Fall risk in older adults hospitalized with tumours: Contributing factors and prediction model

Aim Rates vary widely across hospitals globally and typically range from 3 to 11 falls per 1000 bed days and as 7-11 in Affiliated Hospital of Nantong University. This study determined to explore contributing factors and poor prognosis of fall in elderly tumour patients in China.Design A cross-sectional study.Methods 161 older adults were invited to participate in this study and completed a self-reported questionnaire, took blood tests, and received the exam of musculoskeletal ultrasound.Results Among 161 patients, falls occurred in 41 cases, accounting for 24.8%. 51.6% of older adults suffered from intermediate-to-high risk of falls. Fall history, reduced self-care ability, sleep disturbance, hearing impairment, hyperkyphosis, chronic disease, platelet count, and the thickness of left muscle rectus femoris (LF-MLT), and left cross-sectional area (LF-CSA) were all contributing factors of fall, and higher risk of fall indicating lower quality of life. A fall prediction model was established in this study based on above contributing factors with good prediction efficiency (AUC = 0.920).Patient or public contribution The patient volunteers participated in this study and provided valuable data for the final analysis and the acquisition of conclusion.