{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:20:40Z","timestamp":1787358040090,"version":"build-2736575974"},"reference-count":51,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objectives: This prospective observational study aimed to investigate the prevalence, progression, and clinical factors associated with fear of falling (FOF) in older adults hospitalized for comprehensive geriatric care (CGC). Methods: FOF was assessed using two measures: a single-item question (SIQ) asking, \u201cAre you currently afraid of falling?\u201d with responses scored as (0) not at all; (1) a little; (2) quite a bit; (3) very much, and the Falls Efficacy Scale International (FES-I). FES-I scores were categorized into low (FES-I 16\u201319), moderate (FES-I 20\u201327), and high (FES-I 28\u201364) concerns about falling. FOF scores were analyzed in relation to patients\u2019 characteristics and functional performance. Results: A total of 103 patients were included in the final analysis (mean age: 81.9 years, 64.1% female). Upon hospital admission, 74.8% of patients reported FOF (SIQ \u2265 1), with no significant change at discharge (73.8%, p &gt; 0.999). Patients\u2019 FES-I scores indicated high concerns about falling, with only slight improvements following CGC. The median FES-I score upon admission decreased from 31 (IQR: 23.5\u201340) to 30 (IQR: 23.5\u201338) at discharge (p &lt; 0.001). Logistic regression analysis revealed that persistently high concerns about falling (FES-I 28\u201364) after undergoing CGC were associated with depressive symptoms (Geriatric Depression Scale score \u2265 6; OR: 3.61, 95% CI: 1.30\u201310.04) and a diagnosis of heart failure (OR: 3.63, 95% CI: 1.30\u201310.11). Patients\u2019 scores in the Barthel Index, Timed Up and Go Test, and Tinetti Test improved after treatment, but these changes (\u0394) did not show a significant correlation with those in the FES-I or SIQ. Conclusions: Our findings demonstrate that FOF is highly prevalent among older adults hospitalized for CGC and persists with only minimal improvement following treatment. Persistently high concerns about falling even after completing CGC were associated with depressive symptoms and a diagnosis of heart failure. These results highlight the potential for more targeted interventions within CGC to more effectively address FOF in this vulnerable population.<\/jats:p>","DOI":"10.3390\/jcm14124366","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T06:11:07Z","timestamp":1750313467000},"page":"4366","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Fear of Falling in Older Adults Undergoing Comprehensive Geriatric Care: Results of a Prospective Observational Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4947-252X","authenticated-orcid":false,"given":"Marco","family":"Meyer","sequence":"first","affiliation":[{"name":"Department of Geriatrics, Diakonie Hospital Jung Stilling Siegen, Wichernstrasse 40, 57074 Siegen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Arnold","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Diakonie Hospital Jung Stilling Siegen, Wichernstrasse 40, 57074 Siegen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Diakonie Hospital Jung Stilling Siegen, Wichernstrasse 40, 57074 Siegen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Niem\u00f6ller","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Diakonie Hospital Jung Stilling Siegen, Wichernstrasse 40, 57074 Siegen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Tanislav","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Diakonie Hospital Jung Stilling Siegen, Wichernstrasse 40, 57074 Siegen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1186\/s13018-022-03222-1","article-title":"Global Prevalence of Falls in the Older Adults: A Comprehensive Systematic Review and Meta-Analysis","volume":"17","author":"Salari","year":"2022","journal-title":"J. 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