Medical falls among older adults in Latin American cities
Caídas médicas entre adultos mayores en ciudades latinoamericanas
DOI:
https://doi.org/10.15446/rsap.v22n5.84883Palabras clave:
accidental falls, aged, epidemiology (en)Accidente por caídas, ancianos, epidemiologia (es)
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Objective To estimate the prevalence and risk factors for falls requiring medical attention, referred as medical falls, in community-dwelling persons aged ≥60 years.
Methods A cross-sectional analysis was conducted using information from the Health, Well-Being, and Aging (“SABE”) Study in Latin America and the Caribbean (7 cities), as well as from the SABE Bogota study (pooled sample of 8 cities n=12,487). Falls that occurred during a past 12-month period were considered and then noted if required medical treatment because of the fall.
Results The weighted prevalence of medical falls across the eight surveys ranged from 6.0% to 11.3%. In weighted multivariate logistic regression analyses, potentially modifiable risk factors for medical falls include urinary incontinence (OR=1.51 95% CI 1.18-1.92), high depressive symptomatology (OR=1.53 95% CI 1.24-1.91), poor self-rated health (OR=1.35 95% CI 1.10-1.66) and activities of daily living limitations (OR=1.48 95% CI 1.16-1.87).
Conclusions Based on our results, preventive measures targeting these risk factors may help to decrease the risk for medical falls among older adults in Latin America.
Objetivo Estimar la prevalencia y los factores de riesgo de caídas que requieren atención médica, denominadas caídas médicas, en personas de edad mayor o igual a 60 años que viven en la comunidad.
Métodos Se realizó un análisis transversal utilizando información del Estudio de Salud, Bienestar y Envejecimiento (SABE) en América Latina y el Caribe (7 ciudades), así como del estudio SABE Bogotá (muestra conjunta de 8 ciudades [n=12 487]). Se consideraron las caídas que ocurrieron durante los últimos 12 meses y luego se observó si esa persona requirió tratamiento médico como resultado de la caída.
Resultados La prevalencia ponderada de caídas médicas en las ocho encuestas varió de 6,0% a 11,3%. El análisis de regresión logística múltiple ponderada de factores de riesgo para caídas médicas potencialmente modificables incluye incontinencia urinaria (OR=1,51 IC 95% 1,18-1,92), sintomatología depresiva alta (OR=1,53 IC 95% 1,24-1,91), mala salud autoevaluada (OR=1,35 IC 95% 1,10-1,66) y las limitaciones de actividades de vida diaria (OR= 1,48 IC 95% 1,16-1,87).
Conclusión Según nuestros resultados, medidas preventivas basadas en estos factores puede ayudar a disminuir el riesgo de caídas médicas entre los adultos mayores en América Latina.
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1. Brigitte Alexi Moncayo-Hernández, Eliana Patricia Dueñas-Suarez, Carlos Alfonso Reyes-Ortiz. (2024). Relationship between Social Participation, Children’s Support, and Social Frailty with Falls among Older Adults in Colombia. Annals of Geriatric Medicine and Research, 28(3), p.342. https://doi.org/10.4235/agmr.24.0059.
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