{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:54:05Z","timestamp":1792454045143,"version":"4.5.0"},"reference-count":40,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T00:00:00Z","timestamp":1585872000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Falls and recurrent falls cause great health and social consequences in older people. However, these problems are poorly understood in Vietnam. A cross-sectional study was performed at seven hospitals in Thai Binh province, Vietnam, to investigate the individual and environmental factors associated with recurrent falls among elderly patients hospitalized due to fall injuries in Vietnam. A history of recurrent falls within the last 12 months, sociodemographic, health, and clinical characteristics, as well as environmental conditions, were obtained via self-reported interviews. Multivariate logistic and Poisson regression models were used to identify associated factors. Overall, the mean fall episodes in the last 12 months were 1.8 (Standard deviation\u2014SD = 1.2) episodes, and the 12-month prevalence of recurrent falls was 40.5%. The individual risk factors included not receiving fall prevention guidelines, walking with devices, loss of sensation in hand or foot, and using pain relief medications. The environmental risk factors comprised having too-high stairs and not having dry, clean, and nonslippery bathrooms. This study highlights a significantly high 12-month prevalence of recurrent falls in older patients hospitalized after falls in Vietnam. Moreover, regular assessments of functional disabilities and hazardous environmental conditions, as well as the provision of prevention programs, have potential to prevent falls and recurrent falls.<\/jats:p>","DOI":"10.3390\/ijerph17072441","type":"journal-article","created":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T06:10:28Z","timestamp":1586153428000},"page":"2441","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Individual and Environmental Factors Associated with Recurrent Falls in Elderly Patients Hospitalized after Falls"],"prefix":"10.3390","volume":"17","author":[{"given":"Hai Minh","family":"Vu","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic, Thai Binh Medical University Hospital, Thai Binh 410000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long Hoang","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huong Lan Thi","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam"},{"name":"Faculty of Nursing, Duy Tan University, Danang 550000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giang Thu","family":"Vu","sequence":"additional","affiliation":[{"name":"Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuong Tat","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam"},{"name":"Faculty of Medicine, Duy Tan University, Danang 550000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trong Nang","family":"Hoang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tung Hoang","family":"Tran","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedic and Trauma Surgery, Vietnam\u2014Germany Hospital, Hanoi 10000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiet Tuan Huy","family":"Pham","sequence":"additional","affiliation":[{"name":"Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7931-2116","authenticated-orcid":false,"given":"Carl","family":"A. Latkin","sequence":"additional","affiliation":[{"name":"Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7827-8449","authenticated-orcid":false,"given":"Bach","family":"Xuan Tran","sequence":"additional","affiliation":[{"name":"Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam"},{"name":"Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7092-9566","authenticated-orcid":false,"given":"Cyrus","family":"S.H. Ho","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-4493","authenticated-orcid":false,"given":"Roger C.M.","family":"Ho","sequence":"additional","affiliation":[{"name":"Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam"},{"name":"Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore"},{"name":"Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,4,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"ii37","DOI":"10.1093\/ageing\/afl084","article-title":"Falls in older people: Epidemiology, risk factors and strategies for prevention","volume":"35","author":"Rubenstein","year":"2006","journal-title":"Age Ageing"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Goodwin, V.A., Abbott, R.A., Whear, R., Bethel, A., Ukoumunne, O.C., Thompson-Coon, J., and Stein, K. (2014). Multiple component interventions for preventing falls and fall-related injuries among older people: Systematic review and meta-analysis. BMC Geriatr., 14.","DOI":"10.1186\/1471-2318-14-15"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Pohl, P., Nordin, E., Lundquist, A., Bergstr\u00f6m, U., and Lundin-Olsson, L. (2014). Community-dwelling older people with an injurious fall are likely to sustain new injurious falls within 5 years-a prospective long-term follow-up study. BMC Geriatr., 14.","DOI":"10.1186\/1471-2318-14-120"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/S0749-0690(02)00002-2","article-title":"The epidemiology of falls and syncope","volume":"18","author":"Rubenstein","year":"2002","journal-title":"Clin. Geriatr. Med."