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2001, Number 3

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Rev Mex Med Fis Rehab 2001; 13 (3)

Validation of risk factors for falls in female subjects over 60 years old

Coronado ZR, Díez GMP, León HSR, Mesina VME, Bush RR, Flores VO

Language: Spanish
References: 21
Page: 77-79
PDF size: 50.63 Kb.


ABSTRACT

Introduction: One of the main causes of fractures in old patients is falls. The objective of this study was the determination of risk factors for falls in elderly female patients over 60 years old. Methods: We performed a comparative poll in women, scanning risk factors for falls and fractures, searching age, sports, tobacco and ethylic ingestion, abandonment, diabetes, hypertension, visual alterations, therapeutic drug consumption, independence in daily activities, and orthostatic hypotension. Results: We analyzed 153 polls, founding 349 falls (x = 2.5) and 83 fractures (x = 0.5) in the last 5 years. Statistics: Logistic regression for fractures and falls showed a significative relation for fractures, age, abandonment and dependence in on showering. In falls, dizziness during postural changes, we practice a variable correlation analysis, 97 % of the patients had suffered a fracture, associated with a fall and 47 % of the patients were exposed to suffer a fall with an association of 2.06. We found a positive association between falls and dependence on daily activities (dressing p = 0.018, bath p = 0.009, ability for transferences p = 0.049). A significative association between fractures and dependence on daily activities (dressing p = 0.002, bath p = 0.001, ability for transferences p = 0.000). A T student test associating fractures and age found a significative statistic correlation (p = 0.006). Discussion: Hip fractures are the most important causes of morbi-mortality in elderly. There is controversy between the association of falls and fractures, and associated factors. Conclusion: We found an important association between falls and the possibility of suffering a fracture, and as a predictive factor for falls the dependence on daily activities, and for fractures age.


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