Study
finds that hidden infections may be real reason why people fall By Jenn Gidman
Published October 12, 2015
)
Around 2.5 million people aged 65 and older are treated in the ER for falls
each year, but researchers who took part in a Massachusetts General Hospital
study warn not to automatically assume that "older" means they took a
tumble because they're feeble, clumsy, or suffering from poor eyesight or
dementia. Instead, per the Telegraph , there may be a more surprising cause,
scientists announced at the Infectious Diseases Society of America's annual
meeting: an infection. Urinary tract, bloodstream, and respiratory infections
are the most common culprits when infections are involved-all of which can
often lead to dizziness, low blood pressure, and other symptoms that may
precipitate a fall. While it's currently unclear how many falls are
actually caused by infection-estimates based on previous research range from 20
to 45 percent -researchers wanted to find out what kinds of infections
afflicted those who had fallen because of them. How the study was conducted.
Reviewing the hospital's medical records from 2000 to 2014, researchers
whittled its group of subjects down to 161 patients who had suffered a fall and
been determined to have a coexisting systemic infection (CDI). Of the 161, 44
percent had a UTI, almost 40 percent had a bloodstream infection, and 23 percent
had a respiratory infection. Mean while, almost 6 percent had a heart
valve infection. What made the results of the study somewhat surprising: A
majority of the subjects (56 percent) had few or no common symptoms of an
infection, leading to 41 percent of them being misdiagnosed initially. And
while many warnings are coming out of the study advising caretakers not to make
assumptions about their elderly loved ones' falls, the younger set doesn't get
off scot-free: About 20 percent of the subjects who fell because of an
infection were under the age of 65. (Now we need to look into why older
people are falling more often .)
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