{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Hensley CP"],"funding":["NIA NIH HHS","National Institutes of Health","NIH HHS"],"pagination":["e70091"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC12423943"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["7(9)"],"pubmed_abstract":["<h4>Objective</h4>Falls are common after total hip arthroplasty (THA) and can cause serious complications. Understanding preoperative factors linked to falls post-THA can inform discharge planning and management to lower fall risk. We aimed to identify preoperative factors associated with falls occurring within one year following THA in older adults.<h4>Methods</h4>We performed a retrospective cohort study using records within a large hospital system. Adults aged ≥65 years with a recorded THA between March 2012 and March 2022 were included. The primary outcome was a fall occurrence (yes vs no) within one year post-THA. A fall was identified through International Classification of Diseases, Ninth/Tenth Revision codes, documentation for fall-related emergency room visit(s), or mention of a fall in the medical record. Purposeful selection of variables in logistic regression models identified preoperative factors associated with a fall.<h4>Results</h4>Among 4,501 patients (age 72.7 ± 6.0 years), 683 (15.2%) experienced at least one fall within one year post-THA. The strongest risk factors were a fall within one year pre-THA (odds ratio [OR] = 2.67, 95% confidence interval [CI] = 2.22-3.22) and depression (OR = 1.95, 95% CI = 1.62-2.35). Other factors included neurologic conditions, insomnia, revision or conversion hip arthroplasty, knee pain, lumbar conditions, body mass index (BMI) <20 kg/m<sup>2</sup>, and older age. A BMI of 25 to 29.9 was protective against falls.<h4>Conclusion</h4>This longitudinal cohort study identified multiple independent factors associated with fall occurrences within one year post-THA. Findings highlight the opportunity to address modifiable factors and provide individuals with tailored discharge planning and management strategies (eg, fall prevention programs) to reduce fall risk."],"journal":["ACR open rheumatology"],"pubmed_title":["Preoperative Factors Associated With Falls Following Total Hip Arthroplasty in Older Adults."],"pmcid":["PMC12423943"],"funding_grant_id":["P30 AG059988","P30AG059988"],"pubmed_authors":["Hensley CP","Lee J","Chang AH","Kritselis A","Kho AN","Song J"],"additional_accession":[]},"is_claimable":false,"name":"Preoperative Factors Associated With Falls Following Total Hip Arthroplasty in Older Adults.","description":"<h4>Objective</h4>Falls are common after total hip arthroplasty (THA) and can cause serious complications. Understanding preoperative factors linked to falls post-THA can inform discharge planning and management to lower fall risk. We aimed to identify preoperative factors associated with falls occurring within one year following THA in older adults.<h4>Methods</h4>We performed a retrospective cohort study using records within a large hospital system. Adults aged ≥65 years with a recorded THA between March 2012 and March 2022 were included. The primary outcome was a fall occurrence (yes vs no) within one year post-THA. A fall was identified through International Classification of Diseases, Ninth/Tenth Revision codes, documentation for fall-related emergency room visit(s), or mention of a fall in the medical record. Purposeful selection of variables in logistic regression models identified preoperative factors associated with a fall.<h4>Results</h4>Among 4,501 patients (age 72.7 ± 6.0 years), 683 (15.2%) experienced at least one fall within one year post-THA. The strongest risk factors were a fall within one year pre-THA (odds ratio [OR] = 2.67, 95% confidence interval [CI] = 2.22-3.22) and depression (OR = 1.95, 95% CI = 1.62-2.35). Other factors included neurologic conditions, insomnia, revision or conversion hip arthroplasty, knee pain, lumbar conditions, body mass index (BMI) <20 kg/m<sup>2</sup>, and older age. A BMI of 25 to 29.9 was protective against falls.<h4>Conclusion</h4>This longitudinal cohort study identified multiple independent factors associated with fall occurrences within one year post-THA. Findings highlight the opportunity to address modifiable factors and provide individuals with tailored discharge planning and management strategies (eg, fall prevention programs) to reduce fall risk.","dates":{"release":"2025-01-01T00:00:00Z","publication":"2025 Sep","modification":"2026-06-01T23:30:00.005Z","creation":"2026-05-24T03:06:50.278Z"},"accession":"S-EPMC12423943","cross_references":{"pubmed":["40932032"],"doi":["10.1002/acr2.70091"]}}