A Study of Factors Affecting to Falls with Hip Fractures in Elderly in Health Region 6
Article Sidebar
Main Article Content
Abstract
This study was a retrospective cross - sectional study. The objective was to examine the characteristics of older adults with hip fractures from falls and to analyze the factors influencing hip fractures after falls among older adults in Health Region 6. Data were obtained from the Injury Surveillance Online (IS - Online) system during
2020 – 2024. The study population was older adults aged 60 years and above, totaling 1,918 cases. Statistical analysis included frequency, percentage, mean, and standard deviation, and the relationships among variables were examined using inferential statistics with a significance level of 0.05. Descriptive statistics were frequency, percentage, mean, and standard deviation, and logistic regression analysis was performed. All cases were diagnosed as hip fractures from falls.
The study results found that most of the deceased were female (56.7%), with an average age of 74 years. The largest proportion was older adults aged 80 years and above (53.3%). Most falls occurred inside the home (86.7%), with the main cause being tripping or mis-stepping (96.7%). The proportion of older adults transferred for treatment after more than 30 minutes was as high as 91.7%. Analysis of risk factors related to death showed that older adults aged 80 years and above had a higher risk than those in younger age groups (OR = 2.35,
p = 0.002). Falls occurring outside the home increased the risk (OR = 1.75, p = 0.030), and receiving treatment after more than 30 minutes also increased the likelihood of death (OR = 1.50, p = 0.010).
The findings indicated that emphasis should be placed on preventing falls outside the home such as improving walkways and roads for safety, increasing lighting in transit areas, and encouraging older adults to wear appropriate footwear when going outdoors. Promotion of exercise to prevent falls among older adults as well as the development of health service systems that can ensure safety for older adults should be further implemented.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ผู้แต่งที่ตีพิมพ์กับวารสารโรคและภัยสุขภาพ ภาคตะวันออก ประเทศไทย จะต้องยอมรับเงื่อนไขต่อไปนี้ :
ผู้แต่งจะต้องสงวนลิขสิทธิ์และให้สิทธิ์กับวารสารในการตีพิมพ์เผยแพร่บทความ โดยบทความจะถือเป็นลิขสิทธ์ของ สำนักงานป้องกันควบคุมโรคที่ 6 จังหวัดชลบุรี
References
Office of the National Economic and Social Development Council. Report on the Situation of the Thai Elderly 2023. Bangkok: NESDC; 2023. (in Thai)
World Health Organization. Step safely: strategies for preventing and managing falls across the life-course. Geneva: WHO; 2021.
Florence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical costs of fatal and nonfatal falls in older adults. J Am Geriatr Soc. 2018;66(4):693–698.
Beaupre LA, Carson JL, Magaziner J. Hip fracture: review of prevention, management, and outcomes. CMAJ. 2019;191(22):E611–E618.
Nipha S, Lawitra K. Forecast report on falls in the elderly (60 years and over) in Thailand 2017–2021. Bangkok: War Veterans Organization Press; 2017. (in Thai)
Wichai E, Hathaichanok P, Woraporn S. The 6th National Health Examination Survey (NHES VI) 2019–2020. Bangkok: Aksorn Graphic and Design; 2021. (in Thai)
Sarawanee T, Danai C, Natthida M, Suradej D, Sreepenn T. Study and recommendation for improving emergency medical services for elderly in Thailand. Bangkok: Ministry of Public Health; 2017. (in Thai)
Suksrisai B, Linhavong J, Manonom S, Manorangsan S. Prevalence and factors affecting first and recurrent hip fracture in the elderly: a retrospective study from inpatients at Thammasat University Hospital. Thammasat Med J 2020;20(4):393–402. (in Thai)
Dyer SM, Crotty M, Fairhall N, Magaziner J, Beaupre LA, Cameron ID, Sherrington C. A critical review of the long term disability outcomes following hip fracture. BMC Geriatr 2016;16:158. doi:10.1186/s12877-016-0319-3
Sritara C, Rajatanavin R, et al. Incidence and trends of hip fracture in Thailand, 2008–2019. Arch Osteoporos. 2021;16(1):137. doi:10.1007/s11657-021-00981-7
Charatcharoenwitthaya N, Nimitphong H, Wattanachanya L, Songpatanasilp T, Ongphiphadhanakul B, Deerochanawong C, Karaketklang K. Epidemiology of hip fractures in Thailand. Osteoporosis International. 2024;35(9):1661-1668.
Thanin J. Treatment outcomes of second fractures in patients with previous hip fractures, Chaiyaphum Hospital. Chaiyaphum Med J 2018;38(1):27–35. (in Thai)
Chittinan S. Falls in the elderly: prevention and family medicine approach. Bangkok: Sahamit Printing; 2018. (in Thai)
Teerapat A, Chanon I. Effectiveness of a preparedness and fall prevention program in the elderly. J Med Reg 4 5 2019;38:4288–98. (in Thai)
Sirivon C, Pornchai K. Factors affecting fall risk among elderly in Taksin Family Clinic, Tak Province. Lanna Public Health J 2022;18(1):31 44. (in Thai)
Wichaya C, Saengchan C. Factors associated with access to emergency medical services for elderly patients at the scene. Thai J Emerg Med 2023;3(2):97 108. (in Thai)