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© 1996 Oxford University Press

research-article

Predictors of Fall-related Injuries among Community-dwelling Elderly People with Dementia

TAKASHI ASADA1, TETSUHIKO KARIYA2, TORU KINOSHITA3, AKIO ASAKA3, SABURO MORIKAWA4, MITSURU YOSHIOKA5 and TATSUYUKI KAKUMA6

1Geriatric Psychiatry Division, National Centre of Neurology and Psychiatry 4-1-1 Ogawahigashi-Cho, Kodaira, Tokyo, 187 Japan
2Department of Neurology and Psychiatry, Yamanashi Medical University Tamaho, Yamanashi 409-38, Japan
3Department of Health Sciences, Yamanashi Medical University Tamaho, Yamanashi 409-38, Japan
4Nursing Division, Yamanashi Kosei Hospital Ochiai, Yamanashi City, Yamanashi 405, Japan
5Kamikawa Hospital Hachioji, Tokyo 192–01, Japan
6New York Hospital—Cornell Medical Center Westchester Division, White Plains, New York 1065, USA

To determine the annual incidence of fall-related injuries among community-dwelling elderly people with dementia and to identify the factors predicting those likely to sustain such injuries, we conducted a cohort study with a one-year follow-up. As predicting factors, we paid particular attention to behavioural problems and difficulties in helping with activities of daily living based on the Assessment of Basic Care for the Demented (ABCD) scale. Thirty-five of 86 final study subjects and nine of 98 final control subjects sustained fall-related injuries. Significant factors associated with fall-related injuries to demented elderly subjects were ABCD score (adjusted odds ratio 0.73, 95% confidence interval 0.60–0.89), history of falls in the past year (3.65, 1.34–9.95), and Barthel index score (1.04, 1.00–1.08). This highlights the predictive value of better physical function but more difficult care status in relation to ADL for fall-related injuries.

Revision received May 25, 1995.
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