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We report the risk factors associated with single and multiple falls in a community sample.
Over 60% of those with four accumulated risk factors had multiple falls in the previous year (OR: 3.40, 95%CI: 1.79, 6.45); adjusted for other demographic and health factors.
Three of the four reports of multiple falls (in those without a prior history) occurred in the first three months following discharge.
In exploratory univariate analysis, persons who were likely to fall at home were those who sustained multiple falls in the hospital (p = 0.008).
One of the first was the St . LouisOASIS study in which laxative use was found to be an important risk factor for multiple falls in elderly people living in the community (OR, 2.14; 95% CI, 1.02-4.49) [ 59].
The major reason for not including people in the trial was that they did not meet the inclusion criteria for previous multiple falls in the past year or an injurious fall (62.2%, n=370).
Similar(53)
Also, confirmative data obtained from small cohorts revealed that multiple falls occurred in 10 of 25 (40%) patients with neuropathy 43 and another 13 of 20 patients with neuropathy (65%) had a propensity for multiple falls for an average of 5.8 falls/year.
Multiple falls occurred particularly in patients with peripheral neuropathy (43%), peripheral nerve lesion (43%), dementia (33%), PD (30%), stroke (30%) and vertebral pain (30%).
Considerable research evidence exists to suggest that a range of single and multiple falls prevention interventions may reduce falls in the community setting [ 25, 62], and exercise is considered to be an effective and essential part of fall prevention programmes [ 22, 23].
This allows multiple falls by individual participants, variations in patient length of stay, and time varying covariates to be incorporated into the analysis if required.
In 1999, a nurse led falls prevention program implemented in our hospital showed decreasing multiple falls [ 29].
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