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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Predictors of falls in older adults with and without dementia
Alzheimer's & dementia, v 19(7), pp 2888-2897
Jul 2023
PMID: 36633222
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Persons living with, versus without, dementia (PLWD) have heightened fall-risk. Little is known about whether fall-risk factors differ by dementia status.
Using the 2015 and 2016 National Health and Aging Trends Study, we prospectively identified fall-risk factors over a 12-month period among community-living older adults ≥65 years with and without dementia (n = 5581).
Fall rates were higher among PLWD compared to persons without dementia (45.5% vs. 30.9%). In a multivariable model including sociodemographic, health, function, and environmental characteristics as predictors, vision impairment (OR: 2.22, 95% CI: 1.12-4.40), and living with a spouse versus alone (OR: 2.43, 95% CI: 1.09-5.43) predicted falls among PLWD, but not among persons without dementia. History of previous falls predicted subsequent falls regardless of dementia status (OR: 6.20, 95% CI: 3.81-10.09, and OR: 2.92, 95% CI: 2.50-3.40, respectively).
Incorporating appropriate fall-risk factors could inform effective falls screening and prevention strategies for PLWD.
46% of persons with dementia had ≥1 falls versus 31% of those without dementia in 2016. Vision impairment and living with a spouse predicted falls in persons with dementia. Study results support tailored fall prevention strategies for persons with dementia.
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Details
- Title
- Predictors of falls in older adults with and without dementia
- Creators
- Safiyyah M Okoye - Drexel University, Doctoral NursingChanee D Fabius - Johns Hopkins UniversityLisa Reider - Johns Hopkins UniversityJennifer L Wolff - Johns Hopkins University
- Publication Details
- Alzheimer's & dementia, v 19(7), pp 2888-2897
- Publisher
- Wiley
- Number of pages
- 10
- Grant note
- P30 AG066587 / NIA NIH HHS T32 AG066576 / NIA NIH HHS U54 MD000214 / NIMHD NIH HHS P60 MD000214 / NIMHD NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing; Drexel University
- Web of Science ID
- WOS:000910567700001
- Scopus ID
- 2-s2.0-85146281173
- Other Identifier
- 991021861183304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology