Associations of injurious falls and self-reported incapacities: Analysis of the national health interview survey

Dustin Douglas French, Curtis E. Margo, Angelo P Tanna, Nicholas J Volpe, Laurence Z. Rubenstein

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: To determine the associative value of selected questions from the National Health Interview Survey (NHIS) for screening adults older than 18 years at risk of injurious falls. Methods: Data from adults 18 years of age and older were extracted from the NHIS for 2011 relevant to an injurious fall within the preceding year. A multivariate logistic regression model was used to determine associations of self-reported injurious falls with key social-demographic, health, and physical function variables. Outcomes were reported as odds ratio (OR) with 95% confidence intervals (CIs). Results: Self-reported injurious fall within the preceding year was associated with difficulty climbing 10 steps without special equipment (OR, 3.22; 95% CI, 2.32Y4.46), loss of dependence for an activity of daily living (OR, 1.85; 95% CI, 1.17Y2.91), pain in legs and below the knees (OR, 1.68; 95% CI, 1.23Y2.30), and moderate visual impairment (OR, 1.59; 95% CI, 1.18Y2.15). Women were at greater risk than men and those aged 75 years and older (OR, 1.46; 95% CI, 1.02Y2.09). Conclusions: A subset of the NHIS questions are positively associated with injurious falls in the previous 12 months and may be of use in identifying adults at greater risk of future falls. The NHIS questions may serve to identify persons in need of targeted preventive services.

Original languageEnglish (US)
Pages (from-to)148-151
Number of pages4
JournalJournal of Patient Safety
Volume12
Issue number3
DOIs
StatePublished - Aug 23 2016

Fingerprint

Health Surveys
Odds Ratio
Confidence Intervals
Interviews
Logistic Models
Vision Disorders
Activities of Daily Living
Leg
Knee
Demography
Pain
Equipment and Supplies
Health

Keywords

  • Accidental falls
  • Fall risk screening
  • Functional disability
  • Patient safety
  • Self-reported visual impairment

ASJC Scopus subject areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "Purpose: To determine the associative value of selected questions from the National Health Interview Survey (NHIS) for screening adults older than 18 years at risk of injurious falls. Methods: Data from adults 18 years of age and older were extracted from the NHIS for 2011 relevant to an injurious fall within the preceding year. A multivariate logistic regression model was used to determine associations of self-reported injurious falls with key social-demographic, health, and physical function variables. Outcomes were reported as odds ratio (OR) with 95{\%} confidence intervals (CIs). Results: Self-reported injurious fall within the preceding year was associated with difficulty climbing 10 steps without special equipment (OR, 3.22; 95{\%} CI, 2.32Y4.46), loss of dependence for an activity of daily living (OR, 1.85; 95{\%} CI, 1.17Y2.91), pain in legs and below the knees (OR, 1.68; 95{\%} CI, 1.23Y2.30), and moderate visual impairment (OR, 1.59; 95{\%} CI, 1.18Y2.15). Women were at greater risk than men and those aged 75 years and older (OR, 1.46; 95{\%} CI, 1.02Y2.09). Conclusions: A subset of the NHIS questions are positively associated with injurious falls in the previous 12 months and may be of use in identifying adults at greater risk of future falls. The NHIS questions may serve to identify persons in need of targeted preventive services.",
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Associations of injurious falls and self-reported incapacities : Analysis of the national health interview survey. / French, Dustin Douglas; Margo, Curtis E.; Tanna, Angelo P; Volpe, Nicholas J; Rubenstein, Laurence Z.

In: Journal of Patient Safety, Vol. 12, No. 3, 23.08.2016, p. 148-151.

Research output: Contribution to journalArticle

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T2 - Analysis of the national health interview survey

AU - French, Dustin Douglas

AU - Margo, Curtis E.

AU - Tanna, Angelo P

AU - Volpe, Nicholas J

AU - Rubenstein, Laurence Z.

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