Article ; Online: Cardiovascular disease and the risk of incident falls and mortality among adults aged ≥ 65 years presenting to the emergency department: a cohort study from national registry data in Denmark.
2024 Volume 24, Issue 1, Page(s) 93
Abstract: Background: Falls cause 58% of injury-related Emergency Department (ED) attendances. Previous research has highlighted the potential role of cardiovascular risk factors for falls. This study investigated the impact of cardiovascular disease (CVD) risk ... ...
| Abstract | Background: Falls cause 58% of injury-related Emergency Department (ED) attendances. Previous research has highlighted the potential role of cardiovascular risk factors for falls. This study investigated the impact of cardiovascular disease (CVD) risk on three-year incident falls, with presentation to the ED, and mortality. Methods: A matched cohort study design was employed using national registry data from 82,292 adults (33% male) aged ≥ 65 years living in Denmark who attended the ED in 2013. We compared age and gender matched ED attendees presenting with a fall versus another reason. The cohort was followed for three-year incident falls, with presentation to the ED, and mortality. The impact of falls-related CVDs was also examined. Results: Three-year incident falls was twofold higher among age and gender matched ED attendees aged ≥ 65 years presenting with a fall versus another reason at baseline. A presentation of falls with hip fracture had the highest percentage of incident falls in the 65-74 age group (22%) and the highest percentage mortality in all age groups (27-62%). CVD was not a significant factor in presenting with a fall at the ED, nor did it contribute significantly to the prediction of three-year incident falls. CVD was strongly associated with mortality risk among the ED fall group (RR = 1.81, 95% CI: 1.67-1.97) and showed interactions with both age and fall history. Conclusion: In this large study of adults aged ≥ 65 years attending the ED utilising data from national administrative registers in Denmark, we confirm that older adults attending the ED with a fall, including those with hip fracture, were at greatest risk for future falls. While CVD did not predict incident falls, it increased the risk of mortality in the three-year follow up with advancing age. This may be informative for the provision of care pathways for older adults attending the ED due to a fall. |
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| MeSH term(s) | Humans ; Male ; Aged ; Female ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Cohort Studies ; Routinely Collected Health Data ; Emergency Service, Hospital ; Hip Fractures ; Denmark/epidemiology |
| Language | English |
| Publishing date | 2024-01-24 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 2059865-8 |
| ISSN | 1471-2318 ; 1471-2318 |
| ISSN (online) | 1471-2318 |
| ISSN | 1471-2318 |
| DOI | 10.1186/s12877-023-04618-2 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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