Cognitive status as a robust predictor of repeat falls in older Veterans in post-acute care.

Autor: Rochette AD; VA Ann Arbor Healthcare System Mental Health Service 116b, 2215 Fuller Road, Ann Arbor, MI, 48105, USA., Alexander NB; VA Ann Arbor Geriatric Research Education and Clinical Center, Ann Arbor, MI, USA.; Michigan Medicine, Ann Arbor, MI, USA., Cigolle CT; VA Ann Arbor Geriatric Research Education and Clinical Center, Ann Arbor, MI, USA.; Michigan Medicine, Ann Arbor, MI, USA., Hogikyan R; VA Ann Arbor Geriatric Research Education and Clinical Center, Ann Arbor, MI, USA.; Michigan Medicine, Ann Arbor, MI, USA., Phillips K; VA Ann Arbor Geriatric Research Education and Clinical Center, Ann Arbor, MI, USA., Khan FA; Atrium Health, Charlotte, NC, USA., Stelmokas J; VA Ann Arbor Healthcare System Mental Health Service 116b, 2215 Fuller Road, Ann Arbor, MI, 48105, USA. jstelmok@med.umich.edu.; VA Ann Arbor Geriatric Research Education and Clinical Center, Ann Arbor, MI, USA. jstelmok@med.umich.edu.; Michigan Medicine, Ann Arbor, MI, USA. jstelmok@med.umich.edu.
Jazyk: angličtina
Zdroj: Aging clinical and experimental research [Aging Clin Exp Res] 2021 Jun; Vol. 33 (6), pp. 1677-1682. Date of Electronic Publication: 2020 Jun 27.
DOI: 10.1007/s40520-020-01635-8
Abstrakt: Background: While repeat falls are common in post-acute care (PAC), risk factors have not been fully elucidated.
Aims: The objective of thids study is to evaluate the contribution of cognitive function to repeat falls in older PAC Veterans.
Methods: Data were collected from medical records for 91 single and 30 repeat fallers over 5 consecutive years (2011-2016).
Results: After controlling for demographic and medical factors, lower Mini-Mental State Exam (MMSE) score was associated with increased odds of repeat falls. MMSE scores below 20 (with age held constant at the mean) were associated with a greater than 50% chance of a repeat fall (compared to 24.7% base rate). Admission for a neurologic reason further increased risk.
Discussion: PAC Veterans who experience a fall have an increased risk of repeat falls with concomitant cognitive dysfunction and/or admission for neurologic reasons.
Conclusions: Results support tailoring multi-component interventions for those with cognitive dysfunction utilizing standardized mental status screening upon admission.
Databáze: MEDLINE
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