A Study of Factors Affecting to Falls with Hip Fractures in Elderly in Health Region 6
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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.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ผู้แต่งที่ตีพิมพ์กับวารสารโรคและภัยสุขภาพ ภาคตะวันออก ประเทศไทย จะต้องยอมรับเงื่อนไขต่อไปนี้ :
ผู้แต่งจะต้องสงวนลิขสิทธิ์และให้สิทธิ์กับวารสารในการตีพิมพ์เผยแพร่บทความ โดยบทความจะถือเป็นลิขสิทธ์ของ สำนักงานป้องกันควบคุมโรคที่ 6 จังหวัดชลบุรี
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