Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls

Falls and recurrent falls cause great health and social consequences in older people. However, these problems are poorly understood in Vietnam. A cross-sectional study was performed at seven hospitals in Thai Binh province, Vietnam, to investigate the individual and environmental factors associated...

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Main Authors: Hai Minh Vu, Long Hoang Nguyen, Huong Lan Thi Nguyen, Giang Thu Vu, Cuong Tat Nguyen, Trong Nang Hoang, Tung Hoang Tran, Kiet Tuan Huy Pham, Carl A. Latkin, Bach Xuan Tran, Cyrus S.H. Ho, Roger C.M. Ho
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:International Journal of Environmental Research and Public Health
Subjects:
Online Access:https://www.mdpi.com/1660-4601/17/7/2441
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spelling doaj-687b1e645bba42e493e643c7974eb85d2020-11-25T02:04:02ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-04-01172441244110.3390/ijerph17072441Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after FallsHai Minh Vu0Long Hoang Nguyen1Huong Lan Thi Nguyen2Giang Thu Vu3Cuong Tat Nguyen4Trong Nang Hoang5Tung Hoang Tran6Kiet Tuan Huy Pham7Carl A. Latkin8Bach Xuan Tran9Cyrus S.H. Ho10Roger C.M. Ho11Department of Trauma and Orthopaedic, Thai Binh Medical University Hospital, Thai Binh 410000, VietnamCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietnamCenter of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietnamDepartment of Ophthalmology, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, VietnamInstitute of Orthopaedic and Trauma Surgery, Vietnam—Germany Hospital, Hanoi 10000, VietnamInstitute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, VietnamBloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USAInstitute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, VietnamDepartment of Psychological Medicine, National University Hospital, Singapore 119074, SingaporeCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, VietnamFalls and recurrent falls cause great health and social consequences in older people. However, these problems are poorly understood in Vietnam. A cross-sectional study was performed at seven hospitals in Thai Binh province, Vietnam, to investigate the individual and environmental factors associated with recurrent falls among elderly patients hospitalized due to fall injuries in Vietnam. A history of recurrent falls within the last 12 months, sociodemographic, health, and clinical characteristics, as well as environmental conditions, were obtained via self-reported interviews. Multivariate logistic and Poisson regression models were used to identify associated factors. Overall, the mean fall episodes in the last 12 months were 1.8 (Standard deviation—SD = 1.2) episodes, and the 12-month prevalence of recurrent falls was 40.5%. The individual risk factors included not receiving fall prevention guidelines, walking with devices, loss of sensation in hand or foot, and using pain relief medications. The environmental risk factors comprised having too-high stairs and not having dry, clean, and nonslippery bathrooms. This study highlights a significantly high 12-month prevalence of recurrent falls in older patients hospitalized after falls in Vietnam. Moreover, regular assessments of functional disabilities and hazardous environmental conditions, as well as the provision of prevention programs, have potential to prevent falls and recurrent falls.https://www.mdpi.com/1660-4601/17/7/2441fallrecurrent fallolder peopleenvironmental factorVietnam
collection DOAJ
language English
format Article
sources DOAJ
author Hai Minh Vu
Long Hoang Nguyen
Huong Lan Thi Nguyen
Giang Thu Vu
Cuong Tat Nguyen
Trong Nang Hoang
Tung Hoang Tran
Kiet Tuan Huy Pham
Carl A. Latkin
Bach Xuan Tran
Cyrus S.H. Ho
Roger C.M. Ho
spellingShingle Hai Minh Vu
Long Hoang Nguyen
Huong Lan Thi Nguyen
Giang Thu Vu
Cuong Tat Nguyen
Trong Nang Hoang
Tung Hoang Tran
Kiet Tuan Huy Pham
Carl A. Latkin
Bach Xuan Tran
Cyrus S.H. Ho
Roger C.M. Ho
Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls
International Journal of Environmental Research and Public Health
fall
recurrent fall
older people
environmental factor
Vietnam
author_facet Hai Minh Vu
Long Hoang Nguyen
Huong Lan Thi Nguyen
Giang Thu Vu
Cuong Tat Nguyen
Trong Nang Hoang
Tung Hoang Tran
Kiet Tuan Huy Pham
Carl A. Latkin
Bach Xuan Tran
Cyrus S.H. Ho
Roger C.M. Ho
author_sort Hai Minh Vu
title Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls
title_short Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls
title_full Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls
title_fullStr Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls
title_full_unstemmed Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls
title_sort individual and environmental factors associated with recurrent falls in elderly patients hospitalized after falls
publisher MDPI AG
series International Journal of Environmental Research and Public Health
issn 1661-7827
1660-4601
publishDate 2020-04-01
description Falls and recurrent falls cause great health and social consequences in older people. However, these problems are poorly understood in Vietnam. A cross-sectional study was performed at seven hospitals in Thai Binh province, Vietnam, to investigate the individual and environmental factors associated with recurrent falls among elderly patients hospitalized due to fall injuries in Vietnam. A history of recurrent falls within the last 12 months, sociodemographic, health, and clinical characteristics, as well as environmental conditions, were obtained via self-reported interviews. Multivariate logistic and Poisson regression models were used to identify associated factors. Overall, the mean fall episodes in the last 12 months were 1.8 (Standard deviation—SD = 1.2) episodes, and the 12-month prevalence of recurrent falls was 40.5%. The individual risk factors included not receiving fall prevention guidelines, walking with devices, loss of sensation in hand or foot, and using pain relief medications. The environmental risk factors comprised having too-high stairs and not having dry, clean, and nonslippery bathrooms. This study highlights a significantly high 12-month prevalence of recurrent falls in older patients hospitalized after falls in Vietnam. Moreover, regular assessments of functional disabilities and hazardous environmental conditions, as well as the provision of prevention programs, have potential to prevent falls and recurrent falls.
topic fall
recurrent fall
older people
environmental factor
Vietnam
url https://www.mdpi.com/1660-4601/17/7/2441
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