Rehabilitation Utilization for Falls Among Community-Dwelling Older Adults in the United States in the National Health and Aging Trends Study

Details

• Alternative Title:
  Arch Phys Med Rehabil
• Personal Author:
  Moreland, Briana L. ; Durbin, Laura L. ; Kasper, Judith D. ; Mielenz, Thelma J.
• Description:
  Objective:
  
  To determine the characteristics of community-dwelling older adults receiving fall-related rehabilitation.
  
  Design:
  
  Cross-sectional analysis of the fifth round (2015) of the National Health and Aging Trends Study (NHATS). Fall-related rehabilitation utilization was analyzed using weighted multinomial logistic regression with SEs adjusted for the sample design.
  
  Setting:
  
  In-person interviews of a nationally representative sample of community-dwelling older adults.
  
  Participants:
  
  Medicare beneficiaries from NHATS (N = 7062).
  
  Interventions:
  
  Not applicable.
  
  Main Outcomes Measures:
  
  Rehabilitation utilization categorized into fall-related rehabilitation, other rehabilitation, or no rehabilitation.
  
  Results:
  
  Fall status (single fall: odds ratio [OR] = 2.96; 95% confidence interval [CI], 1.52–5.77; recurrent falls: OR= 14.21; 95% CI, 7.45–27.10), fear of falling (OR = 3.11; 95% CI, 1.90–5.08), poor Short Physical Performance Battery scores (score 0: OR = 6.62; 95% CI, 3.31–13.24; score 1–4: OR = 4.65; 95% CI, 2.23–9.68), and hip fracture (OR = 3.24; 95% CI, 1.46–7.20) were all associated with receiving fall-related rehabilitation. Lower education level (less than high school diploma compared with 4-y college degree: OR =.21; 95% CI, .11–.40) and Hispanic ethnicity (OR = .37; 95% CI, .15–.87) were associated with not receiving fall-related rehabilitation.
  
  Conclusions:
  
  Hispanic older adults and older adults who are less educated are less likely to receive fall-related rehabilitation. Recurrent fallers followed by those who fell once in the past year were more likely to receive fall-related rehabilitation than are older adults who have not had a fall in the past year.
  
  
• Subjects:
  Accidental Falls Aged Aged, 80 And Over Female Fractures, Bone Humans Independent Living Male Medicare Patient Acceptance Of Health Care Rehabilitation

  More +
• Keywords:
  Accidental Falls
• Source:
  Arch Phys Med Rehabil. 99(8):1568-1575
• Pubmed ID:
  29545001
• Pubmed Central ID:
  PMC6668351
• Document Type:
  Journal Article
• Funding:
  R49 CE002096/CE/NCIPC CDC HHSUnited States/ ; U01 AG032947/AG/NIA NIH HHSUnited States/
• Place as Subject:
  United States
• Volume:
  99
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:45de2a4b4ab0362a60c327c9e89cdd91f29e39b4413283b8734a4fcae06d108d
• Download URL:
  https://stacks.cdc.gov/view/cdc/80372/cdc_80372_DS1.pdf
• File Type:
  [PDF - 456.95 KB ]