Acta Chir Orthop Traumatol Cech. 2014; 81(4):272-275 | DOI: 10.55095/achot2014/036
Determining the Risk of Falling in Elderly Patients Undergoing Hip Fracture SurgeryOriginal papers
- 1 Güülhane Military Academy of Medicine, Haydarpasa Education Hospital, Orthopedic Surgery Department, Istanbul, Turkey
- 2 Istanbul University, Florence Nightingale, Faculty of Nursing, Surgical Nursing Department, Sisli-Istanbul, Turkey
PURPOSE OF THE STUDY:
This study examines the risk of falling in elderly patients who underwent hip fracture surgery in the orthopaedic clinic during the postoperative period.
MATERIALS AND METHODS:
This study was a cross-sectional study. The study sample consisted of 71 elderly patients aged more than 65 years undergoing hip fracture surgery. A questionnaire, the Tinetti balance test and the mini-mental state examination (MMSE) were used.
RESULTS:
The analyses included 71 elderly patients with a mean age of 78.45 years. All patients had been hospitalized for hip fracture due to falling, and 29.6% had a history of falling in the one year prior to hospitalization. The mean MMSE score was 18.37 ± 6.54 and the mean Tinetti score was 11.10 ± 6.66.
CONCLUSION:
We found that as the mean age of the elderly patients increased, the risk of falling also increased and the MMSE scores deteriorate and that the elderly patients living alone were at a greater risk of falling and had worse cognitive function, that those with a history of falling before hospitalization were at a greater risk of falling again and that the risk of falling increased as cognitive function declined.
Keywords: elderly, falling, hip fracture, risk of falling
Published: August 1, 2014 Show citation
References
- AĞIRCAN, D.: The validity and reliability of the Tinetti balance and gait assessment. [online: http://www.sbe.pau.edu.tr/duygu_agircan.pdf.] [cit 13.03.2011]
- AKTAŞ, Ş., ÇELIK, Y.: An evaluation of the underlying causes of fall-induced hip fractures in elderly persons. Ulus Travma Acil. Cerrahi Derg., 10: 250-252, 2004.
- ATAY, E., AKDENIZ, M.: Falls in elderly, fear of falling and physical activity. Gerofam, 2: 11-28, 2011.
Go to original source...
- BERKE, D.: Falling risk score in patients undergone to neurosurgery. Unpublished master's thesis, Marmara University. The Institute of Health Sciences. Istanbul, Turkey, 2008.
- BERKE, D., ASLAN, F.: A risk of surgical patients: Falling, reasons and preventions. Journal of Anatolia Nursing and Health Sciences, 13: 72-77, 2010.
- BIYIKLI, K.: Factors related to falls in a sample of older people living in rest home; Demographic characteristics, health problems and use of medicines. Unpublished master's thesis, Istanbul University. The Institute of Health Sciences. Istanbul, Turkey, 2006.
- ÇOPUROGLU, C., ÜNVER, K V., ÖZCAN, M., ÇIFTDEMIR, M., TURAN, F. M., ÇOPUROGLU, E.: The analysis of the risk factors observed in patients with hip fracture. Medical Journal of Bakirköy, 7: 136-141, 2011.
Go to original source...
- ÇUHADAR, D., SERTBAŞ, G., TUTKUN, H.: Relationship between level of cognitive functions and activities of daily life at elderly people who live in rest home. Anadolu Psikiyatr. Derg., 7: 232-239, 2006.
- EVANS, D., HODGKINSON, B., LAMBERT, N., WOOD, J.: Falls risk factors in the hospital setting: A systematic review. Int. J. Nurs. Pract., 7: 38-45., 2001.
Go to original source...
Go to PubMed...
- GEMALMAZ, A., DIŞÇIGIL, G., BAŞAK, O.: Evaluation of the balance and gait status in nursing home residents. Turk Geriatri Derg., 7: 41-44, 2004.
- GLEASON, C. E., GANGNON, R. E., FISCHER, B. L., MAHONEY, J. E.: Increased risk for falling associated with subtle cognitive impairment: Secondary analysis of a randomized clinical trial. Dement. Geriatr. Cogn., 27: 557-583, 2009.
Go to original source...
Go to PubMed...
- GÜNGEN, C., ERTAN, T., EKER, E., YAŞAR, R., ENGIN, F.: Reliability and validity of the standardized mini mental state examination in the diagnosis of mild dementia in Turkish population. Turk Psikiyatr. Derg., 13: 273-281, 2002.
- HUANG, H. C., GAU, M. L., LIN, W. C., GEORGE, K.: Assessing risk of falling in older adults. Public Health Nurs., 20: 399-411, 2003.
Go to original source...
Go to PubMed...
- INGEMARSSON, H. A., FRANDIN, K., MELLSTRÖM, D., MÖLLER, M.: Walking ability and activity level after hip fracture in the elderly: a follow up. J. Rehabil. Med., 35: 76-83, 2003.
Go to original source...
Go to PubMed...
- KARA, B., YILDIRIM, Y., GENÇ, A., EKIZLER, S.: Assessment of home environment and life satisfaction in geriatrics and relation to fear of falling. Physiotherapy Rehabilitation, 20: 190-200, 2009.
- KARATAŞ, G., MARAL, I.: Fall frequency in 6 months period and risk factors for fall in geriatric population living in Ankara-Gölbaşi district. Turk Geriatri Derg., 4: 152-158, 2001.
- MCFARLANE-KOLB, H.: Falls risk assessment, multitargeted interventions and the impact on hospital falls. Int. J. Nurs. Pract., 10: 199-206. 2004.
Go to original source...
Go to PubMed...
- ÖZTÜRK, İ., TOKER, S., ERTÜRER, E., SEÇKIN, F.: Analysis of risk factors affecting mortality in elderly patients (aged over 65 years) operated on for hip fractures. Acta Orthop. Traumatol., 42: 16-21. 2008.
Go to original source...
- SCWENDIMANN, R., BÜHLER, H., GEEST, S., MILISEN, K.: Characteristics of hospital inpatient falls across clinical departments. gerontology, 54: 342-348, 2008.
Go to original source...
Go to PubMed...
- TINETTI, M. E. Preventing falls in elderly persons. N. Engl. J. Med., 348: 42-49. 2003.
Go to original source...
Go to PubMed...
- TURKISH STATISTICAL INSTITUTE. [Online: http://www.turksat.gov.tr/UstMenu.do?metod=yapilanma] [Cit. 07.04.2014].
- WHO: World Health Organisation. [Online: http://www.who.int] [Cit. 07.04.2014].
- YEŞILBALKAN, U. Ö., KARADAKOVAN, A.: The frequency of falls in elderly individuals living in Narlidere rest home and the evulation of the affecting factors. Turk Geriatri Derg., 8: 72-77, 2005.
- YILDIRIM, Y., KARADAKOVAN, A.: The relationship between fear of falling, activities of daily living and quality of life among elderly individuals. Turk Geriatri Derg., 7: 78-83, 2004.