Incidence of and risk factors for falls following hip fracture in community-dwelling older adults.
OBJECTIVE
Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. The purpose of this study was to determine the incidence of and risk factors for falls 6 months following hospital discharge for a fall-related hip fracture in older adults.


METHODS
Ninety of 100 community-dwelling older adults (> or =65 years of age) hospitalized for a fall-related hip fracture provided data for this study.


METHODS
An observational cohort study used interviews and medical records to obtain information on demographics, prefracture health, falls, and functional status. Self-report of falls and performance-based measures of balance and mobility were completed 6 months after discharge.


RESULTS
A total of 53.3% of patients (48/90) reported 1 or more falls in the 6 months after hospitalization. Older adults who fell following discharge had greater declines in independence in activities of daily living and lower performance on balance and mobility measures. Prefracture fall history and use of a gait device predicted postdischarge falls.


CONCLUSIONS
Falls following hip fracture can be predicted by premorbid functional status.
Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA. ashumway@u.washington.edu
Anne
A
Shumway-Cook
Marcia A
MA
Ciol
William
W
Gruber
Cynthia
C
Robinson
D000058:Accidental Falls / Q000706:statistics & numerical data*; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005684:Gait; D005853:Geriatrics; D006620:Hip Fractures / Q000150:complications*; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D008297:Male; D009983:Orthopedic Equipment / Q000706:statistics & numerical data; D004856:Postural Balance; D012307:Risk Factors