},{"key":"ref_5","first-page":"807","article-title":"Falls and their prevention in elderly people: What does the evidence show?","volume":"90","author":"Rubenstein","year":"2006","journal-title":"Med. Clin."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/01.PHM.0000056990.35007.C8","article-title":"Clinical prediction of falls in the elderly","volume":"82","author":"Ruchinskas","year":"2003","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"M299","DOI":"10.1093\/gerona\/55.5.M299","article-title":"Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission","volume":"55","author":"Cumming","year":"2000","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/s00198-008-0641-z","article-title":"Relative survival after hospitalisation for hip fracture in older people in New South Wales, Australia","volume":"20","author":"Hindmarsh","year":"2009","journal-title":"Osteoporos. Int."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Gillespie, L.D., Robertson, M.C., Gillespie, W.J., Sherrington, C., Gates, S., Clemson, L.M., and Lamb, S.E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database Syst. Rev., Cd007146.","DOI":"10.1002\/14651858.CD007146.pub3"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1093\/ageing\/19.2.136","article-title":"Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study","volume":"19","author":"Campbell","year":"1990","journal-title":"Age Ageing"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.ijge.2016.05.009","article-title":"Factors Associated With Multiple Falls Among Elderly Patients Admitted to Emergency Department","volume":"11","author":"Ak","year":"2017","journal-title":"Int. J. Gerontol"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/j.ajem.2015.04.023","article-title":"Frequency of ED revisits and death among older adults after a fall","volume":"33","author":"Liu","year":"2015","journal-title":"Am. J. Emerg. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"236","DOI":"10.2174\/1874609812666190215125104","article-title":"Inflammatory Biomarkers, Depressive Symptoms and Falls Among the elderly in Panama","volume":"11","author":"Britton","year":"2019","journal-title":"Curr. Aging Sci."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Dami\u00e1n, J., Pastor-Barriuso, R., Valderrama-Gama, E., and De Pedro-Cuesta, J. (2013). Factors associated with falls among older adults living in institutions. BMC Geriatr., 13.","DOI":"10.1186\/1471-2318-13-6"},{"key":"ref_15","unstructured":"World Health Organization (2008). Ageing WHO, Unit LC: WHO Global Report on Falls Prevention in Older Age, World Health Organization."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Stewart Williams, J., Kowal, P., Hestekin, H., O\u2019Driscoll, T., Peltzer, K., Yawson, A., Biritwum, R., Maximova, T., Salinas Rodr\u00edguez, A., and Manrique Espinoza, B. (2015). Prevalence, risk factors and disability associated with fall-related injury in older adults in low- and middle-incomecountries: Results from the WHO Study on global AGEing and adult health (SAGE). BMC Med., 13.","DOI":"10.1186\/s12916-015-0390-8"},{"key":"ref_17","unstructured":"Beard, J., Biggs, S., Bloom, D.E., Fried, L.P., Hogan, P.R., Kalache, A., and Olshansky, S.J. (2012). Global Population Ageing: Peril or Promise? Program on the Global Demography of Aging, Stanford Center on Longevity."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1146\/annurev-publhealth-031811-124558","article-title":"Unintentional injuries: Magnitude, prevention, and control","volume":"33","author":"Hyder","year":"2012","journal-title":"Annu. Rev. Public Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1002\/mpr.1349","article-title":"Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization","volume":"21","author":"Prochaska","year":"2012","journal-title":"Int. J. Methods Psychiatr. Res."},{"key":"ref_20","unstructured":"Assembly, T.N. (2009). Law on urban planning, 30\/2009\/QH12."