Individual and environmental factors associated with recurrent falls in elderly patients hospitalized after falls

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

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Article number2441
JournalInternational journal of environmental research and public health
Volume17
Issue number7
DOIs
StatePublished - Apr 2020

Keywords

  • Environmental factor
  • Older people
  • Recurrent fall
  • Vietnam
  • �fall

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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  • Cite this

    Vu, H. M., Nguyen, L. H., Nguyen, H. L. T., Vu, G. T., Nguyen, C. T., Hoang, T. N., Tran, T. H., Pham, K. T. H., Latkin, C. A., Tran, B. X., Ho, C. S. H., & Ho, R. C. M. (2020). Individual and environmental factors associated with recurrent falls in elderly patients hospitalized after falls. International journal of environmental research and public health, 17(7), [2441]. https://doi.org/10.3390/ijerph17072441