LETTER TO EDITOR
Year : 2018 | Volume
: 43 | Issue : 4 | Page : 327--328
Characteristics of fall among older people in rural Puducherry
L Padmavathy, Amol R Dongre
Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
Dr. L Padmavathy
Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry - 605 107
|How to cite this article:|
Padmavathy L, Dongre AR. Characteristics of fall among older people in rural Puducherry.Indian J Community Med 2018;43:327-328
|How to cite this URL:|
Padmavathy L, Dongre AR. Characteristics of fall among older people in rural Puducherry. Indian J Community Med [serial online] 2018 [cited 2019 Dec 12 ];43:327-328
Available from: http://www.ijcm.org.in/text.asp?2018/43/4/327/248186
Due to aging, there is a progressive decrease in functional capacity, reduced strength of lower limbs, impaired balance, and agility. The physical and mental changes associated with advancing age and frailty increases the risk of fall-related injury which becomes a major public health concern. In India, the prevalence of fall among older has been reported to range from 14% to 50%. In Puducherry, 9.7% of the total population is more than 60 years of age. The study on prevalence and circumstances around fall is useful in planning the preventive measures. Limited research is available on this topic in our region, and hence, a community-based descriptive cross-sectional study was undertaken in 14 villages of Primary Health Care Centre, Thirubhuvanai, Puducherry, India, to find out the prevalence and characteristics of fall among older people.
After obtaining Institutional Ethics Committee clearance, data were collected by trained postgraduates in community medicine from a representative sample of 570 elderly people aged 65 years and above, during the months of September–December 2017. Trivial injury in elders due to fall leads to some form of debility. Hence, it is not easily forgettable issue in that age group. To avoid recall bias, the present study included only the recent fall in the past 12 months. In case of verification, medical records regarding fall events were checked, and in case of clarification, caretaker of the elderly was asked regarding details on fall events. The data were entered using Epi Info (Version 18.104.22.168 developed by Centre of Disease Control, Atlanta, USA and WHO) and analyzed using SPSS 24 Software (SPSS Inc., Chicago, Illinois, USA).
The mean age of the study participants was 71.6 ± 6.5 years. The majority 372 (65.3%) were female and 335 (58.8%) were illiterate. About 328 (57.5%) were not working and 338 (59.3%) lived in three generation and joint families. Around 303 (53.1%) were married and 264 (46.3%) were widowed.
About 156 (27.4%) reported a recent fall during the past 1 year. This was consistent with the finding of other studies.,,, The finding from different research in India showed that one-third of older people had a history of fall in the past 1 year. The most common site of injury was lower extremity 81 (51.9%) which was analogous to a study done by Tripathy et al., This was followed by the head and neck and the upper extremity which accounted for 29 (18.6%). We found that the most common type of injury was contusion 95 (60.9%) which was similar to the previous researches.,
Half of the falls (57.7%) occurred outside the house which was similar to a study reported in Bangalore. Leading reasons for the fall outside the house which we found were tripping on the road 43 (47.8%), followed by road traffic accidents, 34.4%. Most of the falls reported to happen during the morning hours (46.8%) which were similar to the previous researches conducted in rural Coimbatore and in Bangalore.
In our study, we explored that majority (80.8%) of the falls were reported during the summer season. Notably, the reason for such seasonal spike in the fall has to be explored in the future research. Of the 66 (42.3%) older people who fell down inside the house and in the courtyard, 34 (51.6%) were due to slip from heights. Other reasons were loss of balance while sitting or standing and sudden muscle weakness and vertigo which corresponded to 28.8% and 19.6%, respectively. To prevent fall, older people with sudden muscle weakness and vertigo should take precaution, especially while going outside.
To the best of our knowledge, this was the first community-based study in Puducherry. Being a small-scale descriptive cross-sectional research, we did not look for association between exposure and outcome.
In conclusion, the prevalence of the recent fall in last one year among older people was found to be 27.4%. Half of the falls happened outside the house, and it was mostly due to tripping on roads. The majority of the fall occurred during the morning hours and during the summer season. It indicated the need for the creation of safe environment around the house and roads through engineering measures. The caregivers can provide support and accompany them during the peak time and seasons of fall.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
|1||Vitor PR, de Oliveira AC, Kohler R, Winter GR, Rodacki C, Krause MP, et al. Prevalence of falls in elderly women. Acta Ortop Bras 2015;23:158-61.|
|2||Tripathy NK, Jagnoor J, Patro BK, Dhillon MS, Kumar R. Epidemiology of falls among older adults: A cross sectional study from Chandigarh, India. Injury 2015;46:1801-5.|
|3||District Census Handbook – Directorate of Census Operations, Puducherry; 2011. Available from: http://www.censusindia.gov.in/2011census/dchb/3402_PART_B_DCHB_PUDUCHERRY.pdf. [Last accessed on 2018 Feb 02].|
|4||Chacko TV, Thangaraj P, Muhammad GM. Epidemiology of fall and its risk factors among elders in a rural area of Coimbatore, India. Int J Community Med Public Health 2017;4:3864-9.|
|5||Patil SS, Suryanarayana SP, Rajaram D, Murthy NS. Circumstances and consequences of falls in community – Living elderly in North Bangalore Karnataka. J Krishna Inst Med Sci Univ 2015;4:27-35.|
|6||Sirohi A, Kaur R, Goswami AK, Mani K, Nongkynrih B, Gupta SK, et al. A study of falls among elderly persons in a rural area of Haryana. Indian J Public Health 2017;61:99-104.|