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.archger.2019.05.015","article-title":"The prevalence and impact of falls in elderly dialysis patients: Frail elderly Patient Outcomes on Dialysis (FEPOD) study","volume":"83","author":"Joosten","year":"2019","journal-title":"Arch Gerontol. Geriatr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jamda.2006.08.005","article-title":"A multivariate fall risk assessment model for VHA nursing homes using the minimum data set","volume":"8","author":"French","year":"2007","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_23","first-page":"96","article-title":"Geriatrik hastalarda tekrarlayan d\u00fc\u015fmeler ile ili\u015fkili fakt\u00f6rler","volume":"16","author":"Terzi","year":"2013","journal-title":"FTR Bil Der"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1093\/aje\/kwg203","article-title":"Risk indicators for falls in institutionalized frail elderly","volume":"158","author":"Kron","year":"2003","journal-title":"Am. J. Epidemiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s00391-003-0143-8","article-title":"Daily physical activity and the use of a walking aid in relation to falls in elderly people in a residential care setting","volume":"36","author":"Graafmans","year":"2003","journal-title":"Z. Gerontol. Geriatr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1097\/00019442-200506000-00009","article-title":"Factors associated with falls among older, cognitively impaired people in geriatric care settings: A population-based study","volume":"13","author":"Kallin","year":"2005","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1111\/j.1532-5415.2010.03286.x","article-title":"Falls incidence, risk factors, and consequences in Chinese older people: A systematic review","volume":"59","author":"Kwan","year":"2011","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/j.1532-5415.2011.03767.x","article-title":"Effect of obesity on falls, injury, and disability","volume":"60","author":"Himes","year":"2012","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0895-3988(09)60043-X","article-title":"Prevalence and related factors of falls among the elderly in an urban community of Beijing","volume":"22","author":"Yu","year":"2009","journal-title":"Biomed. Environ. Sci."},{"key":"ref_30","first-page":"207","article-title":"Community elderly and risk factors for falls","volume":"14","author":"Xia","year":"2006","journal-title":"Chin. J. Prev. Control Chron. Non Commun. Dis."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1007\/s10900-016-0185-7","article-title":"Outcomes of a Falls Prevention Education Program among Older Adults in Grenada","volume":"41","author":"Lyons","year":"2016","journal-title":"J. Community Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.apmr.2012.11.037","article-title":"Effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults with risk of falls","volume":"94","author":"Lee","year":"2013","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1136\/jech.54.3.227","article-title":"A sustainable programme to prevent falls and near falls in community dwelling older people: Results of a randomised trial","volume":"54","author":"Steinberg","year":"2000","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_34","unstructured":"Krishnaswamy, B., and Usha, G.J.C.M.M.C. (2006). Government: Falls in Older People: National\/Regional Review India."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.jsr.2010.12.003","article-title":"Falls and fall prevention programmes in developing countries: Environmental scan for the adaptation of the Canadian Falls prevention curriculum for developing countries","volume":"42","author":"Kalula","year":"2011","journal-title":"J. Saf. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s10433-016-0369-0","article-title":"How aging affects self-reports","volume":"13","author":"Chamandy","year":"2016","journal-title":"Eur. J. Ageing"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Baddeley, A. (2007). Working Memory, Thought, and Action, OUP Oxford.","DOI":"10.1093\/acprof:oso\/9780198528012.001.0001"},{"key":"ref_38","unstructured":"Schwarz, N. (2006). When I\u2019m 64: Aging Frontiers in Social Psychology, Personality, and Adult Developmental Psychology, National Academies Press."},{"key":"ref_39","unstructured":"Schwarz, N., and B, K. (1999). Cognitive Aging: A Primer, Psychology Press."},{"key":"ref_40","unstructured":"Schwarz, N. (1999). Frequency Reports of Physical Symptoms and Health Behaviors: How the Questionnaire Determines the Results. S. 93\u2013108 in: Park, Denise C., Roger W. Morrell Kim & Kim Shifren (Hrsg.), Psychology Press."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/7\/2441\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:15:11Z","timestamp":1760174111000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/7\/2441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,3]]},"references-count":40,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,4]]}},"alternative-id":["ijerph17072441"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17072441","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,3]]}}}