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Falls Among Older Adults During the COVID-19 Pandemic: A Multicenter Cross-Sectional Study in Vietnam
Clinical Interventions in Aging ( IF 3.5 ) Pub Date : 2022-09-21 , DOI: 10.2147/cia.s382649 Huan Thanh Nguyen 1 , Chanh Cong Nguyen 1 , Thien Le Hoang 1
Clinical Interventions in Aging ( IF 3.5 ) Pub Date : 2022-09-21 , DOI: 10.2147/cia.s382649 Huan Thanh Nguyen 1 , Chanh Cong Nguyen 1 , Thien Le Hoang 1
Affiliation
Purpose: We aimed to investigate the prevalence and factors associated with falls in older adult outpatients during the coronavirus disease (COVID-19) pandemic in Vietnam.
Patients and Methods: From February 2022 to June 2022, this cross-sectional study included 814 patients (aged ≥ 60 years; mean age 71.8 ± 7.3 years; women, 65.2%) attending three geriatric clinics for a comprehensive geriatric assessment. Self-reported fall events in the past 12 months and post-COVID-19 falls were assessed. Factors associated with falls were determined using logistic regression analysis.
Results: In total, 188 patients (23.1%) had falls (single fall, 75.5%; recurrent falls, 24.5%). The most frequent location, time, and circumstance of falls were the bedroom (43.1%), morning (54.3%), and dizziness (34.6%), respectively. Most patients experienced health issues after falls (bruise/grazes, 53.7%; fracture, 12.8%; immobility, 9.6%; hospital admission, 14.9%). In the adjusted model, factors associated with falls were being underweight (odds ratio [OR] 2.50, 95% confidence interval [CI] 1.37– 4.56, P = 0.003), limitations in instrumental activities of daily living (OR 2.03, 95% CI 1.05– 3.95, P = 0.036), poor sleep quality (OR 1.83, 95% CI 1.10– 3.05, P = 0.020), and fear of falling (OR 3.45, 95% CI 2.23– 5.33, P < 0.001). Among 357 COVID-19 infected patients, post-COVID-19 falls occurred in 35 patients (9.8%) and were associated with fear of falling (OR 3.14, 95% CI 1.18– 8.40, P = 0.023) and post-COVID-19 lower limb weakness (OR 2.55, 95% CI 1.07– 6.10, P = 0.035).
Conclusion: Our study found a substantial prevalence of falls among older outpatients during the COVID-19 pandemic in Vietnam. Management of factors associated with falls may be needed to reduce the burden of falls in the older population.
Keywords: falls, prevalence, Vietnam, COVID-19
中文翻译：
COVID-19 大流行期间老年人跌倒：越南的一项多中心横断面研究
目的：我们旨在调查越南冠状病毒病 (COVID-19) 大流行期间老年门诊患者跌倒的患病率和相关因素。
患者和方法：从 2022 年 2 月到 2022 年 6 月，这项横断面研究包括 814 名患者（年龄 ≥ 60 岁；平均年龄 71.8 ± 7.3 岁；女性，65.2%），他们在三个老年诊所进行全面的老年评估。评估了过去 12 个月内自我报告的跌倒事件和 COVID-19 后跌倒事件。使用逻辑回归分析确定与跌倒相关的因素。
结果：总共有 188 名患者（23.1%）跌倒（单次跌倒，75.5%；反复跌倒，24.5%）。最常见的跌倒地点、时间和环境分别是卧室（43.1%）、早晨（54.3%）和头晕（34.6%）。大多数患者在跌倒后出现健康问题（瘀伤/擦伤，53.7%；骨折，12.8%；不动，9.6%；住院，14.9%）。在调整后的模型中，与跌倒相关的因素是体重过轻（优势比 [OR] 2.50，95% 置信区间 [CI] 1.37–4.56，P = 0.003），日常生活工具活动受限（OR 2.03，95% CI 1.05–3.95, P = 0.036)，睡眠质量差 (OR 1.83, 95% CI 1.10–3.05, P = 0.020)，害怕跌倒 (OR 3.45, 95% CI 2.23–5.33, P< 0.001)。在 357 名 COVID-19 感染患者中，35 名患者 (9.8%) 发生 COVID-19 后跌倒，并且与害怕跌倒相关 (OR 3.14, 95% CI 1.18–8.40, P = 0.023) 和 COVID-19 后下肢无力（OR 2.55, 95% CI 1.07–6.10, P = 0.035）。
结论：我们的研究发现，在越南 COVID-19 大流行期间，老年门诊患者的跌倒率很高。可能需要对与跌倒相关的因素进行管理，以减轻老年人跌倒的负担。
关键词：跌倒、患病率、越南、COVID-19
更新日期：2022-09-20
Patients and Methods: From February 2022 to June 2022, this cross-sectional study included 814 patients (aged ≥ 60 years; mean age 71.8 ± 7.3 years; women, 65.2%) attending three geriatric clinics for a comprehensive geriatric assessment. Self-reported fall events in the past 12 months and post-COVID-19 falls were assessed. Factors associated with falls were determined using logistic regression analysis.
Results: In total, 188 patients (23.1%) had falls (single fall, 75.5%; recurrent falls, 24.5%). The most frequent location, time, and circumstance of falls were the bedroom (43.1%), morning (54.3%), and dizziness (34.6%), respectively. Most patients experienced health issues after falls (bruise/grazes, 53.7%; fracture, 12.8%; immobility, 9.6%; hospital admission, 14.9%). In the adjusted model, factors associated with falls were being underweight (odds ratio [OR] 2.50, 95% confidence interval [CI] 1.37– 4.56, P = 0.003), limitations in instrumental activities of daily living (OR 2.03, 95% CI 1.05– 3.95, P = 0.036), poor sleep quality (OR 1.83, 95% CI 1.10– 3.05, P = 0.020), and fear of falling (OR 3.45, 95% CI 2.23– 5.33, P < 0.001). Among 357 COVID-19 infected patients, post-COVID-19 falls occurred in 35 patients (9.8%) and were associated with fear of falling (OR 3.14, 95% CI 1.18– 8.40, P = 0.023) and post-COVID-19 lower limb weakness (OR 2.55, 95% CI 1.07– 6.10, P = 0.035).
Conclusion: Our study found a substantial prevalence of falls among older outpatients during the COVID-19 pandemic in Vietnam. Management of factors associated with falls may be needed to reduce the burden of falls in the older population.
Keywords: falls, prevalence, Vietnam, COVID-19
中文翻译：
COVID-19 大流行期间老年人跌倒：越南的一项多中心横断面研究
目的：我们旨在调查越南冠状病毒病 (COVID-19) 大流行期间老年门诊患者跌倒的患病率和相关因素。
患者和方法：从 2022 年 2 月到 2022 年 6 月，这项横断面研究包括 814 名患者（年龄 ≥ 60 岁；平均年龄 71.8 ± 7.3 岁；女性，65.2%），他们在三个老年诊所进行全面的老年评估。评估了过去 12 个月内自我报告的跌倒事件和 COVID-19 后跌倒事件。使用逻辑回归分析确定与跌倒相关的因素。
结果：总共有 188 名患者（23.1%）跌倒（单次跌倒，75.5%；反复跌倒，24.5%）。最常见的跌倒地点、时间和环境分别是卧室（43.1%）、早晨（54.3%）和头晕（34.6%）。大多数患者在跌倒后出现健康问题（瘀伤/擦伤，53.7%；骨折，12.8%；不动，9.6%；住院，14.9%）。在调整后的模型中，与跌倒相关的因素是体重过轻（优势比 [OR] 2.50，95% 置信区间 [CI] 1.37–4.56，P = 0.003），日常生活工具活动受限（OR 2.03，95% CI 1.05–3.95, P = 0.036)，睡眠质量差 (OR 1.83, 95% CI 1.10–3.05, P = 0.020)，害怕跌倒 (OR 3.45, 95% CI 2.23–5.33, P< 0.001)。在 357 名 COVID-19 感染患者中，35 名患者 (9.8%) 发生 COVID-19 后跌倒，并且与害怕跌倒相关 (OR 3.14, 95% CI 1.18–8.40, P = 0.023) 和 COVID-19 后下肢无力（OR 2.55, 95% CI 1.07–6.10, P = 0.035）。
结论：我们的研究发现，在越南 COVID-19 大流行期间，老年门诊患者的跌倒率很高。可能需要对与跌倒相关的因素进行管理，以减轻老年人跌倒的负担。
关键词：跌倒、患病率、越南、COVID-19
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