Citation

Pigłowska M, Kostka J, Kostka T. Pol. Arch. Med. Wewn. 2013; 123(7-8): 371-377.

Copyright

(Copyright © 2013, Panstwowy Zaklad Wydawnictw Lekarskich)

DOI

unavailable

PMID

23648812

Abstract

INTRODUCTION Falls are complex events caused by a combination of intrinsic impairments and disabilities with or without accompanying environmental hazards. OBJECTIVES The aim of the study was to assess the relationship between respiratory tract infections (RTI) and the incidence of falls, and to further link the history of falls to functional status in nursing homes residents. PATIENTS AND METHODS The study group comprised 255 residents aged 65 years or more at three nursing homes. Falls and RTI were registered during one year and comprehensive geriatric assessment was performed with each subject after one year. RESULTS Falls occurred in 104 subjects, and 17 falls were connected with a fracture. Waist-to-hip ratio (WHR) was lower among subjects with fractures in comparison to those without. Subjects suffering a fracture demonstrated significantly worse functional status in terms of both basic and instrumental daily activities. Nursing home residents with a history of falls suffered more infections than those without (1.53±1.31 vs. 1.03±1.17; p<0.001). Similarly, subjects with a history of fractures suffered more infections than those without (1.82±1.07 vs. 1.19±1.26; p=0.012). After adjustment for other covariates in multivariate model, RTI remained independent predictor of falls and falls with an incidence of fracture. CONCLUSIONS The risk of falling and fracture in nursing home residents is associated with the occurrence of RTI. Low WHR is a risk factor for falls with fractures. Older subjects with a fracture are characterised by a worse functional status. Preventing infections may probably reduce the number of falls and fractures in older residents of nursing homes.

Language: en