Current situation and influencing factors of falls in the old frail retired veteran cadres
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(Department of Cadre Medicine, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China)

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R473.59

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    Abstract:

    Objective To investigate the current situation of falls in frail retired veteran cadres and to clarify the influencing factors of falls in them. Methods A total of 442 retired veteran cadres hospitalized in our medical center from February to October 2019 were subjected as the research subjects, and according to whether pre-frail or frail had fallen in the past 12 months, they were divided into the fall group and the non-fall group. Their general data and physical function were compared between the 2 groups of old cadres. SPSS statistics 22.0 was used for statistical analysis. Data comparison between 2 groups was performed using student′s t test, rank sum test, or Chi-square test depending on data types. Fried Frailty Scale was used for frailty screening, and logistic regression model was used to analyze the risk factors for falls among the frail retired veteran cadres. Results Finally, 322 (72.0%) frail retired veteran cadres were enrolled in this study, and they were at a mean age of 76.91±9.23 (63~98) years. There were 60 patients in the fall group and 262 patients in the non-fall group. The results of one-way ANOVA showed that frail score, age, body mass index (BMI), emotional state, Short Physical Performance Battery score, tandem standing test score, and sitting-rising test score had significant influences on whether falls occurred (P<0.05). Logistic regression analysis indicated that age (OR=1.043,95%CI 1.003-1.085) and BMI<18.5 kg/m2 (OR=3.704, 95%CI 1.024-13.391) were the main influencing factors for falls in frail old cadres (P<0.05). Conclusion The incidence of falls is relatively high among frail retired veteran cadres. It is necessary to strengthen the assessment and screening of the fall risk of this group of people, and formulate effective preventive measures for the high-risk group of falls.

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History
  • Received:April 14,2022
  • Revised:
  • Adopted:
  • Online: August 29,2022
  • Published: