Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study

ObjectivesApproximately 28% to 35% of people aged 65 and over fall each year. The consequent injuries of falls are considered a major public health problem. Falls account for more than half of injury-related hospitalisations among old people. The aim of this study was to measure a 1-year period prev...

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Veröffentlicht in:BMJ open 2018-01, Vol.8 (1), p.e019063-e019063
Hauptverfasser: Almegbel, Faisal Yousef, Alotaibi, Ibrahim Muthyib, Alhusain, Faisal Ahmed, Masuadi, Emad M, Al Sulami, Salma Lafyan, Aloushan, Amairah Fahad, Almuqbil, Bashayer Ibrahim
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container_title BMJ open
container_volume 8
creator Almegbel, Faisal Yousef
Alotaibi, Ibrahim Muthyib
Alhusain, Faisal Ahmed
Masuadi, Emad M
Al Sulami, Salma Lafyan
Aloushan, Amairah Fahad
Almuqbil, Bashayer Ibrahim
description ObjectivesApproximately 28% to 35% of people aged 65 and over fall each year. The consequent injuries of falls are considered a major public health problem. Falls account for more than half of injury-related hospitalisations among old people. The aim of this study was to measure a 1-year period prevalence of falling among old people in Riyadh, Saudi Arabia. In addition, this study described the most common risk factors and consequent injuries of falls.Setting and participantsA cross-sectional survey was carried out in Riyadh, using a convenient sampling. The targeted population were Saudi citizens who were 60 years or above. Over a 6-month period, 1182 individuals were sampled (545 men and 637 women).ResultsThe 1-year prevalence of falling among old Saudis (>=60 years) was 49.9%. Our results show that 74% of the participants who experienced falls had postfall injuries. Old participants who were uneducated and those with middle school certification were associated with falls (adjusted OR (aOR) 1.72; 95% CI 1.15 to 2.56, aOR 1.81; 95% CI 1.15 to 2.85, respectively). Those who live in rented houses had a higher risk of falls. Interestingly, having a caregiver was significantly associated with more falls (aOR 1.39; 95% CI 1.08 to 1.79). However, not using any medications was significantly related to fewer falls. In addition, old individuals using walking aids were more likely to fall than those who did not. Participants who mentioned ‘not having stressors were associated with less frequent falls (aOR 0.62; 95% CI 0.39 to 0.97). Cerebrovascular accidents were strongly associated with falls with an estimated OR of 2.75 (95% CI 1.18 to 6.43). Moreover, osteoporosis, poor vision and back pain were found to be predictors for falls among the elderly.Conclusion49.9% of elderly Saudis had experienced one or more falls during a 12-month period. Several preventable risk factors could be addressed by routine geriatric assessment. Research on the impact of these risk factors is needed.
doi_str_mv 10.1136/bmjopen-2017-019063
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The consequent injuries of falls are considered a major public health problem. Falls account for more than half of injury-related hospitalisations among old people. The aim of this study was to measure a 1-year period prevalence of falling among old people in Riyadh, Saudi Arabia. In addition, this study described the most common risk factors and consequent injuries of falls.Setting and participantsA cross-sectional survey was carried out in Riyadh, using a convenient sampling. The targeted population were Saudi citizens who were 60 years or above. Over a 6-month period, 1182 individuals were sampled (545 men and 637 women).ResultsThe 1-year prevalence of falling among old Saudis (&gt;=60 years) was 49.9%. Our results show that 74% of the participants who experienced falls had postfall injuries. Old participants who were uneducated and those with middle school certification were associated with falls (adjusted OR (aOR) 1.72; 95% CI 1.15 to 2.56, aOR 1.81; 95% CI 1.15 to 2.85, respectively). Those who live in rented houses had a higher risk of falls. Interestingly, having a caregiver was significantly associated with more falls (aOR 1.39; 95% CI 1.08 to 1.79). However, not using any medications was significantly related to fewer falls. In addition, old individuals using walking aids were more likely to fall than those who did not. Participants who mentioned ‘not having stressors were associated with less frequent falls (aOR 0.62; 95% CI 0.39 to 0.97). Cerebrovascular accidents were strongly associated with falls with an estimated OR of 2.75 (95% CI 1.18 to 6.43). Moreover, osteoporosis, poor vision and back pain were found to be predictors for falls among the elderly.Conclusion49.9% of elderly Saudis had experienced one or more falls during a 12-month period. Several preventable risk factors could be addressed by routine geriatric assessment. Research on the impact of these risk factors is needed.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2017-019063</identifier><identifier>PMID: 29326189</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Accidental Falls - statistics &amp; numerical data ; Accidents, Home - statistics &amp; numerical data ; Adults ; Age ; Age Factors ; Aged ; Aging ; Back Pain ; Caregivers ; Cerebrovascular Disorders ; Cross-Sectional Studies ; Data collection ; Developing countries ; Diabetes ; Drug-Related Side Effects and Adverse Reactions ; Environment Design ; Falls ; Female ; Geriatric Medicine ; Geriatrics ; Gerontology ; Humans ; Injuries ; LDCs ; Male ; Middle Aged ; Older people ; Orthopedic Equipment ; Osteoporosis ; Population ; Prevalence ; Public health ; Quality of life ; Risk Factors ; Saudi Arabia - epidemiology ; Socioeconomic Factors ; Stress ; Stress, Psychological ; Systematic review ; Vision, Low ; Wounds and Injuries - epidemiology ; Wounds and Injuries - etiology</subject><ispartof>BMJ open, 2018-01, Vol.8 (1), p.e019063-e019063</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2018 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-fee9c080a1eee4786611403db938066d9732ab5479b9b87a4d1f6afb80f6c4603</citedby><cites>FETCH-LOGICAL-b472t-fee9c080a1eee4786611403db938066d9732ab5479b9b87a4d1f6afb80f6c4603</cites><orcidid>0000-0002-8422-5244</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://bmjopen.bmj.com/content/8/1/e019063.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://bmjopen.bmj.com/content/8/1/e019063.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27321,27526,27527,27901,27902,33751,53766,53768,77344,77375</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29326189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Almegbel, Faisal Yousef</creatorcontrib><creatorcontrib>Alotaibi, Ibrahim Muthyib</creatorcontrib><creatorcontrib>Alhusain, Faisal Ahmed</creatorcontrib><creatorcontrib>Masuadi, Emad M</creatorcontrib><creatorcontrib>Al Sulami, Salma Lafyan</creatorcontrib><creatorcontrib>Aloushan, Amairah Fahad</creatorcontrib><creatorcontrib>Almuqbil, Bashayer Ibrahim</creatorcontrib><title>Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesApproximately 28% to 35% of people aged 65 and over fall each year. The consequent injuries of falls are considered a major public health problem. Falls account for more than half of injury-related hospitalisations among old people. The aim of this study was to measure a 1-year period prevalence of falling among old people in Riyadh, Saudi Arabia. In addition, this study described the most common risk factors and consequent injuries of falls.Setting and participantsA cross-sectional survey was carried out in Riyadh, using a convenient sampling. The targeted population were Saudi citizens who were 60 years or above. Over a 6-month period, 1182 individuals were sampled (545 men and 637 women).ResultsThe 1-year prevalence of falling among old Saudis (&gt;=60 years) was 49.9%. Our results show that 74% of the participants who experienced falls had postfall injuries. Old participants who were uneducated and those with middle school certification were associated with falls (adjusted OR (aOR) 1.72; 95% CI 1.15 to 2.56, aOR 1.81; 95% CI 1.15 to 2.85, respectively). Those who live in rented houses had a higher risk of falls. Interestingly, having a caregiver was significantly associated with more falls (aOR 1.39; 95% CI 1.08 to 1.79). However, not using any medications was significantly related to fewer falls. In addition, old individuals using walking aids were more likely to fall than those who did not. Participants who mentioned ‘not having stressors were associated with less frequent falls (aOR 0.62; 95% CI 0.39 to 0.97). Cerebrovascular accidents were strongly associated with falls with an estimated OR of 2.75 (95% CI 1.18 to 6.43). Moreover, osteoporosis, poor vision and back pain were found to be predictors for falls among the elderly.Conclusion49.9% of elderly Saudis had experienced one or more falls during a 12-month period. Several preventable risk factors could be addressed by routine geriatric assessment. Research on the impact of these risk factors is needed.</description><subject>Accidental Falls - statistics &amp; numerical data</subject><subject>Accidents, Home - statistics &amp; numerical data</subject><subject>Adults</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aging</subject><subject>Back Pain</subject><subject>Caregivers</subject><subject>Cerebrovascular Disorders</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Developing countries</subject><subject>Diabetes</subject><subject>Drug-Related Side Effects and Adverse Reactions</subject><subject>Environment Design</subject><subject>Falls</subject><subject>Female</subject><subject>Geriatric Medicine</subject><subject>Geriatrics</subject><subject>Gerontology</subject><subject>Humans</subject><subject>Injuries</subject><subject>LDCs</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Orthopedic Equipment</subject><subject>Osteoporosis</subject><subject>Population</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Quality of life</subject><subject>Risk Factors</subject><subject>Saudi Arabia - epidemiology</subject><subject>Socioeconomic Factors</subject><subject>Stress</subject><subject>Stress, Psychological</subject><subject>Systematic review</subject><subject>Vision, Low</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - etiology</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkV1rHCEUhqU0NCHNLygUoTe9yKQ6o87Yi0II-YJASj-uxdEzWbeObnVmYf9Gf3Hd7DakvaoXKrzPeTnnvAi9oeSM0kZ86MdlXEGoakLbilBJRPMCHdWEsUoQzl8--x-ik5yXpBzGJef1K3RYy6YWtJNH6NdnSC5avEqw1h6CgVOcXP6BB22mmDLWwWITQ4afM4QJu7Cck4OM41AQ7114wHqM5Z4WgL_q2ToM3kLyG-zdeiu7gL-4jbaL071-nnTv9EessUkx5yqDmVwM2uM8zXbzGh0U5wwn-_cYfb-6_HZxU93dX99enN9VPWvrqRoApCEd0RQAWNsJQSkjje1l0xEhrGybWvectbKXfddqZukg9NB3ZBCGCdIco08739Xcj2BNGS9pr1bJjTptVNRO_a0Et1APca1421FCeTF4vzdIsWwnT2p02YD3OkCcs6Kyk1zUrKkL-u4fdBnnVEZ-pIRoW0q2VLOjHveSYHhqhhK1jV3tY1fb2NUu9lL19vkcTzV_Qi7A2Q4o1f_l-BuuU7t7</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Almegbel, Faisal Yousef</creator><creator>Alotaibi, Ibrahim Muthyib</creator><creator>Alhusain, Faisal Ahmed</creator><creator>Masuadi, Emad M</creator><creator>Al Sulami, Salma Lafyan</creator><creator>Aloushan, Amairah Fahad</creator><creator>Almuqbil, Bashayer Ibrahim</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8422-5244</orcidid></search><sort><creationdate>20180101</creationdate><title>Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study</title><author>Almegbel, Faisal Yousef ; Alotaibi, Ibrahim Muthyib ; Alhusain, Faisal Ahmed ; Masuadi, Emad M ; Al Sulami, Salma Lafyan ; Aloushan, Amairah Fahad ; Almuqbil, Bashayer Ibrahim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-fee9c080a1eee4786611403db938066d9732ab5479b9b87a4d1f6afb80f6c4603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Accidental Falls - statistics &amp; numerical data</topic><topic>Accidents, Home - statistics &amp; numerical data</topic><topic>Adults</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aging</topic><topic>Back Pain</topic><topic>Caregivers</topic><topic>Cerebrovascular Disorders</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Developing countries</topic><topic>Diabetes</topic><topic>Drug-Related Side Effects and Adverse Reactions</topic><topic>Environment Design</topic><topic>Falls</topic><topic>Female</topic><topic>Geriatric Medicine</topic><topic>Geriatrics</topic><topic>Gerontology</topic><topic>Humans</topic><topic>Injuries</topic><topic>LDCs</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Orthopedic Equipment</topic><topic>Osteoporosis</topic><topic>Population</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Quality of life</topic><topic>Risk Factors</topic><topic>Saudi Arabia - epidemiology</topic><topic>Socioeconomic Factors</topic><topic>Stress</topic><topic>Stress, Psychological</topic><topic>Systematic review</topic><topic>Vision, Low</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Almegbel, Faisal Yousef</creatorcontrib><creatorcontrib>Alotaibi, Ibrahim Muthyib</creatorcontrib><creatorcontrib>Alhusain, Faisal Ahmed</creatorcontrib><creatorcontrib>Masuadi, Emad M</creatorcontrib><creatorcontrib>Al Sulami, Salma Lafyan</creatorcontrib><creatorcontrib>Aloushan, Amairah Fahad</creatorcontrib><creatorcontrib>Almuqbil, Bashayer Ibrahim</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Almegbel, Faisal Yousef</au><au>Alotaibi, Ibrahim Muthyib</au><au>Alhusain, Faisal Ahmed</au><au>Masuadi, Emad M</au><au>Al Sulami, Salma Lafyan</au><au>Aloushan, Amairah Fahad</au><au>Almuqbil, Bashayer Ibrahim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>8</volume><issue>1</issue><spage>e019063</spage><epage>e019063</epage><pages>e019063-e019063</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesApproximately 28% to 35% of people aged 65 and over fall each year. The consequent injuries of falls are considered a major public health problem. Falls account for more than half of injury-related hospitalisations among old people. The aim of this study was to measure a 1-year period prevalence of falling among old people in Riyadh, Saudi Arabia. In addition, this study described the most common risk factors and consequent injuries of falls.Setting and participantsA cross-sectional survey was carried out in Riyadh, using a convenient sampling. The targeted population were Saudi citizens who were 60 years or above. Over a 6-month period, 1182 individuals were sampled (545 men and 637 women).ResultsThe 1-year prevalence of falling among old Saudis (&gt;=60 years) was 49.9%. Our results show that 74% of the participants who experienced falls had postfall injuries. Old participants who were uneducated and those with middle school certification were associated with falls (adjusted OR (aOR) 1.72; 95% CI 1.15 to 2.56, aOR 1.81; 95% CI 1.15 to 2.85, respectively). Those who live in rented houses had a higher risk of falls. Interestingly, having a caregiver was significantly associated with more falls (aOR 1.39; 95% CI 1.08 to 1.79). However, not using any medications was significantly related to fewer falls. In addition, old individuals using walking aids were more likely to fall than those who did not. Participants who mentioned ‘not having stressors were associated with less frequent falls (aOR 0.62; 95% CI 0.39 to 0.97). Cerebrovascular accidents were strongly associated with falls with an estimated OR of 2.75 (95% CI 1.18 to 6.43). Moreover, osteoporosis, poor vision and back pain were found to be predictors for falls among the elderly.Conclusion49.9% of elderly Saudis had experienced one or more falls during a 12-month period. Several preventable risk factors could be addressed by routine geriatric assessment. Research on the impact of these risk factors is needed.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>29326189</pmid><doi>10.1136/bmjopen-2017-019063</doi><orcidid>https://orcid.org/0000-0002-8422-5244</orcidid><oa>free_for_read</oa></addata></record>
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subjects Accidental Falls - statistics & numerical data
Accidents, Home - statistics & numerical data
Adults
Age
Age Factors
Aged
Aging
Back Pain
Caregivers
Cerebrovascular Disorders
Cross-Sectional Studies
Data collection
Developing countries
Diabetes
Drug-Related Side Effects and Adverse Reactions
Environment Design
Falls
Female
Geriatric Medicine
Geriatrics
Gerontology
Humans
Injuries
LDCs
Male
Middle Aged
Older people
Orthopedic Equipment
Osteoporosis
Population
Prevalence
Public health
Quality of life
Risk Factors
Saudi Arabia - epidemiology
Socioeconomic Factors
Stress
Stress, Psychological
Systematic review
Vision, Low
Wounds and Injuries - epidemiology
Wounds and Injuries - etiology
title Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study
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