Falls in older ambulatory care patients with cancer in Iran: implications for clinical practice

Saberi, Najmeh, Kakhki, Ali Darvishpoor, Ilkhani, Mahnaz and Khan, Hafiz T.A. ORCID: https://orcid.org/0000-0002-1817-3730 (2021) Falls in older ambulatory care patients with cancer in Iran: implications for clinical practice. Journal Of Evaluation In Clinical Practice. ISSN 1356-1294

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Abstract

Rationale/aim: Falls can have severe consequences particularly for older patients with cancer undergoing ambulatory care. The aim of the study is to identify the predictors of falls in older patients receiving cancer ambulatory care and evaluate accuracy of the final multivariable model in detecting older patients with falls.
Method: A retrospective study was conducted on 300 older patients aged 60 years and above that were referred for ambulatory care in three oncology clinics based at hospitals in Tehran.
Participants completed a questionnaire comprising demographic, history of falls, and cancer-related factors. Logistic regression was used to determine risk factors associated with falls.
Results: 35.3% of the older patients with cancer had experienced a fall in the six months following the start of their ambulatory care. The most important predictors of falls include the fourth stage of cancer (odds ratio (OR): 6.47, 95% confidence interval (CI): 3.20-13.08, P <0.001), fear of falling (OR: 5.64, 95%CI: 2.58-12.33, P<0.001), use of hearing (OR: 2.38, 95%CI: 1.07-5.29, P = 0.033) and visual aids (OR: 2.36, 95%CI: 1.12-5.01, P = 0.025), and the number of visits to the doctor (OR: 1.10, 95%CI: 1.01-1.21, P = 0.035).
Conclusions: The results indicate that a reduction in falls is possible by introducing strategies to improving care for older patients in advanced stage of cancer, eliminating the causes of fear of falling, examining and improving vision and hearing, and identifying and addressing the underlying causes of visits to the doctor.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: [Saberi, N, Darvishpoor Kakhki, A, Ilkhani, M, Khan, HTA. Falls in older ambulatory care patients with cancer in Iran: implications for clinical practice. J Eval Clin Pract. 2021; 1- 7. doi:10.1111/jep.13639], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Uncontrolled Keywords: accidental fall, risk factor, aged, cancer, ambulatory care
Subjects: Medicine and health > Health promotion and public health
Medicine and health
Related URLs:
Depositing User: Hafiz T.A. Khan
Date Deposited: 12 Nov 2021 08:05
Last Modified: 02 Dec 2021 11:33
URI: http://repository.uwl.ac.uk/id/eprint/8423

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