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Pain and recurrent falls in the older and oldest-old non-institutionalized population.
BMC Geriatrics ( IF 4.1 ) Pub Date : 2020-01-14 , DOI: 10.1186/s12877-020-1412-8 César Gálvez-Barrón 1 , Francesc Formiga 2 , Antonio Miñarro 3 , Oscar Macho 4 , Leire Narvaiza 5 , María Dolores Dapena 4 , Ramon Pujol 6 , Alejandro Rodríguez-Molinero 1
BMC Geriatrics ( IF 4.1 ) Pub Date : 2020-01-14 , DOI: 10.1186/s12877-020-1412-8 César Gálvez-Barrón 1 , Francesc Formiga 2 , Antonio Miñarro 3 , Oscar Macho 4 , Leire Narvaiza 5 , María Dolores Dapena 4 , Ramon Pujol 6 , Alejandro Rodríguez-Molinero 1
Affiliation
BACKGROUND
Recurrent falls represent a priority in geriatric research. In this study we evaluated the influence of pain as a risk factor for recurrent falls (two or more in 1 year) in the older (65-79 years) and oldest-old (80 or more years) non-institutionalized population.
METHODS
Prospective cohort study. 772 non-institutionalized individuals with ages of 65 years or older (with overrepresentation of people aged 80 years or older [n = 550]) were included through randomized and multistage sampling, stratified according to gender, geographic area and habitat size. Basal evaluation at participant's home including pain evaluation by Face Pain Scale (FPS, range 0-6) and then telephonic contact every 3 months were performed until complete 12 months. Multivariate analysis by logistic regression (recurrent falls as outcome variable) for each age group (older and oldest-old group) were developed considering pain as a quantitative variable (according to FPS score). Models were adjusted for age, gender, balance, muscle strength, depressive symptoms, cognitive decline, number of drugs and number of drugs with risk of falls.
RESULTS
114 (51.35%) and 286 (52%) participants of older and oldest-old group, respectively, reported pain; and recurrent falls occurred in 6.93% (n = 12) of the older group and 12.06% (n = 51) of the oldest-old group. In the older group, pain was associated with recurrent falls, with an associated odds ratio (OR) of 1.47 (95% CI 1.08-2.00; beta 0.3864) for each unit increase in pain intensity (thus, participants with the most severe pain [FPS 6] had OR of 10.16 regarding to participants without pain [FPS 0]). In the oldest-old group, pain was not associated with recurrent falls.
CONCLUSIONS
Pain, a potentially modifiable and highly prevalent symptom, is a risk factor for recurrent falls in the older people (65-79 years). However, we have not been able to demonstrate that this relationship is maintained in the oldest-old population (80 or more years).
中文翻译:
年龄较大,年龄最大的非制度化人群的疼痛和反复发作。
背景技术经常性跌倒是老年医学研究中的优先事项。在这项研究中,我们评估了疼痛的影响,将其作为老年人(65-79岁)和最老的老年人(80岁或以上)的反复跌倒(一年内两次或两次以上)的危险因素。方法前瞻性队列研究。通过随机和多阶段抽样纳入了772名65岁或65岁以上的非机构化个体(其中80岁或80岁以上的人口过多)[n = 550],并根据性别,地理区域和栖息地规模进行了分层。在参与者家里进行基础评估,包括通过面部疼痛量表(FPS,范围0-6)进行疼痛评估,然后每3个月进行一次电话联系,直至完成12个月。通过将疼痛作为定量变量(根据FPS评分),对每个年龄组(年龄最大和年龄最大的组)进行了逻辑回归(经常跌倒作为结果变量)的多变量分析。对模型进行了年龄,性别,平衡,肌肉力量,抑郁症状,认知能力下降,药物数量和有跌倒风险的药物数量的调整。结果分别有114名(51.35%)和286名(52%)的老年和最老龄组参与者报告疼痛。老年组的跌倒发生率分别为6.93%(n = 12)和年龄最大组的12.06%(n = 51)。在老年组中,疼痛与反复跌倒相关,每增加一个单位的疼痛强度(因此,最严重的疼痛参与者[OR]为1.47(95%CI 1.08-2.00;β0.3864)) FPS 6]的OR为10。对于没有痛苦的参与者,则为16 [FPS 0])。在年龄最大的组中,疼痛与反复跌倒无关。结论疼痛是一种潜在的可改变且高度流行的症状,是老年人(65-79岁)反复跌倒的危险因素。但是,我们无法证明这种关系在最老的人口(80岁或以上)中得以维持。
更新日期:2020-01-15
中文翻译:
年龄较大,年龄最大的非制度化人群的疼痛和反复发作。
背景技术经常性跌倒是老年医学研究中的优先事项。在这项研究中,我们评估了疼痛的影响,将其作为老年人(65-79岁)和最老的老年人(80岁或以上)的反复跌倒(一年内两次或两次以上)的危险因素。方法前瞻性队列研究。通过随机和多阶段抽样纳入了772名65岁或65岁以上的非机构化个体(其中80岁或80岁以上的人口过多)[n = 550],并根据性别,地理区域和栖息地规模进行了分层。在参与者家里进行基础评估,包括通过面部疼痛量表(FPS,范围0-6)进行疼痛评估,然后每3个月进行一次电话联系,直至完成12个月。通过将疼痛作为定量变量(根据FPS评分),对每个年龄组(年龄最大和年龄最大的组)进行了逻辑回归(经常跌倒作为结果变量)的多变量分析。对模型进行了年龄,性别,平衡,肌肉力量,抑郁症状,认知能力下降,药物数量和有跌倒风险的药物数量的调整。结果分别有114名(51.35%)和286名(52%)的老年和最老龄组参与者报告疼痛。老年组的跌倒发生率分别为6.93%(n = 12)和年龄最大组的12.06%(n = 51)。在老年组中,疼痛与反复跌倒相关,每增加一个单位的疼痛强度(因此,最严重的疼痛参与者[OR]为1.47(95%CI 1.08-2.00;β0.3864)) FPS 6]的OR为10。对于没有痛苦的参与者,则为16 [FPS 0])。在年龄最大的组中,疼痛与反复跌倒无关。结论疼痛是一种潜在的可改变且高度流行的症状,是老年人(65-79岁)反复跌倒的危险因素。但是,我们无法证明这种关系在最老的人口(80岁或以上)中得以维持。