Chronic kidney disease and recurrent falls in nursing home residents: a retrospective cohort study.

Published

Journal Article

This study examined whether chronic kidney disease (CKD) is associated with recurrent falls in older adults in nursing homes (NHs). We used data abstracted over a six month period from 510 NH residents with a history of falls. Thirty-five percent of the NH residents had CKD. In adjusted analyses, the incidence of recurrent falls was similar in those with and without CKD [fall rate ratio (FRR) 1.00, 95% confidence interval (CI) 0.97-1.02]. Orthostatic hypotension (FRR 1.52, 95% CI 1.12-2.05), history of falls during the prior six month period (FRR 1.25, 95% CI 1.05-1.49), cane or walker use (FRR 1.64, 95% CI 1.16-2.33), and ambulatory dysfunction (FRR 1.47, 95% CI 1.23-1.75) were independently associated with increased fall rate. CKD was not an important predictor of falls in this cohort of nursing home residents with prior falls. Instead, traditional fall risk factors were much more strongly associated with recurrent falls.

Full Text

Duke Authors

Cited Authors

  • Hall, RK; Landerman, LR; O'Hare, AM; Anderson, RA; Colón-Emeric, CS

Published Date

  • March 2015

Published In

Volume / Issue

  • 36 / 2

Start / End Page

  • 136 - 141

PubMed ID

  • 25616732

Pubmed Central ID

  • 25616732

Electronic International Standard Serial Number (EISSN)

  • 1528-3984

International Standard Serial Number (ISSN)

  • 0197-4572

Digital Object Identifier (DOI)

  • 10.1016/j.gerinurse.2014.12.012

Language

  • eng