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

BMJ Open
Marta Aranda-GallardoJose C Canca-Sanchez

Abstract

Falls 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. This 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. 896 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...Continue Reading

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Citations

Nov 16, 2019·Aging Clinical and Experimental Research·Janet K SluggettJ Simon Bell
Mar 25, 2020·Dementia & Neuropsychologia·Cristina Lavareda Baixinho, Maria Dos Anjos Dixe
Aug 1, 2020·Journal of Aging and Physical Activity·Mohsen ShafizadehKeith Davids
Jan 24, 2019·Journal of Patient Safety·Juan-Antonio Péculo-CarrascoInmaculada Failde
Apr 4, 2021·International Journal of Environmental Research and Public Health·Lauren M RobinsTerry P Haines

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