Hasniza, Hasim
(2009)
Prevalence of falls and its associated
factors among elderly diabetes attending klinik pakar perubatan and
klinik rawatan keluarga Hospital
Universiti Sains Malaysia.
Masters thesis, Pusat Pengajian Sains Perubatan.
Abstract
To assess the prevalence of fall and its associated factors among elderly diabetes
type 2 attending outpatient clinics (KPP&KRK}, HUSM. This is a cross sectional study conducted in outpatient clinic HUSM from April
2007 till March 2008, among 288 elderly diabetes type 2. The patient was selected using
systematic random sampling method. Baseline data on socio-demographic, diabetes history, comorbid
diseases, drugs use and activity of daily living (Barthel's index) were performed. The
patient also was examined physically and balance and gait assessment was carried out. Review
of patient's medical record for laboratory investigations result and medication and concomitant
illness were also done. Falls was defined having at least one history of falls in the past one year
from the interview date. Prevalence of falls among elderly diabetes was 18.8 %. Among the faller group, 72.2 %
had more than one falls. Female gender (OR: 2.54, p<0.05), age group more than 75 (OR: 2.97,
p<0.05), retinopathy (OR: 2.19, p<0.05}, orthostatic hypotension (OR: 2.87, p<0.05) were
associated with higher risk for falls. High balance and gait score was associated with reduced
risk of fall in elderly diabetes (OR: 0.89, p<0.05). In this cross sectional study among elderly diabetes type 2, the prevalence of falls
were found to be lower compared to previous study in the western countries. The factors that
associated with higher risk for fall were female sex, age group more than 75, presence of
retinopathy and orthostatic hypotension. Those who had higher Balance and Gait score were
found to be less likely to fall compare with those with lower score.
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