ArticleEuropean geriatric medicine2026
Characteristics of fall recurrence among persistent, quasi-persistent, and transient fallers: a 3-year analysis from the SCOPE study.
Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
methodsTo address the substantial disability and healthcare burden associated with falls in older adults, the aim of this study is to use a new 3-year operationalization of fall occurrence profiles to identify factors linked with persistent falling. Data were obtained from the multicenter SCOPE study, which followed 2461 community-dwelling adults (median age 80.0 and IQR 6.0; 56.1% women) across seven European countries, with assessments at baseline and after 1 and 2 years. Variables included demographics, comorbidities, medication use, functional status, mood, quality of life, and kidney function. Fall-related data included number, location, cause, and consequences. Participants were classified as Persistent-Fallers (falls at all three timepoints), Quasi Persistent-Fallers (falls in two), and Transient-Fallers (one fall episode). Logistic regression assessed predictors of being Persistent-Fallers vs. Transient-Fallers, and vs. Quasi Persistent-Fallers.
resultsAcross the study, 894 falls occurred in Persistent-Fallers (n = 137), 919 in Quasi-Persistent Fallers (n = 299), and 695 in Transient-Fallers (n = 524). Most falls occur outdoors and during ambulation. Persistent-Fallers showed poorer physical performance, worse health, and higher proportion of indoor falls. Transient-Fallers were more likely to fall outdoors but sustain a higher risk of fractures per fall. Quasi-Persistent Fallers displayed intermediate characteristics. In fully adjusted models, higher comorbidity burden, presence of lower urinary tract symptoms and poorer self-rated health were significantly associated with persistent falling.
conclusionsThis study reveals distinct faller profiles. Persistent-Fallers reflect frailty and linked to overall medical burden and functional decline; Transient-Fallers are generally healthier, fall outdoors more often, and their falls more often lead to fractures, possibly due to lower risk awareness falls; Quasi-Persistent Fallers exhibit characteristics that fall between those of the other two groups.
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