Please use this identifier to cite or link to this item:
Title: Pain and recurrent falls in the older and oldest-old non-institutionalized population
Author: Gálvez-Barrón, César
Formiga Pérez, Francesc
Miñarro Alonso, Antonio
Macho, Oscar
Narvaiza, Leire
Dapena, María Dolores
Pujol, Ramon
Rodríguez-Molinero, Alejandro
Keywords: Vellesa
Caigudes (Accidents)
Old age
Falls (Accidents)
Issue Date: 14-Jan-2020
Publisher: BioMed Central
Abstract: Background: Recurrent falls represent a priority in geriatric research. In this study we evaluated the influence of pain as a risk factor for recurrent falls (two or more in 1 year) in the older (65-79 years) and oldest-old (80 or more years) non-institutionalized population. Methods: Prospective cohort study. 772 non-institutionalized individuals with ages of 65 years or older (with overrepresentation of people aged 80 years or older [n = 550]) were included through randomized and multistage sampling, stratified according to gender, geographic area and habitat size. Basal evaluation at participant's home including pain evaluation by Face Pain Scale (FPS, range 0-6) and then telephonic contact every 3 months were performed until complete 12 months. Multivariate analysis by logistic regression (recurrent falls as outcome variable) for each age group (older and oldest-old group) were developed considering pain as a quantitative variable (according to FPS score). Models were adjusted for age, gender, balance, muscle strength, depressive symptoms, cognitive decline, number of drugs and number of drugs with risk of falls. Results: 114 (51.35%) and 286 (52%) participants of older and oldest-old group, respectively, reported pain; and recurrent falls occurred in 6.93% (n = 12) of the older group and 12.06% (n = 51) of the oldest-old group. In the older group, pain was associated with recurrent falls, with an associated odds ratio (OR) of 1.47 (95% CI 1.08-2.00; beta 0.3864) for each unit increase in pain intensity (thus, participants with the most severe pain [FPS 6] had OR of 10.16 regarding to participants without pain [FPS 0]). In the oldest-old group, pain was not associated with recurrent falls. Conclusions: Pain, a potentially modifiable and highly prevalent symptom, is a risk factor for recurrent falls in the older people (65-79 years). However, we have not been able to demonstrate that this relationship is maintained in the oldest-old population (80 or more years). Keywords: Oldest-old people, Falls, Risk factors
Note: Reproducció del document publicat a:
It is part of: BMC Geriatrics, 2020, vol. 20, num. 12
Related resource:
ISSN: 1471-2318
Appears in Collections:Articles publicats en revistes (Genètica, Microbiologia i Estadística)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)

Files in This Item:
File Description SizeFormat 
695856.pdf677.94 kBAdobe PDFView/Open

This item is licensed under a Creative Commons License Creative Commons