Journal of Clinical Epidemiology
Volume 58, Issue 1 , Pages 63-67 , January 2005

In an observational study elderly patients had an increased risk of falling due to home hazards

  • Thomas van Bemmel

      Affiliations

    • Section of Gerontology and Geriatrics, Department of General Internal Medicine, C1-R, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands
    • Department of Clinical Epidemiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: 0031-71-5264494; fax: 0031-71-5248159.
    • ,
  • Jan P. Vandenbroucke

      Affiliations

    • Department of Clinical Epidemiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands
    • ,
  • Rudi G.J. Westendorp

      Affiliations

    • Section of Gerontology and Geriatrics, Department of General Internal Medicine, C1-R, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands
    • ,
  • Jacobijn Gussekloo

      Affiliations

    • Section of Gerontology and Geriatrics, Department of General Internal Medicine, C1-R, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands

,Accepted 22 January 2004.

References 

  1. Woolf AD, Åkesson K. Preventing fractures in elderly people. BMJ. 2003;327:89–95
  2. Lord SR, Sherrington C, Menz HB. The relative importance of falls risk factors: an evidence-based summary. Risk factors and strategies for prevention. Cambridge, UK: Cambridge University Press; 2001;
  3. Northridge ME, Nevitt MC, Kelsey JL, Link B. Home hazards and falls in the elderly: the role of health and functional status. Am J Public Health. 1995;85:509–515
  4. Bath PA, Morgan K. Differential risk profiles for indoor and outdoor falls older people living at home in Nottingham, UK. Eur J Epidemiol. 1999;15:65–73
  5. Robbins AS, Rubenstein LZ, Josepson KR, Schulman BL, Osterweil D, Fine G. Predictors of falls among elderly people: results of two population-based studies. Arch Intern Med. 1989;149:1628–1633
  6. American Geriatrics Society . British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc. 2001;49:664–672
  7. Tinetti ME, Speechly M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–1707
  8. Gill TM, Williams CS, Tinetti ME. Environmental hazards and the risk of nonsyncopal falls in the homes of community-living older persons. Med Care. 2000;38:1174–1183
  9. Sattin R, Rodriguez JG, DeVito CA, Wingo PA. Home environmental hazards and the risk of fall injury events among community-dwelling older persons. J Am Geriatr Soc. 1998;46:669–676
  10. Clemson L, Cumming RG, Roland M. Case-control study of hazards in home and risk of falls and hip fractures. Age Ageing. 1996;25:97–101
  11. Van Haastregt JC, Diederiks JP, van Rossum E, de Witte LP, Voorhoeve PM, Crebolder HF. Effects of a programme of multifactorial home visits on falls and mobility impairments in elderly people at risk: a randomised controlled trial. BMJ. 2000;321:994–998
  12. Vetter NJ, Lewis PA, Ford D. Can health visitors prevent fractures in elderly people. BMJ. 1992;304:888–890
  13. Tinetti ME, Baker DI, McAvay G, Claus EB, Garrett P, Gottschalk M, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994;331:821–827
  14. Cumming RG, Thomas M, Szonyi G, Salkeld G, O'Neill E, Westbury C, et al. Home visits by an occupational therapist for assessment and modification of environmental hazards: a randomised trial of falls prevention. J Am Geriatr Soc. 1999;47:397–402
  15. Stevens M, Holman CDJ, Bennett N, de Klerk N. Preventing falls in older people: outcome evaluation of a randomized controlled trial. J Am Geriatr Soc. 2001;49:1448–1455
  16. Day L, Fildes B, Gordon I, Fitzharris M, Flamer H, Lord S. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ. 2002;325:128–133
  17. Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet. 1999;353:93–97
  18. Steinberg M, Cartwright C, Peel N, Williams G. A sustainable program to prevent falls and near falls in community dwelling older people: results of a randomised trial. J Epidemiol Community Health. 2000;54:227–232
  19. Hogan DB, MacDonald FA, Betts J, Bricker S, Ebly EM, Delarue B, et al. A randomized controlled trial of a community-based consultation service to prevent falls. CMAJ. 2001;165:537–543
  20. Bootsma-van der Wiel A, van Exel E, de Craen AJ, Gussekloo J, Lagaay AM, Knook DL, et al. A high response is not essential to prevent selection bias: results from the Leiden 85-Plus Study. J Clin Epidemiol. 2002;55:1119–1125
  21. Bootsma-van der Wiel A, Gussekloo J, de Craen AJ, van Exel E, Knook DL, Lagaay AM, et al. Disability in the oldest old: “can do” or “do do'?. J Am Geriatr Soc. 2001;49:909–914
  22. Exel E, Gussekloo J, Houx P, de Craen AJ, Macfarlane PW, Bootsma-van der Wiel A, et al. Atherosclerosis and cognitive impairment are linked in the elderly: the leiden 85-plus Study. Atherosclerosis. 2002;165:353–359
  23. Kellogg International Workgroup . The prevention of falls in later life. Dan Med Bull. 1987;34:1–34
  24. Stevens M, Holman AJ, Bennett N. Preventing falls in older people: impact of an intervention to reduce environmental hazards in the home. J Am Geriatr Soc. 2001;49:1442–1447
  25. Kempen GI, Miedema I, Ormel J, Molenaar W. The assessment of disability with the Groningen Activity Restriction Scale: conceptual framework and psychometric properties. Soc Sci Med. 1996;43:1601–1610
  26. Bootsma-van der Wiel A, Gussekloo J, de Craen AJM, van Exel E, Bloem BR, Westendorp RGJ. Impact of chronic diseases and impairments as determinants of walking disability in the population of oldest old. J Am Geriatr Soc. 2002;50:405–410
  27. Tombaugh TN, McIntyre NJ. The Mini-Mental State Examination: a comprehensive review. J Am Geriatrics Soc. 1992;40:922–935
  28. Rodrigues L, Kirkwood BR. Case-control designs in the study of common diseases: updates on the demise of the rare disease assumption and the choice of sampling scheme for controls. Int J Epidemiol. 1990;19:205–213
  29. Jun Zhang MB, Yu Kai F. What's the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA. 1998;280:1690–1691
  30. Wagner EH, LaCroix AZ, Grothaus L, Leveille SG, Hecht JA, Artz K, et al. Preventing disability and falls in older adults: a population-based randomized trial. Am J Public Health. 1994;84:1800–1806

 The Leiden 85-plus Study was partly supported by an unrestricted grant from the Dutch Ministry of Health, Welfare and Sports.

PII: S0895-4356(04)00227-6

doi: 10.1016/j.jclinepi.2004.06.007

Journal of Clinical Epidemiology
Volume 58, Issue 1 , Pages 63-67 , January 2005

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