Geriatric nursing home falls: A single institution cross-sectional study

Archives of Gerontology and Geriatrics
Isadora BotwinickMelvin E Stone

Abstract

Falls are the leading cause of fatal injury in geriatric patients. Nursing home falls occur at twice the rate of community falls, yet few studies have compared these groups. We hypothesized that nursing home residents admitted for fall would be sicker than their community counterparts on presentation and have worse outcomes. Records of 1708 patients, age 65 years and older with a documented nursing home status, admitted to our center between 2008 and 2012 were reviewed. Clinical data including injury severity score (ISS), admission Glasgow coma scale (GCS), in-hospital complications, length of stay (LOS), and in-hospital mortality were collected. Continuous data were analyzed using Mann-Whitney tests and categorical data using Fisher exact tests. Variables in the univariate tests were analyzed in a multivariate logistic regression. Nursing home patients were older than community patients, presented with lower GCS, lower hemoglobin, higher international normalized ratio (INR) and a higher percentage of patients with body mass index (BMI)<18.5. LOS for nursing home patients was longer, and they suffered higher rates of in-hospital complications. ISS, rates of traumatic brain injury, operative intervention and mortality were not s...Continue Reading

References

Feb 1, 1995·Archives of Neurology·M PanissetF Boller
Sep 15, 1994·Annals of Internal Medicine·L Z RubensteinA S Robbins
Mar 31, 2004·The American Journal of Medicine·Claudia BeghéWilliam B Ershler
Feb 24, 2005·Current Opinion in Hematology·Richard WoodmanJack Guralnik
Mar 2, 2006·The Journal of Trauma·Eric BergeronDavid Clas
Oct 5, 2006·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·J A StevensT R Miller
Jan 24, 2008·The Journal of Trauma·Melvin E StoneRonald Simon
Nov 26, 2009·Age and Ageing·Melanie LuppaSteffi G Riedel-Heller
Oct 13, 2010·The Journal of Trauma·Konstantinos SpaniolasPaul E Bankey
Jul 20, 2011·The Journal of Trauma·Sean F MonaghanWilliam G Cioffi
Jan 20, 2012·American Journal of Surgery·Jeffrey J SiracuseDonald W Moorman
Mar 1, 2012·Emergency Medicine Journal : EMJ·Karl A SporerRobert M Rodriguez
Jun 22, 2013·BMC Geriatrics·Kim BouillonG David Batty
Jan 24, 2014·The American Journal of Clinical Nutrition·Jane E WinterCaryl A Nowson
Jul 11, 2014·Journal of Patient Safety·Mahi Mahmoud Al TehewyNahla Wassem Nassar

❮ Previous
Next ❯

Citations

May 8, 2020·PloS One·Alicia Padrón-MonederoJavier Damián
Aug 10, 2020·The Journal of Head Trauma Rehabilitation·Sarah M BannonKristen Dams-O'Connor
Apr 14, 2020·Journal of the American Medical Directors Association·Aaron M OgletreeDeborah Perfetto

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.