Falls in anaemic hospitalized elderly patients in 2012-2016 - mutual relationships

Authors

WEBER Pavel WEBEROVÁ Dana MATĚJOVSKÁ KUBEŠOVÁ Hana MELUZÍNOVÁ Hana JARKOVSKÝ Jiří BIELAKOVÁ Katarína HRUBANOVÁ Jana POLCAROVÁ Vlasta

Year of publication 2019
Type Article in Periodical
Magazine / Source Advances in Gerontology
MU Faculty or unit

Faculty of Medicine

Citation
Web https://europepmc.org/article/med/32145171
Keywords Old age; falls; anaemia; multi-morbidity; anaemia of chronich diseases (ACD)
Description Objectives: Although falls are more prevalent as ageing proceeds, it cannot be assumed that they happen due to ageing alone. Background: The retrospective cohort study of data was targeted to make an analysis of prevalence of falls in anaemic patients in comparison to the non-anaemic elderly admitted to the acute geriatric department and evaluation of pertinent influence of age, gender and immobility on occurrence of falls. Patients and Methods: During the considered period of four years (2012-2016) the authors treated 9,363 elderly patients aged 79.9±8.6 y. (in the majority of them 65+ y.). Among them there were 8,809 non-anaemic and subgroup of 551 old anaemic patients (aged 81±7.0 y.) with decreased haemoglobin (< 110 g/l). Results: Falls at hospital admission in average was present in 1,766 non-anaemic persons (20.0%) in comparison to 380 falls among anaemic patients (68.6%). Prevalence in anaemic subgroup is statistically significant higher (p <0.005). Also relation between falls and age, ADL and MMSE test and mobility is highly statistically significant (p <0.001). Meaningfully higher is occurrence of repeated falls in the anaemic subgroup in comparison to the non-anaemic one (41.2%: 1.7%) The occurrence of falls in female gender in comparison to men is statistically significant higher in non-anaemic patients, not in anaemic group. Conclusions: Authors emphasize that anaemia appears to us as significant risk factor for falls in the elderly.

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