ArticleAlzheimer's research & therapy2018
Analysis of the risk and risk factors for injury in people with and without dementia: a 14-year, retrospective, matched cohort study.
Article in Alzheimer's research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 33 citations in OpenAlex.
- Trial
- Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia.Age and ageing · 2025Trial
- Incidence and characteristics of poisonings in older adults with and without dementia: a matched cohort study using Swedish registry data.Age and ageing · 2026Article
- Renal pelvis rupture presenting as an acute abdomen in patient with Alzheimer's dementia: a case report and literature review.Oxford medical case reports · 2025Article
- Effect of Cognitive Decline on Mandibular Movement during Mastication in Nursing Home Residents.Journal of clinical medicine · 2024Article
- Changes in Nursing Staff Levels and Injury-Related Emergency Department Visits among Assisted Living Residents with Alzheimers Disease and Related Dementias.Journal of the American Medical Directors Association · 2024Article
- Giving voice to the voiceless: Understanding the perceived needs of dementia family carers in Soweto, a South African township.Dementia (London, England) · 2024Article
- Article
- Association of first anti-seizure medication choice with injuries in older adults with newly diagnosed epilepsy.Seizure · 2023Article
- Out-of-Pocket Health Expenditures and Health Care Services Use Among Older Americans With Cognitive Impairment: Results From the 2008-2016 Health and Retirement Study.The Gerontologist · 2022Article
- Association Between Young-Onset Dementia and Risk of Hospitalization for Motor Vehicle Crash Injury in Taiwan.JAMA network open · 2022Article
- Firearm access and dementia: A qualitative study of reported behavioral disturbances and responses.Journal of the American Geriatrics Society · 2022Article
- "Safety in Dementia": Development of an Online Caregiver Tool for Firearm, Driving, and Home Safety.Journal of the American Geriatrics Society · 2020Article
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Authors and funding
7 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost previous studies on dementia and injuries have focused on a particular type of injury, and few studies have investigated overall injury in people with dementia. In this study, we investigated the risk factors and risk of overall injury, including the diagnosis, cause, and intentionality of injury, in people with and without dementia in Taiwan.
methodsWe collected relevant data between 2000 and 2013 from the National Health Insurance Research Database (NHIRD). Overall, 455,630 cases, consisting of 91,126 people with dementia and 364,504 people without dementia, were included in this study and we performed subgroup analysis. A multivariate Cox proportional hazards regression analysis was used to determine the risk of injuries.
resultsThe 14-year follow-up data showed that people with dementia had a higher risk of injury-related hospitalization than did people without dementia (19.92% vs 18.86%, hazard ratio (HR) = 1.070, p < 0.001). Regarding the cause of injury, people with dementia were more likely to be hospitalized due to suffocation (HR = 2.301, p < 0.001), accidental drug poisoning (HR = 1.485, p < 0.001), or falls (HR = 1.076, p < 0.001), and were less likely to be hospitalized due to suicide or self-inflicted injury (HR = 0.670, p < 0.001) or a traffic accident (HR = 0.510, p < 0.001) than were people without dementia. Subgroup analysis showed that people with dementia with any of the three subtypes of dementia were at a higher risk of homicide or abuse than were people without dementia (vascular dementia, HR = 2.079, p < 0.001; Alzheimer's disease, HR = 1.156, p < 0.001; other dementia, HR = 1.421, p < 0.001). The risk factors for overall injury included dementia diagnosis, female gender, age 65-74 years, and seeking medical attention for an injury within the past year.
conclusionPeople with dementia are at a higher risk of injury-related hospitalization than people without dementia. The results of this study provide a reference for preventing suffocation, drug poisoning, and falls in people with dementia. In addition, government agencies should pay attention to and intervene in cases of abuse suffered by people with dementia.
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