Factors associated with screening positive for high falls risk in fragility fracture patients: a cross-sectional study.

BMC Musculoskeletal Disorders
Nooshin K RotondiJoanna E M Sale

Abstract

We sought to report the prevalence of fragility fracture patients who were screened at high falls risk using a large provincial database, and to determine the characteristics associated with being screened at high falls risk. The study population included fragility fracture patients 50+ years of age who were screened at 35 hospital fracture clinics in Ontario over a 3.5 year period. The outcome was based on two screening questions measuring the risk of falling, both adapted from the STEADI (Stopping Elderly Accidents, Deaths & Injuries) tool. Multivariable associations of sociodemographic, fracture-related, and health-related characteristics were evaluated using logistic regression. Of the sample, 9735 (44.5%) patients were classified as being at high falls risk, and 12,089 (55.3%) were not. In the multivariable logistic regression, being 80+ years of age (vs. 50-64 years of age), non-community dwelling (vs. living with spouse, family member, roommate), having a mental/physical impairment (vs. none), and taking multiple medications, were all strongly associated with being screened at high falls risk. Living in a non-community dwelling and taking 4+ medications were the variables most strongly associated with being screened at h...Continue Reading

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Citations

Mar 25, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Narumi KawasakiUNKNOWN Hospitals of Trauma Research of Nagoya (TRON) group

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