• Kayoung Lee, Matthew A Davis, John E Marcotte, Susan J Pressler, Jersey Liang, Nancy A Gallagher, and Marita G Titler.
• Yonsei University College of Nursing, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea. Electronic address: kayolee22@gmail.com.
• Heart Lung. 2020 May 1; 49 (3): 238-250.

BackgroundWhile heart failure (HF) in older adults is associated with fall risk, little is known about this in the U.S.ObjectiveTo examine the independent effect of functional impairments related to HF on falls among community-dwelling older adults in the U.S.MethodsA 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.ResultsHF 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.ConclusionCommunity-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.Copyright © 2019 Elsevier Inc. All rights reserved.

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