Accidental Falls and Risk of Mortality among Older Adults on Chronic Peritoneal Dialysis

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dc.authoridulutas, ozkan/0000-0002-2155-8340
dc.authoridTomlinson, George/0000-0002-9328-6399
dc.authorwosidulutas, ozkan/ABI-6332-2020
dc.authorwosidTomlinson, George/L-5432-2016
dc.contributor.authorFarragher, Janine
dc.contributor.authorChiu, Ernest
dc.contributor.authorUlutas, Ozkan
dc.contributor.authorTomlinson, George
dc.contributor.authorCook, Wendy L.
dc.contributor.authorJassal, Sarbjit V.
dc.date.accessioned2024-08-04T20:40:07Z
dc.date.available2024-08-04T20:40:07Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground and objectives More than 40% of elderly hemodialysis patients experience one or more accidental falls within a 1-year period. Such falls are associated with higher mortality. The objectives of this study were to assess whether falls are also common in elderly patients established on peritoneal dialysis and evaluate if patients with falls have a higher risk of mortality than patients who do not experience a fall. Design, setting, participants, & measurements Using a prospective cohort study design, patients ages years on chronic peritoneal dialysis from April 2002 to April 2003 at the University Health Network were recruited. Patients were followed biweekly, and falls occurring within the first 15 months were recorded. Outcome data were collected until death, study end (July 31, 2012), transplantation, or transfer to another dialysis center. Results Seventy-four of seventy-six potential patients were recruited, assessed at baseline, and followed biweekly for falls; 40 of 74 (54%) peritoneal dialysis patients experienced 89 falls (adjusted mean fall rate, 1.7 falls per patient-year; 95% confidence interval, 1.0 to 2.7). Patients with falls were more likely to have had previous falls, be more recently initiated onto dialysis, be men, be older, and have higher comorbidity. Twenty-eight patients died during the follow-up period. After adjustment for known risk factors, each successive fall was associated with a 1.62-fold higher mortality (hazard ratio, 1.62; 95% confidence interval, 1.29 to 2.02; P<0.001). Conclusions Accidental falls are common in the peritoneal dialysis population and often go unrecognized. Falls were associated with higher mortality risk. Because fall interventions are effective in other populations, screening peritoneal dialysis patients for falls may be a simple measure of clinical importance.en_US
dc.description.sponsorshipPhysicians Services Incorporated Foundationen_US
dc.description.sponsorshipFunding was from Physicians Services Incorporated Foundation.en_US
dc.identifier.doi10.2215/CJN.11001013
dc.identifier.endpage1253en_US
dc.identifier.issn1555-9041
dc.identifier.issn1555-905X
dc.identifier.issue7en_US
dc.identifier.pmid24763867en_US
dc.identifier.scopus2-s2.0-84923794774en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1248en_US
dc.identifier.urihttps://doi.org/10.2215/CJN.11001013
dc.identifier.urihttps://hdl.handle.net/11616/96699
dc.identifier.volume9en_US
dc.identifier.wosWOS:000338615300016en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAmer Soc Nephrologyen_US
dc.relation.ispartofClinical Journal of The American Society of Nephrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHemodialysis-Patientsen_US
dc.subjectFunctional Mobilityen_US
dc.subjectGo Testen_US
dc.subjectPeopleen_US
dc.subjectInjuriesen_US
dc.subjectRestrictionen_US
dc.titleAccidental Falls and Risk of Mortality among Older Adults on Chronic Peritoneal Dialysisen_US
dc.typeArticleen_US

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