TY - JOUR T1 - Falls in community-dwelling older adults with heart failure: A retrospective cohort study JF - Heart & Lung Y1 - 2020 A1 - Kayoung Lee A1 - Matthew A. Davis A1 - John E. Marcotte A1 - Susan J Pressler A1 - Jersey Liang A1 - Nancy A. Gallagher A1 - Marita G. Titler KW - Aging KW - Falls KW - Heart Failure KW - Nursing KW - Older Adults AB - Background While heart failure (HF) in older adults is associated with fall risk, little is known about this in the U.S. Objective To examine the independent effect of functional impairments related to HF on falls among community-dwelling older adults in the U.S. Methods A retrospective cohort study was conducted with 17,712 community-dwelling older adults aged 65 and above with (n = 1693) and without HF, using mixed-effects logistic regression to examine the association between HF and falls. Results HF patients had 14% greater odds of falling than those without HF. Moreover, HF patients with functional difficulties in mobility, large muscle difficulty, instrumental activities of daily living difficulty, poor vision, and urinary incontinence demonstrated an increased likelihood of falling. Conclusion Community-dwelling older adults with HF and functional difficulties have a higher fall risk than those without HF, indicating that fall prevention programs should be developed, tested, and implemented for this population. UR - http://www.sciencedirect.com/science/article/pii/S014795631930559X ER -