Geriatrics Service, Regional Hospital of the Institute of Social Security and Services of State Workers (ISSSTE), Regional Hospital, Health Sciences Division, Leon Campus, University of Guanajuato (UG). León, Guanajuato, Mexico.
Arch Cardiol Mex. 2021;91(1):66-72. doi: 10.24875/ACM.20000024.
To determine the association of cardiovascular diseases with falls in the geriatric population.
Original, Transversal and analytical study. Elderly patients who attend the external consultation of the Geriatrics service, older than 65 years, with falls history, perform comprehensive geriatric assessment to indentify causes of falls in the period from March 2018 to June 2019. We perform measures of central tendency, chi-square test X for qualitative variables, we performed linear regression model.
A total of 669 patients were included, the analysis shows association with frailty [OR 1.65 (95% CI 1.37-3.77), p <0.05], Heart Failure [OR 1.02, (95% CI, 0.68 - 1.54), p < 0.05 ], the logistic regression analysis with the variables (Fragility, SAH, es: DM2, AMI, Stroke, AF, postural hypotensive syncope, Hypothyroidism, Dyslipidemia, and HF) shows that the probability of falling is 57%.
Cardiovascular diseases have a high prevalence in the population studied and increase the risk of falls. Individually analyzed cardiovascular diseases do not show an association with the syndrome of falls in the elderly, except for frailty, which proved to be an independent factor that increases the risk of falls with an OR 1.65. When analyzing them together, the risk of falling increases up to 57%. It is necessary to correctly identify and treat cardiovascular diseases in the elderly.
确定心血管疾病与老年人跌倒的关系。
原始、横断和分析研究。2018 年 3 月至 2019 年 6 月，我们对老年患者进行了全面的老年评估，以确定跌倒的原因。老年患者在老年科门诊就诊，年龄大于 65 岁，有跌倒史。我们进行了中心趋势测量，对定性变量进行了卡方检验 X，进行了线性回归模型。
共纳入 669 例患者，分析结果显示与虚弱[比值比 1.65（95%置信区间 1.37-3.77），p<0.05]、心力衰竭[比值比 1.02（95%置信区间 0.68-1.54），p<0.05]相关。对变量（脆弱性、SAH、ES：DM2、AMI、中风、AF、体位性低血压性晕厥、甲状腺功能减退症、血脂异常和 HF）进行逻辑回归分析，显示跌倒的概率为 57%。
心血管疾病在研究人群中患病率较高，增加了跌倒的风险。单独分析心血管疾病与老年人跌倒综合征之间没有关联，除了脆弱性，这被证明是一个独立的增加跌倒风险的因素，比值比为 1.65。当一起分析时，跌倒的风险增加了 57%。有必要正确识别和治疗老年人的心血管疾病。
