COVID-19 and the Elderly: A Paradox of Increased Fall Incidents and Improved Functional Status Among Institutionalized Elders

The COVID-19 pandemic has had a profound impact on institutionalized older adults, yet its effect on fall risk remains poorly understood. This study aimed to assess the prevalence of fall risk and to identify associated factors in this population following the pandemic. A comparative analysis across several institutions revealed a paradoxical increase in fall incidence despite improvements in functional status, particularly among individuals aged 80 years and older. No significant changes were observed in medication use, a well-established fall risk factor. However, there was a notable decrease in reported auditory deficits and a shift in self-perceived health status, with a greater proportion of participants rating their health positively post-pandemic. These results highlight the multifactorial nature of fall risk, emphasizing the importance of comprehensive prevention strategies that address physical, behavioral, and environmental determinants. This study contributes to understanding the complex interactions between the pandemic and fall risk among institutionalized elders and underscores the need for healthcare providers and policymakers to prioritise the wellbeing and safety of this vulnerable population during ongoing and future public health challenges.