Academic Journal
Risk of fall-related emergency department visits following impaired intrinsic capacity among community older adults in Taiwan.
| Τίτλος: | Risk of fall-related emergency department visits following impaired intrinsic capacity among community older adults in Taiwan. |
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| Συγγραφείς: | Lee CB; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin, Taiwan; Department of Health Services Administration, College of Public Health, China Medical University, Taichung, Taiwan. Electronic address: bonnielee@nhri.edu.tw., Xie JN; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin, Taiwan. Electronic address: tina81913@nhri.edu.tw., Li CY; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan; Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan. Electronic address: cyli99@mail.ncku.edu.tw., Wu CY; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan; Sports for All Agency, Ministry of Sports, Taipei, Taiwan. Electronic address: Maggiewu9933@gmail.com., Jou YY; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan. Electronic address: yann@hpa.gov.tw., Chung YF; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan. Electronic address: health0121@hpa.gov.tw., Hsu IL; Division of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; The Cross College Elite Program, National Cheng Kung University, Tainan, Taiwan. Electronic address: yilinhsu@gmail.com. |
| Πηγή: | Experimental gerontology [Exp Gerontol] 2026 Oct 01; Vol. 223, pp. 113274. Date of Electronic Publication: 2026 Aug 10. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Science Country of Publication: England NLM ID: 0047061 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6815 (Electronic) Linking ISSN: 05315565 NLM ISO Abbreviation: Exp Gerontol Subsets: MEDLINE |
| Imprint Name(s): | Publication: Tarrytown Ny : Elsevier Science Original Publication: Oxford. |
| Ιατρικοί όροι (MeSH): | Accidental Falls*/statistics & numerical data , Emergency Room Visits*/statistics & numerical data , Emergency Service, Hospital*/statistics & numerical data, Taiwan/epidemiology ; Geriatric Assessment/methods ; Humans ; Aged ; Female ; Male ; Aged, 80 and over ; Risk Factors |
| Περίληψη: | Background: Intrinsic capacity (IC) reflects composite physical and mental capacities of aging populations. This study examined associations between IC impairments, severity, and patterns with fall-related emergency department (ED) visits in Taiwan. Methods: We conducted a population-based cohort study using Taiwan's Integrated Care for Older People (ICOPE) database linked to National Health Insurance claims and Death Registry. A total of 244,899 adults aged ≥65 years were followed from 2022 to 2023. Six IC domains (cognition, mobility, vitality, vision, hearing, and psychological well-being) were assessed. IC levels was categorized as high (0 impairments), moderate (1-2), or low (≥3). Latent class analysis (LCA) identified IC impairment patterns. Poisson regression estimated rate ratios (RRs), adjusting for confounders. Results: Over 213,528 person-years, 1485 fall-related ED visits occurred among 1375 participants (fall-related ED visit rate: 6.95 visits per 1000 person-years). Impairments in cognition (aRR = 1.23, 95% CI: 1.03-1.47), mobility (aRR = 1.58, 95% CI: 1.37-1.82), and vision (aRR = 1.20, 95% CI: 1.07-1.36) were independently associated with increased fall risk. Compared with high IC, moderate and low IC were associated with progressively higher risks of fall-related ED visits. LCA identified five IC patterns; the highest risk occurred in the physio-cognitive decline with sensory impairment (aRR = 1.87, 95% CI: 1.60-2.19), followed by all-domain impairments (aRR = 1.81, 95% CI: 1.29-2.54) and nutritional-visual-physical impairments (aRR = 1.53, 95% CI: 1.12-2.09). Conclusions: IC impairments, severity, and patterns independently predicted fall-related ED visits. Integrating ICOPE screening into primary care may enhance fall prevention strategies. (Copyright © 2026 The Authors. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Chiachi Bonnie Lee reports financial support was provided by Health Promotion Administration, Ministry of Health and Welfare, Taiwan. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Accidental falls; Aged; Geriatric assessment; Risk factors; Taiwan |
| Entry Date(s): | Date Created: 20260810 Date Completed: 20260820 Latest Revision: 20260820 |
| Update Code: | 20260821 |
| DOI: | 10.1016/j.exger.2026.113274 |
| PMID: | 42575258 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1873-6815 |
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| DOI: | 10.1016/j.exger.2026.113274 |