Patterns and predictors of fall injury transitions among Korean older adult fallers: a 2-year longitudinal study

Gwang Suk Kim; Mi So Shim; Chang Won Won; Miji Kim; Seoyoon Lee; Namhee Kim; Min Kyung Park

doi:10.1038/s41598-022-26665-2

Patterns and predictors of fall injury transitions among Korean older adult fallers: a 2-year longitudinal study

Gwang Suk Kim, Mi So Shim, Chang Won Won, Miji Kim, Seoyoon Lee, Namhee Kim, Min Kyung Park

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Abstract

This study was conducted to identify fall injury patterns, the transition from the baseline to follow-up, and the factors associated with the identified fall injury patterns using data obtained from the Korean Frailty and Aging Cohort Study. The participants were 566 community-dwelling older adults with fall experience. Three fall injury patterns were identified as the baseline and follow-up periods. The probability that the participant in the “fracture injury” pattern at Time 1 transitioned to the “fracture injury” pattern at Time 2 was 0.098. The factors associated with the “bruising and/or sprain injury” pattern were education level (relative risk ratio [RRR] = 0.55, p = 0.012), alcohol consumption (RRR = 0.50, p = 0.034), and balancing in tandem position (RRR = 2.77, p < 0.001). In the “fracture injury” pattern, male (RRR = 0.22, p = 0.038), frailty score (RRR = 0.58, p = 0.042), “bruising injury” (RRR = 0.23, p = 0.007), and “sprain injury” (RRR = 0.20, p = 0.007) at the baseline were significant factors. The findings indicate that previous fall experiences, higher alcohol consumption, lower frailty scores, and poor balance levels are associated with fall injury patterns. These patterns should be considered when developing prevention interventions.

Original language	English
Article number	22188
Journal	Scientific reports
Volume	12
Issue number	1
DOIs	https://doi.org/10.1038/s41598-022-26665-2
Publication status	Published - 2022 Dec

Bibliographical note

Funding Information:
This work was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education [grant no.: 2020R1A6A1A03041989], the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, which is funded by the Ministry of Health & Welfare, Republic of Korea [grant no.: HI15C3153], and a research program from Yonsei University College of Nursing [grant no.: 6-2021-0046]. NK received a scholarship from Brain Korea 21 FOUR Project funded by the National Research Foundation of Korea, Yonsei University College of Nursing. The funding bodies were not involved in the design of the study, collection, analysis, and interpretation of data, and writing the manuscript.

Publisher Copyright:
© 2022, The Author(s).

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10.1038/s41598-022-26665-2

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title = "Patterns and predictors of fall injury transitions among Korean older adult fallers: a 2-year longitudinal study",

abstract = "This study was conducted to identify fall injury patterns, the transition from the baseline to follow-up, and the factors associated with the identified fall injury patterns using data obtained from the Korean Frailty and Aging Cohort Study. The participants were 566 community-dwelling older adults with fall experience. Three fall injury patterns were identified as the baseline and follow-up periods. The probability that the participant in the “fracture injury” pattern at Time 1 transitioned to the “fracture injury” pattern at Time 2 was 0.098. The factors associated with the “bruising and/or sprain injury” pattern were education level (relative risk ratio [RRR] = 0.55, p = 0.012), alcohol consumption (RRR = 0.50, p = 0.034), and balancing in tandem position (RRR = 2.77, p < 0.001). In the “fracture injury” pattern, male (RRR = 0.22, p = 0.038), frailty score (RRR = 0.58, p = 0.042), “bruising injury” (RRR = 0.23, p = 0.007), and “sprain injury” (RRR = 0.20, p = 0.007) at the baseline were significant factors. The findings indicate that previous fall experiences, higher alcohol consumption, lower frailty scores, and poor balance levels are associated with fall injury patterns. These patterns should be considered when developing prevention interventions.",

author = "Kim, {Gwang Suk} and Shim, {Mi So} and Won, {Chang Won} and Miji Kim and Seoyoon Lee and Namhee Kim and Park, {Min Kyung}",

note = "Funding Information: This work was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education [grant no.: 2020R1A6A1A03041989], the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, which is funded by the Ministry of Health & Welfare, Republic of Korea [grant no.: HI15C3153], and a research program from Yonsei University College of Nursing [grant no.: 6-2021-0046]. NK received a scholarship from Brain Korea 21 FOUR Project funded by the National Research Foundation of Korea, Yonsei University College of Nursing. The funding bodies were not involved in the design of the study, collection, analysis, and interpretation of data, and writing the manuscript. Publisher Copyright: {\textcopyright} 2022, The Author(s).",

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AU - Kim, Namhee

AU - Park, Min Kyung

N1 - Funding Information: This work was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education [grant no.: 2020R1A6A1A03041989], the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, which is funded by the Ministry of Health & Welfare, Republic of Korea [grant no.: HI15C3153], and a research program from Yonsei University College of Nursing [grant no.: 6-2021-0046]. NK received a scholarship from Brain Korea 21 FOUR Project funded by the National Research Foundation of Korea, Yonsei University College of Nursing. The funding bodies were not involved in the design of the study, collection, analysis, and interpretation of data, and writing the manuscript. Publisher Copyright: © 2022, The Author(s).

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N2 - This study was conducted to identify fall injury patterns, the transition from the baseline to follow-up, and the factors associated with the identified fall injury patterns using data obtained from the Korean Frailty and Aging Cohort Study. The participants were 566 community-dwelling older adults with fall experience. Three fall injury patterns were identified as the baseline and follow-up periods. The probability that the participant in the “fracture injury” pattern at Time 1 transitioned to the “fracture injury” pattern at Time 2 was 0.098. The factors associated with the “bruising and/or sprain injury” pattern were education level (relative risk ratio [RRR] = 0.55, p = 0.012), alcohol consumption (RRR = 0.50, p = 0.034), and balancing in tandem position (RRR = 2.77, p < 0.001). In the “fracture injury” pattern, male (RRR = 0.22, p = 0.038), frailty score (RRR = 0.58, p = 0.042), “bruising injury” (RRR = 0.23, p = 0.007), and “sprain injury” (RRR = 0.20, p = 0.007) at the baseline were significant factors. The findings indicate that previous fall experiences, higher alcohol consumption, lower frailty scores, and poor balance levels are associated with fall injury patterns. These patterns should be considered when developing prevention interventions.

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Patterns and predictors of fall injury transitions among Korean older adult fallers: a 2-year longitudinal study

Abstract

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