ORs were generally higher for recurrent fallers than for all fallers .
This meta- analysis provides comprehensive evidence -based assessment of risk factors for falls in older people , confirming their multifactorial etiology .
Some nonspecific indicators of high baseline risk were also strong predictors of the risk of falling
BACKGROUND Falls are the main cause of accidental death in persons aged 65 years or older .
Home hazards and falls in the elderly: the role of health and functional status.
OBJECTIVES This study was undertaken to determine whether vigorous and frail older people who identify environmental hazards in their homes have an increased risk for falls . METHODS A 1-year prospect i ve study was conducted among 266 female and 59 male community-dwelling volunteers aged 60 to 93 years who had fallen at least once during the previous year . Composite measures of home safety and of frailty were derived using principal components analysis . Participants were divided into vigorous and frail groups , and associations between baseline home safety measures and falls at home over the follow-up year were compared between the two groups . RESULTS Frail individuals were more than twice as likely as vigorous individuals to fall during follow-up ( rate ratio [ RR ] = 2.24 ; 95 % confidence interval [ CI ] = 1.54 , 3.27 ) . In the study group as a whole , falls were not strongly associated with the presence of home hazards . However , when compared with vigorous older persons living with fewer home hazards , vigorous older persons living with more home hazards were more likely to fall . The increased risk for falls among vigorous elderly was limited to falls where home hazards were present . By contrast , living with more home hazards was not associated with increased likelihood of falls among frail older persons . CONCLUSIONS While frail older persons experience higher overall fall rates , vigorous older persons should not be overlooked in fall prevention projects
ORs were generally higher for recurrent fallers than for all fallers .
This meta- analysis provides comprehensive evidence -based assessment of risk factors for falls in older people , confirming their multifactorial etiology .
Some nonspecific indicators of high baseline risk were also strong predictors of the risk of falling
BACKGROUND Falls are the main cause of accidental death in persons aged 65 years or older .