Risk factors for falls in adults with rheumatoid arthritis: a prospective study

Emma Stanmore; Jackie Oldham; Dawn Skelton; Terence O'Neill; Mark Pilling; A John Campbell; Chris Todd

doi:10.1002/acr.21987

Risk factors for falls in adults with rheumatoid arthritis: a prospective study

Emma Stanmore, Jackie Oldham, Dawn Skelton, Terence O'Neill, Mark Pilling, A John Campbell, Chris Todd

Physiotherapy

Research output: Contribution to journal › Article › peer-review

Abstract

The aim of this study was to investigate the association between potential risk factors and falls in community dwelling adults with rheumatoid arthritis (RA). 386 women and 173 menwith RA, aged 18–88 (n=559) completed baseline. 535 participants (96%) completed 1 year follow-up. Bivariate logistic regression showed that falls risk was not associated with age or gender. Multivariate logistic regression revealed that a history of multiple falls in the previous 12 months was the most significant predictive risk factor (OR=5.3, 95% CI 2.3 to 12.3). The most significant modifiable risk factors were swollen and tender lower limb joints (OR=1.7, 95% CI 1.1 to 2.7), psychotropic medication (OR=1.8, 95% CI 1.1 to 3.1) and fatigue (OR=1.13,95% CI 1.02 to 1.2).

Original language	English
Pages (from-to)	1251–1258
Number of pages	8
Journal	Arthritis Care and Research
Volume	65
Issue number	8
Early online date	14 Feb 2013
DOIs	https://doi.org/10.1002/acr.21987
Publication status	Published - Aug 2013

Keywords

falls
rheumatoid arthritis
risk factors

Documents and Links

10.1002/acr.21987

Publication in Scopus

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title = "Risk factors for falls in adults with rheumatoid arthritis: a prospective study",

abstract = "The aim of this study was to investigate the association between potential risk factors and falls in community dwelling adults with rheumatoid arthritis (RA). 386 women and 173 menwith RA, aged 18–88 (n=559) completed baseline. 535 participants (96%) completed 1 year follow-up. Bivariate logistic regression showed that falls risk was not associated with age or gender. Multivariate logistic regression revealed that a history of multiple falls in the previous 12 months was the most significant predictive risk factor (OR=5.3, 95% CI 2.3 to 12.3). The most significant modifiable risk factors were swollen and tender lower limb joints (OR=1.7, 95% CI 1.1 to 2.7), psychotropic medication (OR=1.8, 95% CI 1.1 to 3.1) and fatigue (OR=1.13,95% CI 1.02 to 1.2). ",

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AU - Oldham, Jackie

AU - Skelton, Dawn

AU - O'Neill, Terence

AU - Pilling, Mark

AU - Campbell, A John

AU - Todd, Chris

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N2 - The aim of this study was to investigate the association between potential risk factors and falls in community dwelling adults with rheumatoid arthritis (RA). 386 women and 173 menwith RA, aged 18–88 (n=559) completed baseline. 535 participants (96%) completed 1 year follow-up. Bivariate logistic regression showed that falls risk was not associated with age or gender. Multivariate logistic regression revealed that a history of multiple falls in the previous 12 months was the most significant predictive risk factor (OR=5.3, 95% CI 2.3 to 12.3). The most significant modifiable risk factors were swollen and tender lower limb joints (OR=1.7, 95% CI 1.1 to 2.7), psychotropic medication (OR=1.8, 95% CI 1.1 to 3.1) and fatigue (OR=1.13,95% CI 1.02 to 1.2).

AB - The aim of this study was to investigate the association between potential risk factors and falls in community dwelling adults with rheumatoid arthritis (RA). 386 women and 173 menwith RA, aged 18–88 (n=559) completed baseline. 535 participants (96%) completed 1 year follow-up. Bivariate logistic regression showed that falls risk was not associated with age or gender. Multivariate logistic regression revealed that a history of multiple falls in the previous 12 months was the most significant predictive risk factor (OR=5.3, 95% CI 2.3 to 12.3). The most significant modifiable risk factors were swollen and tender lower limb joints (OR=1.7, 95% CI 1.1 to 2.7), psychotropic medication (OR=1.8, 95% CI 1.1 to 3.1) and fatigue (OR=1.13,95% CI 1.02 to 1.2).

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