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Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses...

Robyn Hollinghurst, Neil Williams, Rebecca Pedrick-Case, Laura North, Sara Long, Rich Fry Orcid Logo, Joe Hollinghurst

Age and Ageing, Volume: 51, Issue: 8

Swansea University Authors: Rebecca Pedrick-Case, Laura North, Rich Fry Orcid Logo, Joe Hollinghurst

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DOI (Published version): 10.1093/ageing/afac176

Abstract

Backgroundfalls are common in older people, but associations between falls, dementia and frailty are relatively unknown. The impact of the COVID-19 pandemic on falls admissions has not been studied.Aimto investigate the impact of dementia, frailty, deprivation, previous falls and the differences bet...

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Published in: Age and Ageing
ISSN: 0002-0729 1468-2834
Published: Oxford University Press (OUP) 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62375
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The impact of the COVID-19 pandemic on falls admissions has not been studied.Aimto investigate the impact of dementia, frailty, deprivation, previous falls and the differences between years for falls resulting in an emergency department (ED) or hospital admission.Study Designlongitudinal cross-sectional observational study.Settingolder people (aged 65+) resident in Wales between 1 January 2010 and 31 December 2020.Methodswe created a binary (yes/no) indicator for a fall resulting in an attendance to an ED, hospital or both, per person, per year. We analysed the outcomes using multilevel logistic and multinomial models.Resultswe analysed a total of 5,141,244 person years of data from 781,081 individuals. Fall admission rates were highest in 2012 (4.27%) and lowest in 2020 (4.27%). We found an increased odds ratio (OR [95% confidence interval]) of a fall admission for age (1.05 [1.05, 1.05] per year of age), people with dementia (2.03 [2.00, 2.06]) and people who had a previous fall (2.55 [2.51, 2.60]). Compared with fit individuals, those with frailty had ORs of 1.60 [1.58, 1.62], 2.24 [2.21, 2.28] and 2.94 [2.89, 3.00] for mild, moderate and severe frailty respectively. Reduced odds were observed for males (0.73 [0.73, 0.74]) and less deprived areas; most deprived compared with least OR 0.75 [0.74, 0.76].Conclusionsfalls prevention should be targeted to those at highest risk, and investigations into the reduction in admissions in 2020 is warranted.</abstract><type>Journal Article</type><journal>Age and Ageing</journal><volume>51</volume><journalNumber>8</journalNumber><paginationStart/><paginationEnd/><publisher>Oxford University Press (OUP)</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0002-0729</issnPrint><issnElectronic>1468-2834</issnElectronic><keywords>falls, COVID-19, dementia, frailty, older people</keywords><publishedDay>2</publishedDay><publishedMonth>8</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-08-02</publishedDate><doi>10.1093/ageing/afac176</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders/><projectreference/><lastEdited>2023-01-19T10:30:15.9944930</lastEdited><Created>2023-01-19T10:21:27.1143544</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Robyn</firstname><surname>Hollinghurst</surname><order>1</order></author><author><firstname>Neil</firstname><surname>Williams</surname><order>2</order></author><author><firstname>Rebecca</firstname><surname>Pedrick-Case</surname><order>3</order></author><author><firstname>Laura</firstname><surname>North</surname><order>4</order></author><author><firstname>Sara</firstname><surname>Long</surname><order>5</order></author><author><firstname>Rich</firstname><surname>Fry</surname><orcid>0000-0002-7968-6679</orcid><order>6</order></author><author><firstname>Joe</firstname><surname>Hollinghurst</surname><order>7</order></author></authors><documents><document><filename>62375__26339__5d85d5ef7b3748c38b4fbcd3854babdf.pdf</filename><originalFilename>62375.pdf</originalFilename><uploaded>2023-01-19T10:24:21.4934171</uploaded><type>Output</type><contentLength>394747</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; The Author(s) 2022. 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spelling 2023-01-19T10:30:15.9944930 v2 62375 2023-01-19 Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020 fd7504c69e0335c9e73028e785659f9e Rebecca Pedrick-Case Rebecca Pedrick-Case true false a255822cf77a0184cb6922e9fbea39e9 Laura North Laura North true false d499b898d447b62c81b2c122598870e0 0000-0002-7968-6679 Rich Fry Rich Fry true false d7c51b69270b644a11b904629fe56ab0 Joe Hollinghurst Joe Hollinghurst true false 2023-01-19 HDAT Backgroundfalls are common in older people, but associations between falls, dementia and frailty are relatively unknown. The impact of the COVID-19 pandemic on falls admissions has not been studied.Aimto investigate the impact of dementia, frailty, deprivation, previous falls and the differences between years for falls resulting in an emergency department (ED) or hospital admission.Study Designlongitudinal cross-sectional observational study.Settingolder people (aged 65+) resident in