Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea

Abstract Background Recurrent falls are a concerning problem in the elderly. Elderly people aged > 65 years who are prone to fall often require medical treatment for severe fall-related injuries, which is associated with a substantial financial burden. Therefore, this study aimed to identify fact...

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Main Authors: Mi Young Kim, Yujeong Kim
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-03172-7
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author Mi Young Kim
Yujeong Kim
author_facet Mi Young Kim
Yujeong Kim
author_sort Mi Young Kim
collection DOAJ
description Abstract Background Recurrent falls are a concerning problem in the elderly. Elderly people aged > 65 years who are prone to fall often require medical treatment for severe fall-related injuries, which is associated with a substantial financial burden. Therefore, this study aimed to identify factors related to recurrent falls in the community-dwelling young-old (65–74 years old) and old-old (≥ 75 years) in South Korea. Methods This study used a cross-sectional, correlation design. Data from the 2017 National Survey of Older Koreans were used, and 5,838 young-old and 4,205 old-old elderly people were included in the analysis. The questionnaire included general characteristics, fall experience, physical status, mental status, and presence of chronic diseases. The data were analyzed using the chi-square test, one-way analysis of variance, and logistic regression analysis. Results In the young-old elderly people, limitations in activities of daily living (p < .001), use of visual aids (p = .002), cognitive function (p < .001), presence of suicidal ideations (p = .005), number of chronic diseases (p < .001), and number of prescribed medications used (p = .006) associated with fall recurrence. In the old-old elderly people, having a spouse (p = .034), being a beneficiary of the National Basic Livelihood Security System (p = .025), less exercise (p = .003), limitations in activities of daily living (p < .001), visual aid use (p = .002), presence of suicidal ideations (p = .015), number of chronic diseases (p < .001), and presence of Parkinson's disease (p < .001) associated with fall recurrence. Conclusions This study identified differences in factors related to fall recurrence between the young-old and old-old elderly. The results of this study indicate that it is necessary to implement an intervention program to prevent fall recurrence by age group in consideration of the risk factors for fall recurrence in each elderly people group.
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spelling doaj.art-189d5346bcc4412a9bede9addeff96722022-12-22T02:38:16ZengBMCBMC Geriatrics1471-23182022-06-0122111010.1186/s12877-022-03172-7Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South KoreaMi Young Kim0Yujeong Kim1College of Nursing, Hanyang UniversityCollege of Nursing, Research Institute of Nursing Science, Kyungpook National UniversityAbstract Background Recurrent falls are a concerning problem in the elderly. Elderly people aged > 65 years who are prone to fall often require medical treatment for severe fall-related injuries, which is associated with a substantial financial burden. Therefore, this study aimed to identify factors related to recurrent falls in the community-dwelling young-old (65–74 years old) and old-old (≥ 75 years) in South Korea. Methods This study used a cross-sectional, correlation design. Data from the 2017 National Survey of Older Koreans were used, and 5,838 young-old and 4,205 old-old elderly people were included in the analysis. The questionnaire included general characteristics, fall experience, physical status, mental status, and presence of chronic diseases. The data were analyzed using the chi-square test, one-way analysis of variance, and logistic regression analysis. Results In the young-old elderly people, limitations in activities of daily living (p < .001), use of visual aids (p = .002), cognitive function (p < .001), presence of suicidal ideations (p = .005), number of chronic diseases (p < .001), and number of prescribed medications used (p = .006) associated with fall recurrence. In the old-old elderly people, having a spouse (p = .034), being a beneficiary of the National Basic Livelihood Security System (p = .025), less exercise (p = .003), limitations in activities of daily living (p < .001), visual aid use (p = .002), presence of suicidal ideations (p = .015), number of chronic diseases (p < .001), and presence of Parkinson's disease (p < .001) associated with fall recurrence. Conclusions This study identified differences in factors related to fall recurrence between the young-old and old-old elderly. The results of this study indicate that it is necessary to implement an intervention program to prevent fall recurrence by age group in consideration of the risk factors for fall recurrence in each elderly people group.https://doi.org/10.1186/s12877-022-03172-7Accidental fallsAgedFrail elderlyOld-oldYoung-old
spellingShingle Mi Young Kim
Yujeong Kim
Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
BMC Geriatrics
Accidental falls
Aged
Frail elderly
Old-old
Young-old
title Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
title_full Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
title_fullStr Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
title_full_unstemmed Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
title_short Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
title_sort comparison of factors influencing fall recurrence in the young old and old old a cross sectional nationwide study in south korea
topic Accidental falls
Aged
Frail elderly
Old-old
Young-old
url https://doi.org/10.1186/s12877-022-03172-7
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AT yujeongkim comparisonoffactorsinfluencingfallrecurrenceintheyoungoldandoldoldacrosssectionalnationwidestudyinsouthkorea