PMID- 36243343
OWN - NLM
STAT- MEDLINE
DCOM- 20230320
LR  - 20240302
IS  - 1532-8414 (Electronic)
IS  - 1071-9164 (Print)
IS  - 1071-9164 (Linking)
VI  - 29
IP  - 3
DP  - 2023 Mar
TI  - Frequency and Predictors of Falls Among Adults With Heart Failure: A Prospective 
      Study.
PG  - 414-418
LID - S1071-9164(22)00733-3 [pii]
LID - 10.1016/j.cardfail.2022.09.011 [doi]
AB  - OBJECTIVE: Adults with heart failure (HF) may be at high risk for falling due to 
      age, comorbidities and frailty; however, few studies have examined falls in HF. 
      The purpose of this study was to quantify the frequency and predictors of falls 
      over 1 year among adults with HF. METHODS: We conducted a prospective study of 
      adults with New York Heart Association (NYHA) functional class I-IV HF. After 
      baseline assessment of physical frailty and clinical characteristics, 
      participants self-reported falls every 3 months during 1 year. Comparative 
      statistics were used to identify baseline differences between those who fell vs 
      those who did not. A stepwise negative binomial regression model was used to 
      identify predictors of fall rate over 1 year. RESULTS: The sample (n = 111) was 
      63.4 +/- 15.7 years old, 48% were women, 28% had HF with preserved ejection 
      fraction, and 41% were frail. Over 1 year, 43 (39%) of participants reported at 
      least 1 fall and 28 (25%) of participants reported 2+ falls. Among those who 
      fell, 29 (67%) reported injurious falls. Those who fell had significantly higher 
      body mass indexes and were more likely to have NYHA class III/IV, type 2 diabetes 
      and HF with preserved ejection fraction and to meet slowness and physical 
      exhaustion criteria than those who did not fall. The fall rate was elevated among 
      those with type 2 diabetes and those meeting the slowness and physical exhaustion 
      criteria for physical frailty. CONCLUSIONS: Nearly 40% of adults with HF 
      experienced a fall within 1 year. Screening for comorbidities, slowness and 
      exhaustion may help to identify those at risk for a fall.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Denfeld, Quin E
AU  - Denfeld QE
AD  - Oregon Health & Science University, School of Nursing, Portland, OR, USA; Oregon 
      Health & Science University, Knight Cardiovascular Institute, Portland, OR, USA. 
      Electronic address: denfeldq@ohsu.edu.
FAU - Goodlin, Sarah
AU  - Goodlin S
AD  - Portland Veteran's Affairs Hospital, Portland, OR, USA; Oregon Health & Science 
      University, Department of Medicine, Portland, OR, USA.
FAU - Abedalweli, Rand
AU  - Abedalweli R
AD  - Oregon Health & Science University, Hillsboro Medical Center, Hillsboro, OR, USA.
FAU - Roberts Davis, Mary
AU  - Roberts Davis M
AD  - Oregon Health & Science University, School of Nursing, Portland, OR, USA.
FAU - Hiatt, Shirin O
AU  - Hiatt SO
AD  - Oregon Health & Science University, School of Nursing, Portland, OR, USA.
FAU - Lee, Christopher S
AU  - Lee CS
AD  - Boston College, William F. Connell School of Nursing, Chestnut Hill, MA, USA; 
      Australian Catholic University, Melbourne, Australia.
FAU - Winters-Stone, Kerri
AU  - Winters-Stone K
AD  - Oregon Health & Science University, Knight Cancer Institute, Portland, OR, USA.
LA  - eng
GR  - K12 AR084221/AR/NIAMS NIH HHS/United States
GR  - K12 HD043488/HD/NICHD NIH HHS/United States
GR  - UL1 TR002369/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20221012
PL  - United States
TA  - J Card Fail
JT  - Journal of cardiac failure
JID - 9442138
SB  - IM
MH  - Humans
MH  - Adult
MH  - Female
MH  - Middle Aged
MH  - Aged
MH  - Male
MH  - Prospective Studies
MH  - *Frailty/diagnosis/epidemiology
MH  - *Heart Failure/diagnosis/epidemiology/complications
MH  - *Diabetes Mellitus, Type 2
MH  - Accidental Falls/prevention & control
PMC - PMC10243462
MID - NIHMS1901315
OTO - NOTNLM
OT  - Heart failure
OT  - falls
OT  - frailty
COIS- Declaration of Conflicting Interests None.
EDAT- 2022/10/16 06:00
MHDA- 2023/03/21 06:00
PMCR- 2024/03/01
CRDT- 2022/10/15 19:38
PHST- 2022/09/22 00:00 [received]
PHST- 2022/09/22 00:00 [accepted]
PHST- 2022/10/16 06:00 [pubmed]
PHST- 2023/03/21 06:00 [medline]
PHST- 2022/10/15 19:38 [entrez]
PHST- 2024/03/01 00:00 [pmc-release]
AID - S1071-9164(22)00733-3 [pii]
AID - 10.1016/j.cardfail.2022.09.011 [doi]
PST - ppublish
SO  - J Card Fail. 2023 Mar;29(3):414-418. doi: 10.1016/j.cardfail.2022.09.011. Epub 
      2022 Oct 12.