spellingShingle | Olga N. Tkacheva Nadezda K. Runikhina Liudmila I. Merkusheva Alexandra V. Luzina Natalia V. Sharashkina Valentina S. Ostapenko Sergei N. Lysenkov Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderly Consilium Medicum comorbidity geriatrics accidental falls frailty hypertension aged |
| title | Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderly |
| title_full | Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderly |
| title_fullStr | Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderly |
| title_full_unstemmed | Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderly |
| title_short | Geriatric syndrome of falls in comorbid patients: paradox of normotension in the elderly |
| title_sort | geriatric syndrome of falls in comorbid patients paradox of normotension in the elderly |
| topic | comorbidity geriatrics accidental falls frailty hypertension aged |
| url | https://consilium.orscience.ru/2075-1753/article/viewFile/106363/80808 |
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