Risk factors for falls in older patients with cancer
| Autor: | Cheuk Hong Leung, Holly M. Holmes, Vicente Valero, Beatrice J. Edwards, Ming Sun, Linda Pang, Colin P.N. Dinney, Suyu Liu, Richard E. Champlin, Xiaotao Zhang, Uday R. Popat, Debasish Tripathy |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Medicine (miscellaneous) Poison control 03 medical and health sciences Social support 0302 clinical medicine Risk Factors Neoplasms Injury prevention medicine Dementia Humans 030212 general & internal medicine Geriatric Assessment Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over Oncology (nursing) business.industry Cancer Retrospective cohort study General Medicine medicine.disease Comorbidity Medical–Surgical Nursing 030220 oncology & carcinogenesis Physical therapy Accidental Falls Female business |
| Zdroj: | BMJ supportivepalliative care. 8(1) |
| ISSN: | 2045-4368 |
| Popis: | ObjectivesA rising number of patients with cancer are older adults (65 years of age and older), and this proportion will increase to 70% by the year 2020. Falls are a common condition in older adults. We sought to assess the prevalence and risk factors for falls in older patients with cancer.MethodsThis is a single-site, retrospective cohort study. Patients who were receiving cancer care underwent a comprehensive geriatric assessments, including cognitive, functional, nutritional, physical, falls in the prior 6 months and comorbidity assessment. Vitamin D and bone densitometry were performed.AnalysisDescriptive statistics and multivariable logistic regression.ResultsA total of 304 patients aged 65 or above were enrolled in this study. The mean age was 78.4±6.9 years. They had haematological, gastrointestinal, urological, breast, lung and gynaecological cancers. A total of 215 patients with available information about falls within the past 6 months were included for final analysis. Seventy-seven (35.8%) patients had at least one fall in the preceding 6 months. Functional impairment (p=0.048), frailty (pConclusionsFalls are common in older patients with cancer and lead to adverse clinical outcomes. Major depression, functional impairment, frailty, dementia and low social support were risk factors for falls. Heightened awareness and targeted interventions can prevent falls in older patients with cancer. |
| Databáze: | OpenAIRE |
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