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Date Published: 24/11/2023
Abstract Views: 268
Views pdf: 202
DOI: https://doi.org/10.51298/vmj.v532i1.7306
Issue
Vol. 532 No. 1 (2023)
Section
Các bài báo
How to Cite
Nguyễn, T. T., Nguyễn, N. T., Trần, V. L., & Vũ, T. T. H. (2023). FALLS IN OLDER PEOPLE WITH PRIMARY KNEE OSTEOARTHRITIS. Vietnam Medical Journal, 532(1). https://doi.org/10.51298/vmj.v532i1.7306

FALLS IN OLDER PEOPLE WITH PRIMARY KNEE OSTEOARTHRITIS

Trung Thái Nguyễn1,, Ngọc Tâm Nguyễn2,3, Viết Lực Trần2,3, Thị Thanh Huyền Vũ2,3
1 Central Military Hospital 108
2 Central Geriatric Hospital
3 HMU

Main Article Content

Abstract

Objectives: Describe the fall status and some factors related to the risk of falls in older patients with primary knee osteoarthritis. Subjects and methods: A cross-sectional descriptive study on 189 patients aged ³ 60 years old diagnosed with primary knee osteoarthritis according to the criteria of ACR 1991 who were being treated at the National Geriatric Hospital from August 2022 to June 2023. Results: Average age was 75.3±7.0, females accounted for 84.7%; 86.6% of patients had degeneration on both sides of the knee joint. 17.5% of elderly knee OA patients fell at least once in the past 12 months. 10.1% of patients had a fall and 7.4% of patients with knee OA had 2 or more falls. 61.4% of patients were at high risk of falling as assessed by the Timed Up and Go test. Multivariate regression analysis showed that age (OR=1,1), female (OR=2.5), and living in rural areas (OR=2.3) had a statistically significant association with the risk of falls. Conclusion: The rate of older knee osteoarthritis patients who had fall risk was high (61.4%) and was related to old age, female gender and living in rural areas

Article Details

Keywords

fall, risk of falling, elderly, knee osteoarthritis

References

. Volpato S, Leveille SG, Blaum C, Fried LP, Guralnik JM. Risk factors for falls in older disabled women with diabetes: the women's health and aging study. J Gerontol A Biol Sci Med Sci. 2005; 60(12): 1539-1545. doi: 10.1093/ gerona/ 60.12.1539
2. Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35 Suppl 2:ii37-ii41. doi:10.1093/ageing/afl084
3. Foley SJ, Lord SR, Srikanth V, Cooley H, Jones G. Falls risk is associated with pain and dysfunction but not radiographic osteoarthritis in older adults: Tasmanian Older Adult Cohort study. Osteoarthritis Cartilage. 2006;14(6):533-539. doi:10.1016/j.joca.2005.12.007
4. Altman RD. Criteria for classification of clinical osteoarthritis. J Rheumatol Suppl. 1991;27:10-12.
5. Ha VT, Nguyen TN, Nguyen TX, et al. Prevalence and Factors Associated with Falls among Older Outpatients. International journal of environmental research and public health. Apr 12 2021;18(8).
6. Vũ Duy Thướng, Nguyễn Thị Thu Hương, Nguyễn Ngọc Tâm, Trần Viết Lực, Vũ Thị Thanh Huyền. “Đau mạn tính ở người cao tuổi có thoái hóa khớp gối nguyên phát”. Tạp chí Y học Việt Nam.2022;520(2).
7. Thompson DP, Moula K, Woby SR. Are fear of movement, self-efficacy beliefs and fear of falling associated with levels of disability in people with osteoarthritis of the knee? a cross sectional study. Musculoskeletal Care. 2017;15:257–62.
8. Rosadi R, Jankaew A, Wu PT, Kuo LC, Lin CF. Factors associated with falls in patients with knee osteoarthritis: A cross-sectional study. Medicine (Baltimore). 2022 Dec 2;101(48):e32146. doi: 10.1097/ MD. 0000000000032146. PMID: 36482638; PMCID: PMC9726291.