Factors associated with unrecovered falls among older adults

Autores Tatiana Karpusenko MA, Maynara Alfonsi , Nayara Tasse de Oliveira Cirino MSc, Erika Yukie Ishigaki MSc , Adriana Sanudo PhD , Sergio Marcio Pacheco Paschoal PhD , Luiz Eugênio Garcez Leme PhD , Monica Rodrigues Perracini PhD 

Abstract: This cross-sectional exploratory study investigated factors associated with unrecovered falls among older patients with a history of falls in the previous year participating in a clinical trial on fall prevention by asking them about their inability to get up independently after the fall. Participants' sociodemographic, clinical, functional (ADL/IADL, TUG, chair-stand test, hand grip, risk of falling) and fall location were investigated. We conducted a multivariate regression analysis adjusted for covariates to identify the main factors associated with unrecovered falls. Out of 715 participants (mean age: 73.4 years; 86% women), 51.6% (95% IC; 47.9 - 55.3%) experienced unrecovered falls. Depressive symptoms, ADL/IADL limitation, mobility limitation, undernutrition, and outdoor falls were associated with unrecovered falls. While assessing the risk of falling, professionals should consider preventive strategies and preparedness procedures for those who are more likely to experience unrecovered falls, such as training to get up from the floor, alarms, and support services.