Korean J Fam Pract 2019; 9(6): 554-559  https://doi.org/10.21215/kjfp.2019.9.6.554
Incidence and Risk Factors of Recurrent Falls in the Elderly Visiting the Emergency Department after a Fall
Ri Na Jeong1, Ja Hyun Ho1, Youn Yong Chung1, Ki Hyun Park1, Jung A Kim1, Moo Young Kim1,*, Eun Mi Ham2
Departments of 1Family Medicine, 2Emergency Medicine, Seoul Medical Center, Seoul, Korea
Moo Young Kim
Tel: +82-2-2276-8605, Fax: +82-2-2276-7377
E-mail: moowija@seoulmc.or.kr
ORCID: https://orcid.org/0000-0002-3019-1632
Received: October 1, 2019; Revised: October 30, 2019; Accepted: November 22, 2019; Published online: December 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Several studies have evaluated risk factors for falls; however, the risk factors for recurrent falls are poorly understood. Therefore, this study evaluated the prevalence and factors associated with recurrent falls.
Methods: This study included 250 patients aged over 65 years, all of whom visited the emergency department (ED) at Seoul Medical Center following a fall from January 2016 to December 2017. We reviewed the patients’ medical records for demographic data and medical history. Previous fall history, use of gait-aids, residence type, and fall recurrence were assessed via individual telephone calls.
Results: During the follow-up period, 21.6% (n=54) of the 250 subjects experienced recurrent falls. Logistic regression analyses showed that fall recurrence was significantly associated with a previous fall history and the residence type. Subjects who lived in basement-level residences had a significantly higher risk of fall recurrence compared to those who lived in ground-level residences (odds ratio, 8.910; 95% confidence interval, 1.082–73.366).
Conclusion: This study revealed a high incidence of fall recurrence in older adults who visited the ED due to falls. Our results suggest that careful evaluation and intervention are essential, especially in elderly individuals with fall histories and those who live in residences associated with ncreased risk of falls.
Keywords: Accidental Falls; Housing for the Elderly; Recurrence; Risk Factors
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