{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T07:58:55Z","timestamp":1787903935108,"version":"build-2784847793"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aging Medicine"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the incidence of falls in elderly aged 65\u2009years and above among outpatients and inpatients, and to analyze its related factors and identify prevention strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted on 451 patients aged 65\u2009years and above who received comprehensive geriatric assessment in outpatients and inpatients from the Department of Geriatrics in the Second Xiangya Hospital from March 2021 to March 2022. According to whether there had been at least one fall in the past year, the patients were divided into a fall group and a non\u2010fall group. Data were collected from the We\u2010Chat applet of comprehensive geriatric assessment. A <jats:italic>t<\/jats:italic> test and chi\u2010square test were performed to compare the difference between the two groups. Logistic regression analysis was then conducted to identify factors associated with falls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>(1) The incidence of falls among the outpatient and inpatient was 28.8%. (2) The rate of light, moderate, and heavy dependence on daily living ability and decreased mobile balance ability were higher in the fall group than those in the non\u2010fall group. The average calf circumference in the fall group was significantly lower than that in the non\u2010fall group. (3) The prevalence of diabetes and eye diseases in the fall group was significantly higher than that in the non\u2010fall group. (4) The percentage of insomnia and suspicious insomnia cases in the fall group was higher than that in the non\u2010fall group. The mean scores for dysphagia, frailty, and incontinence were higher and the mean malnutrition score was lower in the fall group than in the non\u2010fall group. (5) Multiple logistic regression analysis showed that frailty, insomnia, and malnutrition were independent influencing factors of fall (OR\u2009=\u20091.955, 1.652, 10.719, <jats:italic>P<\/jats:italic>\u2009=\u20090.044, 0.041, 0.025, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of falls among outpatients and inpatients aged 65 years and above is high. Frailty, insomnia, and malnutrition are the main factors influencing falls in these patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/agm2.12265","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T09:11:16Z","timestamp":1693818676000},"page":"245-253","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Analysis of the incidence of falls and related factors in elderly patients based on comprehensive geriatric assessment"],"prefix":"10.1002","volume":"6","author":[{"given":"Xun","family":"Xiao","sequence":"first","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huijuan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunbo","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunying","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renhe","family":"Yu","sequence":"additional","affiliation":[{"name":"College of Public Health Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangyu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"},{"name":"Hunan Clinical Medical Research Center for Geriatric Syndrome  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2297-0517","authenticated-orcid":false,"given":"Mengxi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The Second Xiangya Hospital Central South University  Changsha China"},{"name":"Hunan Clinical Medical Research Center for Geriatric Syndrome  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl083"},{"key":"e_1_2_11_3_1","volume-title":"Sa\u00fade Brasil 2011: uma an\u00e1lise da situa\u00e7\u00e3o de sa\u00fade e de evid\u00eancias selecionadas de impacto de a\u00e7\u00f5es de vigil\u00e2ncia em sa\u00fade","author":"Brasil. 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