20.500.12556/DKUM-89521 Fall risk in adult family practice non-attenders a cross-sectional study from Slovenia Tveganje za padec med odraslimi redkimi obiskovalci ambulant družinske medicine presečna raziskava iz Slovenije Introduction: Not much is known about the fall risk among the adult population of those who rarely visit doctors. We wanted to determine the prevalence of increased fall risk in a population of family practice non-attenders and the factors associated with it. Methods: We included participants from family medicine practices in this cross-sectional study. To be included in the study, the participants had to be adults living in the community (home-dwelling people) who had not visited their chosen family physician in the last five years (non-attenders). The identification of the eligible persons was done through a search of electronic medical records, which yield 2,025 non-attenders. Community nurses collected data in the participants’ homes. The outcome measure was increased fall risk as assessed by the Morse fall scale: increased risk (≥25) vs. no risk. Results: The sample consisted of 1,945 patients (96.0% response rate) with a mean age of 60.4 years (range 20.5 to 99.7 years). An increased fall risk was determined in 482 or 24.8% (95% CI: [22.9, 26.8]) of the patients. The multivariate model showed a significant association of increased fall risk with higher age (p<0.001), lower systolic blood pressure (p=0.047), poor family function (p=0.016), increased risk of malnutrition (p=0.013), higher number of chronic diseases (p=0.027), higher pain intensity (p<0.001), lower self-assessment of current health (p=0.002), and higher dependence in daily activities (p<0.001). Conclusion: Non-attenders may have an increased risk of falling which depends on their health status and age. The inclusion of community nurses in primary healthcare teams could be of use not only to identify the non-attenders’ health needs, but also to better manage their health, especially the factors that were identified to be associated with greater fall risk. Uvod: O tveganju za padec med odraslo populacijo, ki redko obiskuje zdravnika, ni znanega veliko. Želeli smo ugotoviti razširjenost povečanega tveganja za padce v populaciji pacientov, ki redko obiskujejo svojega zdravnika družinske medicine, in s tem povezane dejavnike. Metode: V to presečno študijo smo vključili paciente iz ambulant družinske medicine. Za vključitev v študijo so morali biti udeleženci odrasli, živeči v skupnosti, ki v zadnjih 5 letih niso obiskali svojega izbranega zdravnika družinske medicine. Identifikacija pacientov je potekala preko elektronskega sistema. Kriterijem je ustrezalo 2.025 posameznikov. Patronažne medicinske sestre so zbirale podatke, in sicer na domovih pacientov. Opazovana spremenljivka je bilo povečano tveganje za padec, ocenjeno z Morsejevo lestvico padcev: povečano tveganje. Rezultati: Vzorec je sestavljalo 1.945 bolnikov (96,0-odstotna stopnja odziva) s povprečno starostjo 60,4 let (razpon od 20,5 do 99,7 let). Povečano tveganje za padec je bilo ugotovljeno pri 482 ali 24,8 % (95 % IZ: [22,9; 26,8]) bolnikov. Multivariatni model je pokazal pomembno povezavo povečanega tveganja za padec z višjo starostjo (p < 0,001), nižjim sistoličnim krvnim tlakom (p = 0,047), slabim družinskim delovanjem (p = 0,016), povečanim tveganjem za podhranjenost (p = 0,013), večjim številom kroničnih bolezni (p = 0,027), višjo intenzivnostjo bolečine (p < 0,001), nižjo samooceno trenutnega zdravja (p = 0,002) in večjo odvisnostjo pri vsakodnevnih aktivnostih (p < 0,001). Zaključek: Pacienti, ki redko obiskujejo zdravnika, zlasti starejši, imajo lahko povečano tveganje za padec, ki je odvisno od zdravstvenih in socialno-ekonomskih dejavnikov. Vključitev patronažnih medicinskih sester v primarni zdravstveni tim bi lahko bila koristna ne le za ugotavljanje zdravstvenih potreb neodzivnikov, temveč tudi za boljše upravljanje njihovega zdravja, zlasti dejavnikov, za katere je bilo ugotovljeno, da so povezani z večjim tveganjem za padec. fall risk primary healthcare family practice non-attenders cross-sectional studies tveganje za padce primarno zdravstveno varstvo družinska medicina redki obiskovalci presečne raziskave true false true Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje Angleški jezik Slovenski jezik Znanstveno delo 2024-07-17 11:34:21 2024-07-17 11:51:52 2024-07-18 03:38:28 0000-00-00 00:00:00 2023 0 0 Str. 76-86 Št. 2 Letn. 62 Jun. 2023 0000-00-00 Zaloznikova Objavljeno NiDoloceno 2022-06-09 2022-12-22 2023-03-15 614.2 146203651 10.2478/sjph-2023-0011 0351-0026 Ruzic-Gorenjec-2023-FALL_RISK_IN_ADULT_FAMILY.pdf Ruzic-Gorenjec-2023-FALL_RISK_IN_ADULT_FAMILY.pdf 1 CA1F1B68AD57508A879F75AAE5CCABBD 8228f1f6e8fd8933541038261336aa9f55aac695a19e8bf1ace080df4f79df8e 106750aa-4422-11ef-b9e8-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=181560 https://doi.org/10.2478/sjph-2023-0011 0 c2e0caff-441f-11ef-b9e8-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=181559 Medicinska fakulteta 0 0 0