Cited 0 times in
Fall Patterns Predict Mortality After Hip Fracture in Older Adults, Independent of Age, Sex, and Comorbidities
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김지훈 | - |
dc.contributor.author | 박관규 | - |
dc.contributor.author | 이승현 | - |
dc.contributor.author | 이유미 | - |
dc.contributor.author | 홍남기 | - |
dc.date.accessioned | 2021-12-28T16:47:18Z | - |
dc.date.available | 2021-12-28T16:47:18Z | - |
dc.date.issued | 2021-10 | - |
dc.identifier.issn | 0171-967X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/186798 | - |
dc.description.abstract | Falls are the most frequent cause of hip fracture. We aimed to investigate whether specific fall patterns have predictive value for mortality after hip fracture. In this cohort study, data of individuals presented to the Severance Hospital, Seoul, Korea, between 2005 and 2019 due to fragility hip fracture (n = 1986) were analyzed. Fall patterns were defined as causes, activities leading to falls, and a combination of both, based on electronic medical records using pre-specified classification from a prior study on video-captured falls. Mean age of study subjects were 77 years (71% women) and 211 patients (10.6%) died during follow-up (median 544 days). Indoor falls at home had a higher mortality than outdoor falls (11.9 vs. 8.0%, p = 0.009). Among 16 fall patterns, incorrect weight shift while sitting down (adjusted hazard ratio [aHR] 4.03) or getting up (aHR 2.01), collapse during low-risk activity (aHR 2.39), and slipping while walking (aHR 2.90, p < 0.01 for all) were associated with increased mortality compared to outdoor falls, after adjustment for age, sex, and Charlson comorbidity index (CCI), constituting a high-risk pattern. High-risk fall patterns were associated with a higher risk of mortality (aHR 2.56, p < 0.001) than low-risk patterns (aHR 1.37, p = 0.080) and outdoor falls (referent; log rank p < 0.001), which improved mortality prediction when added to a base model including age, sex, and CCI (integrative area under receiver-operating characteristics curve 0.675 to 0.698, p < 0.001). Specific fall patterns were associated with higher mortality in older adults with hip fracture, independent of age, sex, and comorbidities. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer Verlag | - |
dc.relation.isPartOf | CALCIFIED TISSUE INTERNATIONAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Accidental Falls* | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Comorbidity | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hip Fractures* / epidemiology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Fall Patterns Predict Mortality After Hip Fracture in Older Adults, Independent of Age, Sex, and Comorbidities | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Emergency Medicine (응급의학교실) | - |
dc.contributor.googleauthor | Seung Won Burm | - |
dc.contributor.googleauthor | Namki Hong | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Minheui Yu | - |
dc.contributor.googleauthor | Ji Hoon Kim | - |
dc.contributor.googleauthor | Kwan Kyu Park | - |
dc.contributor.googleauthor | Yumie Rhee | - |
dc.identifier.doi | 10.1007/s00223-021-00846-z | - |
dc.contributor.localId | A05321 | - |
dc.contributor.localId | A01428 | - |
dc.contributor.localId | A05934 | - |
dc.contributor.localId | A03012 | - |
dc.contributor.localId | A04388 | - |
dc.relation.journalcode | J00425 | - |
dc.identifier.eissn | 1432-0827 | - |
dc.identifier.pmid | 33830276 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00223-021-00846-z | - |
dc.subject.keyword | Death | - |
dc.subject.keyword | Fall | - |
dc.subject.keyword | Fracture | - |
dc.subject.keyword | Frailty | - |
dc.contributor.alternativeName | Kim, Ji Hoon | - |
dc.contributor.affiliatedAuthor | 김지훈 | - |
dc.contributor.affiliatedAuthor | 박관규 | - |
dc.contributor.affiliatedAuthor | 이승현 | - |
dc.contributor.affiliatedAuthor | 이유미 | - |
dc.contributor.affiliatedAuthor | 홍남기 | - |
dc.citation.volume | 109 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 372 | - |
dc.citation.endPage | 382 | - |
dc.identifier.bibliographicCitation | CALCIFIED TISSUE INTERNATIONAL, Vol.109(4) : 372-382, 2021-10 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.