Association of oral frailty with falls in long-term care residents.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY European Geriatric Medicine Pub Date : 2024-11-06 DOI:10.1007/s41999-024-01088-6

Taija Puranen, Kaija Hiltunen, Kaisu H Pitkälä, Hanna-Maria Roitto, Päivi Mäntylä, Riitta K T Saarela

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Abstract

Purpose: We investigated the relationship between oral frailty (OFr) and falls among long-term care residents.

Methods: Residents (N = 254, mean age 84 y, 79% women) participated in this longitudinal cohort study in 2018-2021. OFr was defined by six signs. Demographics, diagnoses, and medications were retrieved from the medical records. Frailty phenotype, sarcopenia and disability were assessed. Number of falls was collected from medical records over 12 months following baseline assessment.

Results: Of participants, 35% fell during follow-up. Of the fallers, 28% were bedridden or needed a wheelchair; among non-fallers, this figure was 73%. In logistic regression analysis after adjusting for age, sex, BMI, stroke, dementia, diabetes, coronary heart disease, number of medications, mobility, walking speed and sarcopenia, OFr did not predict falls (OR for severe OFr 0.13 (95% CI 0.01-1.27). Male sex predicted falls.

Conclusions: No association was found between severe OFr and falls over a 12-month follow-up.

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长期护理居民口腔虚弱与跌倒的关系。

目的：我们调查了长期护理居民口腔虚弱（OFR）与跌倒之间的关系：居民（N = 254，平均年龄 84 岁，79% 为女性）参与了 2018-2021 年的纵向队列研究。OFr由六个体征定义。人口统计学、诊断和用药均来自医疗记录。评估了虚弱表型、肌肉疏松症和残疾情况。从基线评估后 12 个月的医疗记录中收集跌倒次数：结果：35%的参与者在随访期间跌倒。在跌倒者中，28%的人卧床不起或需要轮椅；在未跌倒者中，这一比例为73%。在对年龄、性别、体重指数、中风、痴呆、糖尿病、冠心病、服药次数、活动能力、行走速度和肌肉疏松症进行调整后，进行逻辑回归分析，OFr 并不能预测跌倒（严重 OFr 的 OR 值为 0.13 (95% CI 0.01-1.27)）。结论：男性性别可预测跌倒：结论：在12个月的随访中，未发现严重OFr与跌倒之间存在关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Geriatric Medicine GERIATRICS & GERONTOLOGY-

CiteScore

6.70

自引率

2.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine. The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.