Predicting risk of the fall among aged adult residents of a nursing home

Sharifi, Farshad; Fakhrzadeh, Hossein; Memari, Alireza; Najafi, Bijan; Nazari, Neda; khoee, Mahtab Alizadeh; Arzaghi, Seyed Masoud; Bakhtiari, Fariborz; Ghasemi, S; Salavatian, Seyedeh Nahaleh; Mehrdad, Neda; Fadaayevatan, Reza; Alizad, Vida; Philp, Ian

doi:10.1016/j.archger.2015.06.014

Cited by 32 publications

(39 citation statements)

References 13 publications

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“…Another justification may be related to the higher incidence of chronic diseases among elderly women and the greater exposure to behaviors considered as risk, linked to the role of women in the social and family context 19 . Despite this evidence, other studies have not identified Continued from Table 2 a significant difference between men and women for the risk of falls 25 .…”

Section: Discussionmentioning

confidence: 95%

Prevalence of falls and evaluation of mobility among institutionalized elderly persons

Ferreira

Jerez-Roig

Andrade

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: The present study aimed to estimate the prevalence of falls among institutionalized elderly persons and identify associated factors. Method: A cross-sectional study of elderly residents of Care Facilities For the Elderly in Natal, Rio Grande do Norte, was carried out. The elderly persons could walk independently and did not have severe cognitive impairment. Data was obtained about the institution and socio-demographic and health information was collected. A physical examination was performed to evaluate frailty, mobility and balance (Timed up and go, Berg Balance Scale, Gait speed and Sitting-rising Test - SRT). Statistical analysis was performed using the Chi-squared Test for a 5% significance level. Results: Sixty-three elderly persons were within the search criteria. Of these 22.2% had fallen in the past year. Only the SRT was associated with these falls. Conclusion: It was concluded that the studied population has a low prevalence of falls, and the ability to perform less than 5 repetitions in the SRT was associated with episodes of falling.

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Section: Discussionmentioning

confidence: 95%

Prevalence of falls and evaluation of mobility among institutionalized elderly persons

Ferreira

Jerez-Roig

Andrade

et al. 2016

Rev. bras. geriatr. gerontol.

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“…On one hand, the reason may be that women are more likely than men to sustain fractures when they fall. [12] On the other hand, relevant research reports that women's fear of falling may hinder their participation in physical exercise or social activities [35] and suggests that women are 2 to 3 times more likely to report symptoms of depression, [36,37] which may result in women being more prone to falls as they become more debilitated.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics and factors influencing falls among elderly adults in long-term care facilities in Xiamen, China

et al. 2019

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Falling in the elderly is an important social issue, especially for those who are in long-term care (LTC) facilities, in addition to being a significant economic burden. This study aims to investigate the epidemiological characteristics and identify the factors influencing falls in LTC residents. We enrolled 260 participants aged 60+ years by multistage sampling across 13 LTC facilities in Xiamen, China, in 2016. Epidemiological characteristics and falls were observed and recorded during a 12-month period using a revised FROP-Com Scale. Multiple logistic regression modeling was performed to determine the factors influencing falls. A total of 218 (83.8%) valid questionnaires were returned. 152 falls (range 1–7, mean 0.7 ± 1.3 falls/person/y) occurred in the previous year, with 69 residents (31.7%) experiencing 1 or more falls. Most participants who fell were female (71%), living in cities (85.5%), had a higher BMI (22.1 ± 4.2), and had a chronic disease (99.9%). Of all falls, 39.1% occurred in the bedroom and 26.1% in the bathroom, 58% during daytime hours between 6:00 am and noon. Thirty-six percent of falls resulted in an injury (e.g., bruises and fractures). The principal reason for falling was due to slipping (23.2%). There were 2 interactions on fall rate between ADL and feet and footwear (OR = 3.120, P <.001; OR = 3.010, P = .007 in Models 1 and 3), and between ADL and cognitive status (OR = 4.401, P <.001; OR = 4.101, P = .005 in Models 2 and 3). Multiple regression analysis indicated that ADL, balance and gait, medical conditions, cognitive status, living environment, feet and footwear and sensory loss were factors influencing falls among elderly adults in LTC facilities. Falls occur frequently and mostly unwitnessed among elderly adults in LTC facilities, highlighting the need for more effective and individualized fall prevention. Fall efficacy enhancing programs for nursing home residents should take degree of self-care, chronic diseases, sensory loss, foot injuries, cognitive impairment, living environment, and gender into account.

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“…The majority of those who suffered falls were women too, but there were no differences by sex in the occurrence of one or more falls, a finding that corroborates previous research in this respect in nursing homes. 7 The study subjects were elderly, with an average age of about 82 years. The results obtained confirm that advanced age is a risk factor for falls, with fallers being on average 2 years older than non-fallers.…”

Section: Discussionmentioning

confidence: 99%

Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study

et al. 2018

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ObjectivesFalls are an important adverse event among institutionalised persons. It is in this clinical setting where falls occur more frequently than in any other, despite the measures commonly taken to prevent them. This study aimed to determine the characteristics of a typical institutionalised elderly patient who suffers a fall and to describe the physical harms resulting from this event. We then examined the association between falls and the preventive measures used.MethodsThis was a prospective cohort study in 37 nursing homes in Spain. The participants were all the nursing home residents institutionalised in these centres from May 2014 to July 2016. Participants were followed up for 9 months. During this period, two observations were made to evaluate the preventive measures taken and to record the occurrence of falls.Results896 residents were recruited, of whom 647 completed the study. During this period, 411 falls took place, affecting 213 residents. The injuries caused by the falls were mostly minor or moderate. They took place more frequently among women and provoked 22 fractures (5.35%). The most commonly used fall prevention measure was bed rails (53.53% of cases), followed by physical restraint (16.79%). The latter measure was associated with a higher incidence of injuries not requiring stitches (OR=2.06, 95% CI 1.01 to 4.22, P=0.054) and of injuries that did require stitches (OR=3.51, 95% CI 1.36 to 9.01, P=0.014) as a consequence of falls. Bed rails protected against night-time falls.ConclusionsFalls are a very common adverse event in nursing homes. The prevention of falls is most commonly addressed by methods to restrain movement. The use of physical restraints is associated with a greater occurrence of injuries caused by a fall.

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Predicting risk of the fall among aged adult residents of a nursing home

Cited by 32 publications

References 13 publications

Prevalence of falls and evaluation of mobility among institutionalized elderly persons

Prevalence of falls and evaluation of mobility among institutionalized elderly persons

Epidemiological characteristics and factors influencing falls among elderly adults in long-term care facilities in Xiamen, China

Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study

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