Falls in the community-dwelling elderly with a history of cancer.
BACKGROUND
Falls place older adults at risk for injuries, resulting in functional decline, hospitalization, institutionalization, higher healthcare costs, and decreased quality of life.


OBJECTIVE
This study examined community-dwelling elderly to identify if individuals with a history of cancer fall at a higher rate than those without cancer, and if the occurrence of falls was influenced by individual characteristics, symptoms, or function.


METHODS
This was a retrospective, cross-sectional study, in 2007, examining 7,448 community-dwelling elderly 65 years or older in a state in the Midwest. Fallers were identified based on a diagnosis of cancer, age, sex, race and ethnicity, poor vision, reduced activities of daily living (ADLs), instrumental ADLs, cognition, incontinence, pain, or depression.


RESULTS
Findings indicated that 2,125 (28.5%) had at least 1 fall. Of those who fell, 967 (13.0%) had cancer, and 363 (4.9%) with cancer had a fall.


CONCLUSIONS
Predictors of falls in this population included race, sex, ADLs, incontinence, depression, and pain, all with P <.05. Cancer was not a predictor of falls in this study.


CONCLUSIONS
This study found a high frequency of falls and suggests a predictive model for fall risk in the vulnerable, community-dwelling elderly and will be used to inform future studies.
College of Nursing, Michigan State University, East Lansing, Michigan 48824, USA. spoelst5@msu.edu
Sandra
S
Spoelstra
Barbara
B
Given
Alexander
A
von Eye
Charles
C
Given
D000058:Accidental Falls / Q000706:statistics & numerical data*; D000061:Accidents, Home / Q000706:statistics & numerical data*; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications; D005260:Female; D015577:Geriatric Assessment; D006699:Home Care Services; D006801:Humans; D016015:Logistic Models; D008297:Male; D015146:Midwestern United States / Q000453:epidemiology; D015999:Multivariate Analysis; D009369:Neoplasms / Q000150:complications*; D009730:Nursing Assessment; D010146:Pain / Q000150:complications; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D014549:Urinary Incontinence / Q000150:complications