1887
  1. الرئيسية
  2. A-Z Publications
  3. Qatar Medical Journal
  4. المجلد 2011, العدد 1
  5. المقالة
Volume 2011, Issue 1
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

Falling is the primary cause of accidental death in those aged 65 years and above. To determine the prevalence and risk factors for falls among the elderly in Qatar a cross-sectional study was made to 355 elderly persons attending 12 of the Primary Health Centers in Qatar. A questionnaire elicited socio-demographic data, and histories of falls in the previous 1 2 months, chronic disease, medication, and functional disabilities affecting daily life. One hundred and nineteen (34%) had fallen in the previous 12 months, half of it happened more than once, mostly inside the house, although most (87.6%) were still independent with little effect upon daily activities; women fell more than men; Qataris more than non-Qataris; there were significantly more falls in married and illiterate persons. Living alone was not a significant factor but those using walking aids and/ or not exercising were at significant risk. Some chronic diseases were significant, others not, and some medications showed a significant relationship. Environmental risk factors did not appear to be significant. This study makes some recommendations to reduce the frequency of falls in elderly persons. An extensive bibliography is appended. Key words: Elderly, Falls, PHC

© 2011 Almawlawi, Al Ansari, Ahmed, licensee Bloomsbury Qatar Foundation Journals.
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References

  1. Chan KM, Pang WS, Ee CH, Ding YY, Choo P. Epidemiology of falls among the elderly community dwellers in Singapore. Singapore Medical Journal. 1997; 38:10:427–431.
     [Google الباحث العلمي]
  2. Biderman A, Cwikel J, Fried AV, Galinsky D. Depression & falls among community dwelling elderly people: a search for common risk factors. Journal of epidemiology & community health. 2002; 56::631–636.
     [Google الباحث العلمي]
  3. Fuller George F. Falls in the elderly. American family physician. 2000;, April 1.
     [Google الباحث العلمي]
  4. Cesari M, Landi F, Torre S, Onder G, Lattanzio F, Bernabei R. Prevalence and risk factors for falls in an older community-dwelling population. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2002; 57::M722–M726.
     [Google الباحث العلمي]
  5. Tinetti ME. Preventing falls in elderly persons. Volume. 2003; 348::42–49, Jan 2.
     [Google الباحث العلمي]
  6. Aoyagi K, Ross PD, David JW, Wasnich RD, Hayashi T, Takemoto T. Falls among community- dwelling elderly in Japan. Journal of bone and mineral research. 1998; 13:1468–1474, Sep.
     [Google الباحث العلمي]
  7. Hochberg MC, Williamson J, Skinner EA, Guralnik J, Kasper JD, Fried LP. The prevalence & impact of self reported hip fracture in elderly community dwelling women: The women's health and aging study. Osteoporosis International Journal. 1998; 8:4, Aug.
     [Google الباحث العلمي]
  8. Gumming R. Epidemiology of medication-related falls and fractures in the elderly. Drugs & Aging. l998; 12:l:43–53(11), Jan.
     [Google الباحث العلمي]
  9. American Geriatrics Society. British Geriatrics Society & American Academy of Orthopaedic Surgeons Panel on falls prevention: Guideline for prevention of falls in older persons. JAGS. 2001; 49::664–672.
     [Google الباحث العلمي]
  10. Haumschild MJ, Karfonta TL, Haumschild MS, Philips SE. Clinical and economic outcomes of fall-focused pharmaceutical intervention program. American journal of health-system pharmacy, posted 6/11/2003. 2003.
     [Google الباحث العلمي]
  11. Lawlor DA, Patel R, Shah E. Association between falls in elderly women and chronic diseases and drug use: cross sectional study. BMJ. 2003; 327:, Sep 27.
     [Google الباحث العلمي]
  12. Herdman Susan J, Schubert Michael C, Tusa Ronald J. Fall risk & treatment. Annals of the New York Academy of Sciences. 2001; 942::394–412.
     [Google الباحث العلمي]
  13. Lord TR, Clark RD, Webster IW. Visual acuity and contrast sensitivity in relation to falls in an elderly population. Oxford University Press. 1991; 20:3:175–181.
