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Table 1 The definitions of the eight modifiable risk factors

From: Risk factors associated with visiting or not visiting the accident & emergency department after a fall

Modifiable risk factor

Definition

Polypharmacy

Use of three or more medications, independent of their types and/or

Use of sedative, psychoactive, anti-hypertensive, or diuretic medications

Orthostatic hypotension

 One or more of the nine questions concerning orthostatic hypotension were answered positively on the CTI

Balance and mobility

Difficulties in walking and/or

Use of an aid for walking and/or

A lack of balance and/or

Pain in the feet or legs and/or

Reduced feeling in the feet or legs and/or

Reduced strength in one or both feet and/or

Stiffness of the joints

Fear of falling

A score of 5 or more on the scale from 1 (no fear of falling) to 10 (a very large fear of falling) on the question: “are you afraid to fall?”

Impaired vision

Unable to read the newspaper, even with magnifying glasses or a loupe, and/or

Substantially reduced eyesight in the past 6 months

Urinary incontinence

Daily problems with urinary incontinence and/or

Need to get out of bed twice or more per night to visit the toilet

Mood

Feeling down or depressed and/or

Loss of interest

 Both within the last month

High risk of osteoporosis

Patients with a fracture after the age of 50 and/or a fracture of a vertebra and/or positive for two of the three following factors:

Mother suffered hip fracture

Low body weight (men <67 kg, women < 60 kg)

 

Severe immobility