The risk of fall accidents for home dwellers with dementia-A register- and population-based case-control study

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Resumé

Introduction: Institutionalized people with dementia have an increased risk of fall accidents, but little is known about whether this increased risk holds for home dwellers. Methods: This register- and population-based study comprised 115,584 cases and 394,679 controls. Cases were individuals with any fall between 2009 and 2014, and matched with up to six controls on age, sex, and geographic location. Individuals were excluded if they (1) had any fall in 2008, or (2) lived in a nursing home on the date of the fall. Dementia, other chronic diseases, and sedative medicines were assessed from Danish national registers. Results: After adjusting for potential confounders, older people with dementia living at home had a 1.89-fold higher risk of fall (odds ratio = 1.89, 95% confidence interval [1.84–1.94], P <.001). Discussion: Dementia almost doubles the risk of fall for older Danish people living at home. This highlights the need for effective fall preventions that target people with dementia.

OriginalsprogEngelsk
TidsskriftAlzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
Vol/bind10
Sider (fra-til)421-428
ISSN2352-8729
DOI
StatusUdgivet - 1. jan. 2018

Fingeraftryk

Home Accidents
Registries
Case-Control Studies
Geographic Locations
Nursing Homes
Hypnotics and Sedatives
Accidents
Odds Ratio
Confidence Intervals

Citer dette

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title = "The risk of fall accidents for home dwellers with dementia-A register- and population-based case-control study",
abstract = "Introduction: Institutionalized people with dementia have an increased risk of fall accidents, but little is known about whether this increased risk holds for home dwellers. Methods: This register- and population-based study comprised 115,584 cases and 394,679 controls. Cases were individuals with any fall between 2009 and 2014, and matched with up to six controls on age, sex, and geographic location. Individuals were excluded if they (1) had any fall in 2008, or (2) lived in a nursing home on the date of the fall. Dementia, other chronic diseases, and sedative medicines were assessed from Danish national registers. Results: After adjusting for potential confounders, older people with dementia living at home had a 1.89-fold higher risk of fall (odds ratio = 1.89, 95{\%} confidence interval [1.84–1.94], P <.001). Discussion: Dementia almost doubles the risk of fall for older Danish people living at home. This highlights the need for effective fall preventions that target people with dementia.",
keywords = "Comorbidity, Dementia, Falls, Home dwellers, Sedative medicine",
author = "Petersen, {Jindong Ding} and Siersma, {Volkert Dirk} and Christensen, {Ren{\'e} dePont} and Storsveen, {Maria Munch} and Nielsen, {Connie Thur{\o}e} and Waldorff, {Frans Boch}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.dadm.2018.05.004",
language = "English",
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pages = "421--428",
journal = "Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring",
issn = "2352-8729",
publisher = "Elsevier",

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TY - JOUR

T1 - The risk of fall accidents for home dwellers with dementia-A register- and population-based case-control study

AU - Petersen, Jindong Ding

AU - Siersma, Volkert Dirk

AU - Christensen, René dePont

AU - Storsveen, Maria Munch

AU - Nielsen, Connie Thurøe

AU - Waldorff, Frans Boch

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Introduction: Institutionalized people with dementia have an increased risk of fall accidents, but little is known about whether this increased risk holds for home dwellers. Methods: This register- and population-based study comprised 115,584 cases and 394,679 controls. Cases were individuals with any fall between 2009 and 2014, and matched with up to six controls on age, sex, and geographic location. Individuals were excluded if they (1) had any fall in 2008, or (2) lived in a nursing home on the date of the fall. Dementia, other chronic diseases, and sedative medicines were assessed from Danish national registers. Results: After adjusting for potential confounders, older people with dementia living at home had a 1.89-fold higher risk of fall (odds ratio = 1.89, 95% confidence interval [1.84–1.94], P <.001). Discussion: Dementia almost doubles the risk of fall for older Danish people living at home. This highlights the need for effective fall preventions that target people with dementia.

AB - Introduction: Institutionalized people with dementia have an increased risk of fall accidents, but little is known about whether this increased risk holds for home dwellers. Methods: This register- and population-based study comprised 115,584 cases and 394,679 controls. Cases were individuals with any fall between 2009 and 2014, and matched with up to six controls on age, sex, and geographic location. Individuals were excluded if they (1) had any fall in 2008, or (2) lived in a nursing home on the date of the fall. Dementia, other chronic diseases, and sedative medicines were assessed from Danish national registers. Results: After adjusting for potential confounders, older people with dementia living at home had a 1.89-fold higher risk of fall (odds ratio = 1.89, 95% confidence interval [1.84–1.94], P <.001). Discussion: Dementia almost doubles the risk of fall for older Danish people living at home. This highlights the need for effective fall preventions that target people with dementia.

KW - Comorbidity

KW - Dementia

KW - Falls

KW - Home dwellers

KW - Sedative medicine

U2 - 10.1016/j.dadm.2018.05.004

DO - 10.1016/j.dadm.2018.05.004

M3 - Journal article

VL - 10

SP - 421

EP - 428

JO - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring

JF - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring

SN - 2352-8729

ER -