Wales between 1 January 2010 and 31 December 2020.Methodswe created a binary (yes/no) indicator for a fall resulting in an attendance to an ED, hospital or both, per person, per year. We analysed the outcomes using multilevel logistic and multinomial models.Resultswe analysed a total of 5,141,244 person years of data from 781,081 individuals. Fall admission rates were highest in 2012 (4.27%) and lowest in 2020 (4.27%). We found an increased odds ratio (OR [95% confidence interval]) of a fall admission for age (1.05 [1.05, 1.05] per year of age), people with dementia (2.03 [2.00, 2.06]) and people who had a previous fall (2.55 [2.51, 2.60]). Compared with fit individuals, those with frailty had ORs of 1.60 [1.58, 1.62], 2.24 [2.21, 2.28] and 2.94 [2.89, 3.00] for mild, moderate and severe frailty respectively. Reduced odds were observed for males (0.73 [0.73, 0.74]) and less deprived areas; most deprived compared with least OR 0.75 [0.74, 0.76].Conclusionsfalls prevention should be targeted to those at highest risk, and investigations into the reduction in admissions in 2020 is warranted. Journal Article Age and Ageing 51 8 Oxford University Press (OUP) 0002-0729 1468-2834 falls, COVID-19, dementia, frailty, older people 2 8 2022 2022-08-02 10.1093/ageing/afac176 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University SU Library paid the OA fee (TA Institutional Deal) 2023-01-19T10:30:15.9944930 2023-01-19T10:21:27.1143544 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Robyn Hollinghurst 1 Neil Williams 2 Rebecca Pedrick-Case 3 Laura North 4 Sara Long 5 Rich Fry 0000-0002-7968-6679 6 Joe Hollinghurst 7 62375__26339__5d85d5ef7b3748c38b4fbcd3854babdf.pdf 62375.pdf 2023-01-19T10:24:21.4934171 Output 394747 application/pdf Version of Record true © The Author(s) 2022. This is an Open Access ar ticle distributed under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/
title Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020
spellingShingle Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020
Rebecca Pedrick-Case
Laura North
Rich Fry
Joe Hollinghurst
title_short Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020
title_full Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020
title_fullStr Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020
title_full_unstemmed Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020
title_sort Annual risk of falls resulting in emergency department and hospital attendances for older people: an observational study of 781,081 individuals living in Wales (United Kingdom) including deprivation, frailty and dementia diagnoses between 2010 and 2020
author_id_str_mv fd7504c69e0335c9e73028e785659f9e
a255822cf77a0184cb6922e9fbea39e9
d499b898d447b62c81b2c122598870e0
d7c51b69270b644a11b904629fe56ab0
author_id_fullname_str_mv fd7504c69e0335c9e73028e785659f9e_***_Rebecca Pedrick-Case
a255822cf77a0184cb6922e9fbea39e9_***_Laura North
d499b898d447b62c81b2c122598870e0_***_Rich Fry
d7c51b69270b644a11b904629fe56ab0_***_Joe Hollinghurst
author Rebecca Pedrick-Case
Laura North
Rich Fry
Joe Hollinghurst
author2 Robyn Hollinghurst
Neil Williams
Rebecca Pedrick-Case
Laura North
Sara Long
Rich Fry
Joe Hollinghurst
format Journal article
container_title Age and Ageing
container_volume 51
container_issue 8
publishDate 2022
institution Swansea University
issn 0002-0729
1468-2834
doi_str_mv 10.1093/ageing/afac176
publisher Oxford University Press (OUP)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 1
active_str 0
description Backgroundfalls are common in older people, but associations between falls, dementia and frailty are relatively unknown. The impact of the COVID-19 pandemic on falls admissions has not been studied.Aimto investigate the impact of dementia, frailty, deprivation, previous falls and the differences between years for falls resulting in an emergency department (ED) or hospital admission.Study Designlongitudinal cross-sectional observational study.Settingolder people (aged 65+) resident in Wales between 1 January 2010 and 31 December 2020.Methodswe created a binary (yes/no) indicator for a fall resulting in an attendance to an ED, hospital or both, per person, per year. We analysed the outcomes using multilevel logistic and multinomial models.Resultswe analysed a total of 5,141,244 person years of data from 781,081 individuals. Fall admission rates were highest in 2012 (4.27%) and lowest in 2020 (4.27%). We found an increased odds ratio (OR [95% confidence interval]) of a fall admission for age (1.05 [1.05, 1.05] per year of age), people with dementia (2.03 [2.00, 2.06]) and people who had a previous fall (2.55 [2.51, 2.60]). Compared with fit individuals, those with frailty had ORs of 1.60 [1.58, 1.62], 2.24 [2.21, 2.28] and 2.94 [2.89, 3.00] for mild, moderate and severe frailty respectively. Reduced odds were observed for males (0.73 [0.73, 0.74]) and less deprived areas; most deprived compared with least OR 0.75 [0.74, 0.76].Conclusionsfalls prevention should be targeted to those at highest risk, and investigations into the reduction in admissions in 2020 is warranted.
published_date 2022-08-02T04:21:56Z
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