     [Google الباحث العلمي]
  14. Wallace C, Reiber GE, LeMaster J, Smith DG, Sullivan K, Hayes S, Vath C. Incidence of falls, risk factors for falls-related fractures in individuals with diabetes & a prior foot ulcer. Epidemiology/Health Services/Psychosocial Research. Aug 2 2002.
     [Google الباحث العلمي]
  15. Beauchet 0, Annweiler C, Hyreaux-Huynh R, Lieonart S, Barre J, Dubost V. Medication and fall in older adults.
  16. Bischoff-Ferrari H, Orav EJ, Dawson-Hughes B. Effect ofcholecalciferol plus calcium on falling in ambulatory older men and women. Arch intern med. 2006; 166::424–430.
     [Google الباحث العلمي]
  17. Berg WP, Alessio HM, Mills EM, Jong C. Circumstances & consequences of falls in independent community-dwelling older adults. : Oxford University Press 1997.
     [Google الباحث العلمي]
  18. Ghnaimat MM, Alshawbkeh JS. Causes of falls in hip fractures in elderly patients. Middle East Journal of Age & Ageing. 2007; 4:2, April.
     [Google الباحث العلمي]
  19. Yardley L, Beyer N, Hauer K, Kempen Gs, Piont-Ziegler C, Todd C. Development & initial validation of the falls efficacy scale-international (FES-I). Age & Ageing. 2005; 34:6:614–619.
     [Google الباحث العلمي]
  20. Parry SW, Steen N, Galloway SR, Kenny RA, Bond J. Falls and confidence related quality of life outcome measures in an older British cohort. Postgraduate Medical Journal. 2001; 77:904:103–108, Feb 1.
     [Google الباحث العلمي]
  21. Elrawady F, Abdulmjeed A, El Sheikh E, Yousef l. Assessment of functional disability in activities of daily living & health perception among elders in elmahsama village, Ismailia. faculty of medicine, Sues Canal University. Bahrain Medical Society. 2005; 17:2:77–84.
     [Google الباحث العلمي]
  22. Home Assessment Chart, www.homesafetycouncil.org/programs/pr_falls_p002.pdf.
  23. Life Guardian medical alarms systems - senior home checklist by life guardian “Free Home Safety Checklist”page 1-4. www.lifeguardianmedicalalarms.com.
  24. Fall Prevention Home Assessment Chart. Adapted from the Minnesota Safety Council Fall Prevention Checklist-Personal Risk Factors and Hennepin County Community Health Department with permission, www fallpreven tion taskforce org/pdf/HomeAssessmentChart.pdf .
  25. Walker JE, Howland J. Falls & fear of falling among eldely persons living in the community: occupational therapy interventions. A Amj Occup Ther. Feb 1991; 45:2:119–122.
     [Google الباحث العلمي]
  26. Armstrong C, Swarbrick CM, Pye SR, O'Neill TW. Occurrence and risk factors for falls in rheumatoid arthritis. Annals of the Rheumatic Diseases. 2005; 64::1602–1604.
     [Google الباحث العلمي]
  27. Downton JH, Andrews K. Prevalence, characteristics & factors associated with falls among the elderly living at home. Aging (Milano). Sep 1991; 3:3:219–228.
     [Google الباحث العلمي]
  28. Rozenfeld S, Camacho L, Antonio B, Veras RP. Medication as a risk factor for falls in older women in Brazil. Rev Panam Salud Publica. 2003; 13:6, Washington June.
     [Google الباحث العلمي]
  29. Li W, Keegan THM, Sternfeld B, Sidney S Jr, Quesenberry CP, Kelsey JL. Outdoor falls among middle-aged & older adults: a neglected public health problem. Am J Public Health. 2006; 96:7:1192–1200.
     [Google الباحث العلمي]
  30. Morita M, Takamura N, Kusano Y, Abe Y, Moji K, Takemoto TI, Aoyagi K. Relationship between falls & physical performance measures among community-dwelling elderly women in Japan. 2005; 17:3:211–216.
