{"title":"放弃行动辅助技术对居家老年人严重跌倒发生率的影响:ECOCAT研究结果。","authors":"Abdoul Razak Sawadogo, Jean-François Nys, Estelle Tran, Caroline Gayot, Sophie Boyer, Noëlle Cardinaud, Clémence Thebaut, Achille Tchalla","doi":"10.1177/20556683221110866","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To examine the impact of discontinuing the use of assistive technology for mobility (ATM) devices on the 6-months incidence of falls in older adults (OA) living at home.</p><p><strong>Materials and methods: </strong>A medico-socioeconomic survey was performed to collect information on the quality of life and well-being of older adults, before and 6 months after being loaned an ATM device. Personal data (medical, social, and economic) were collected via a geriatric survey.</p><p><strong>Results: </strong>In all, 102 OA participated in the study. Over the 6-months observation period, 17 (<i>n</i> = 81) serious falls were recorded among participants who were using their ATM device optimally; in those who discontinued device use, 12 falls (<i>n</i> = 21) were recorded (57.1%; <i>p</i> = 0.001). Factors significantly associated with falls at home were living in an urban area (odds ratio [OR]: 11.46; 95% confidence interval [CI]: 1.48; 88.98; <i>p</i> = 0.020), an Instrumental Activities of Daily Living Scale score > 4 (OR: 34.04; 95% CI: 1.59; 727.86; <i>p</i> = 0.024), and discontinuation of ATM device use (OR: 17.41; 95% CI: 2.59; 117.02; <i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>Discontinuation of ATM device use was associated with an increased risk for serious falls.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/75/10.1177_20556683221110866.PMC9234835.pdf","citationCount":"1","resultStr":"{\"title\":\"Impact of the abandonment of assistive technologies for mobility on the incidence of serious falls in older adults living at home: Results of the ECOCAT study.\",\"authors\":\"Abdoul Razak Sawadogo, Jean-François Nys, Estelle Tran, Caroline Gayot, Sophie Boyer, Noëlle Cardinaud, Clémence Thebaut, Achille Tchalla\",\"doi\":\"10.1177/20556683221110866\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To examine the impact of discontinuing the use of assistive technology for mobility (ATM) devices on the 6-months incidence of falls in older adults (OA) living at home.</p><p><strong>Materials and methods: </strong>A medico-socioeconomic survey was performed to collect information on the quality of life and well-being of older adults, before and 6 months after being loaned an ATM device. Personal data (medical, social, and economic) were collected via a geriatric survey.</p><p><strong>Results: </strong>In all, 102 OA participated in the study. Over the 6-months observation period, 17 (<i>n</i> = 81) serious falls were recorded among participants who were using their ATM device optimally; in those who discontinued device use, 12 falls (<i>n</i> = 21) were recorded (57.1%; <i>p</i> = 0.001). Factors significantly associated with falls at home were living in an urban area (odds ratio [OR]: 11.46; 95% confidence interval [CI]: 1.48; 88.98; <i>p</i> = 0.020), an Instrumental Activities of Daily Living Scale score > 4 (OR: 34.04; 95% CI: 1.59; 727.86; <i>p</i> = 0.024), and discontinuation of ATM device use (OR: 17.41; 95% CI: 2.59; 117.02; <i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>Discontinuation of ATM device use was associated with an increased risk for serious falls.</p>\",\"PeriodicalId\":43319,\"journal\":{\"name\":\"Journal of Rehabilitation and Assistive Technologies Engineering\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2022-06-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/75/10.1177_20556683221110866.PMC9234835.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Rehabilitation and Assistive Technologies Engineering\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/20556683221110866\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Rehabilitation and Assistive Technologies Engineering","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/20556683221110866","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
Impact of the abandonment of assistive technologies for mobility on the incidence of serious falls in older adults living at home: Results of the ECOCAT study.
Purpose: To examine the impact of discontinuing the use of assistive technology for mobility (ATM) devices on the 6-months incidence of falls in older adults (OA) living at home.
Materials and methods: A medico-socioeconomic survey was performed to collect information on the quality of life and well-being of older adults, before and 6 months after being loaned an ATM device. Personal data (medical, social, and economic) were collected via a geriatric survey.
Results: In all, 102 OA participated in the study. Over the 6-months observation period, 17 (n = 81) serious falls were recorded among participants who were using their ATM device optimally; in those who discontinued device use, 12 falls (n = 21) were recorded (57.1%; p = 0.001). Factors significantly associated with falls at home were living in an urban area (odds ratio [OR]: 11.46; 95% confidence interval [CI]: 1.48; 88.98; p = 0.020), an Instrumental Activities of Daily Living Scale score > 4 (OR: 34.04; 95% CI: 1.59; 727.86; p = 0.024), and discontinuation of ATM device use (OR: 17.41; 95% CI: 2.59; 117.02; p = 0.003).
Conclusion: Discontinuation of ATM device use was associated with an increased risk for serious falls.
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