Falls, non-accidental falls and syncope in community-dwelling adults aged 50 years and older: Implications for cardiovascular assessment
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Journal ArticleDate:
2017Access:
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Bhangu, J. and King-Kallimanis, B.L. and Donoghue, O.A. and Carroll, L. and Kenny, R.A., Falls, non-accidental falls and syncope in community-dwelling adults aged 50 years and older: Implications for cardiovascular assessment, PLoS ONE, 12, 7, 2017, e0180997-Download Item:
Abstract:
Objectives:
To calculate the prevalence of all falls, non-accidental falls and syncope in an older population and characterize cardiovascular risk profiles.
Design:
Prospective, longitudinal cohort study.
Setting:
The first two waves of data from the Irish Longitudinal Study on Ageing (TILDA).
Participants:
8172 community-dwelling adults aged 50 years and older resident in the Republic of Ireland
Measurements:
Self-reported history of all falls, non-accidental falls and syncope in the year preceding the first two waves of data collection. Demographic factors and self-reported cardiovascular conditions were used to characterize cardiovascular risk profiles.
Results:
The prevalence of all falls in the past year was 19.2% or 192 per thousand persons and increased with age (50–64 years 17.5%; 65–74 years 19.4%; 75+ years 24.4%). Non-accidental falls had an estimated prevalence of 5.1% or 51 falls per thousand persons and accounted for 26.5% of all falls reported and also increased with age (50–64 years 4.0%; 65–74 years 5.5%; 75+ years 8.0%). The prevalence for syncope was estimated to be 4.4% or 44per thousand persons but did not show a similar age gradient. Participants with at least 5 cardiovascular conditions were more likely to report all falls (OR = 2.07, 95% CI 1.18–3.64, p<0.05) and NAF (OR = 2.89, 95%CI 1.28–6.52, p<0.05).
Conclusions:
The prevalence of all falls and non-accidental falls increases with age but the same pattern was not consistently observed for syncope. There is an increased odds of reporting all three outcomes with increasing number of self-reported cardiovascular conditions. Further work is needed to uncover the interplay between cardiovascular disease and subsequent falls.
URI:
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0180997http://hdl.handle.net/2262/91758
Author's Homepage:
http://people.tcd.ie/rkennyhttp://people.tcd.ie/odonogh
Description:
PUBLISHEDcited By 0
Author: Kenny, Rose; Donoghue, Orna
Type of material:
Journal ArticleURI:
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0180997http://hdl.handle.net/2262/91758
Series/Report no:
PLoS ONE12
7
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Full text availableKeywords:
Falls, Ageing, Cardiovascular riskDOI:
http://dx.doi.org/10.1371/journal.pone.0180997Metadata
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