     [Google الباحث العلمي]
  31. Sheahan SL, Coons SJ, Robbins CA, Steven MS, Hendricks J, Latimer M. Psychoactive medication, alcohol use, and falls among older adults. Journal of behavioral medicine. 1995; 18:2:127–140.
     [Google الباحث العلمي]
  32. De Rekeneire N, Visser M, Peila R, Nevitt MC, Cauley JA, Tylavsky FA, Simonsick EM, Tamara HB. Is a fall just a fall: Correlates of falling in healthy older persons. The Health, Aging & Body Composition Study. 2003; 51:6:841–846, 18 Jul.
     [Google الباحث العلمي]
  33. Kharicha K, Harari D, Swift C, Gillmann G, Stuck AE. Health risk appraisal in older people: An a living alone at risk group? Br J Gen Prac. 2007; 57:537:271–276, April 1.
     [Google الباحث العلمي]
  34. Halil M, Ulger Z, Cankurtaran M, Shorbagi A, Yavuz B, Dede D, Ozkayar N, Ariogul S. Falls & the elderly: Is there any difference in the developing world? A cross-sectional study from Turkey. Archives of Gerontology & Geriatrics. 2003; 43:3:351–359.
     [Google الباحث العلمي]
  35. Campbell AJ, Reinken J, Allen BC, Martinez GS. Falls in old age: A study of frequency and related clinical factors. Oxford University Prees. 1981; 10:4:264–270.
     [Google الباحث العلمي]
  36. Graafmans WC, Lips P, Wijlhuizen GJ, Pluijm SM, Bouter LM. Daily physical activity and the use of a walking aid relation to falls in elderly people in a residential care setting. Z Gerontol Geriatr. Feb 2003; 36:1:23–28.
     [Google الباحث العلمي]
  37. Simkin B. Even frial elderly patients can benefit from exercise. Geriatric Times. 2002; III:4, July/Aug.
     [Google الباحث العلمي]
  38. Rubenstein LZ, Josephson KR, Trueblood PR, Loy S, Harker JO, Pietruszka FM, Robbins AS. Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. The Journal of Gerontology Series A: Biological Sciences & Medical Sciences. 2000; 55::M317–M321.
     [Google الباحث العلمي]
  39. Gardner Robertson MM, Campbell MC, John A. Exercise in preventing falls and fall related injuries in older people. British journal of sports medicine. 2000; 34:1:7–17, Feb.
     [Google الباحث العلمي]
  40. Kronfol N. Biolgical, Medical and Behavioral Risk Factors on Falls. whoint/ageing/projects/2. Biological, medical and behavioural risk factors.
     [Google الباحث العلمي]
  41. Lee JSW, Kwok T, Leung PC, Woo J. Medical illnesses are more important than medications as risk factors of falls in older community dwellers? A cross-sectional study. Age and Ageing. 2006; 35:3:246–251, Feb 23.
     [Google الباحث العلمي]
  42. Cumming RG, Ivers R, Clemson L, Cullen J, Hayes MF, Tanzer M, Mitchell P. Improving vision to prevent falls in frail older people: A randomized trial. American Geriatrics Society. 2007; 55::175–181.
     [Google الباحث العلمي]
  43. Elsevier Article Locator: Fall-risk screening test a prospective study on predictors for falls in community-dwelling elderly. Journal of clinical epidemiology. 2003; 54:8:837–844.
     [Google الباحث العلمي]
  44. Rubenstein LZ, Josephson KR, Robbins AS. Falls in the Nursing Home. Annuals of internal medicine. 1994; 121:6:442–451, Sep 15.
     [Google الباحث العلمي]
  45. Riefkohl EZ, Bieber HL, Burlingame MB, Lowenthal DT. Medications and falls in the elderly: a review of the evidence and practical considerations. P&T. 2003; 28:11, Nov.
     [Google الباحث العلمي]
  46. 2004;. US Department of Health and Human Services, Abt Associates & Center for Health and Long Term Care Research: The effect of reducing falls on long-term care expenses: Literature review. April 8.
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  • نوع المستند: Research Article

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