PMID: 8600195Mar 1, 1996Paper

Injurious falls in nonambulatory nursing home residents: a comparative study of circumstances, incidence, and risk factors

Journal of the American Geriatrics Society
P B ThapaW A Ray

Abstract

To determine the circumstances of, incidence of, and risk factors for falls resulting in serious injuries in nonambulatory nursing home residents compared with those for ambulatory residents. Prospective cohort study with 1-year follow-up. Twelve community nursing homes in Tennessee. A total of 1228 residents, 65 years of age or older, of whom 725 (59%) were nonambulatory and 503 (41%) were ambulatory. Baseline data were obtained for potential risk factors for injurious falls. These included demographic characteristics, mental and physical function, vision, hearing, incontinence, and use of mechanical restraints and psychotropic drugs. Data were obtained from direct resident assessment, care provider interview, and the nursing home Minimum Data Set (MDS) (validated in a sample of residents). There were 111 first falls resulting in serious injury (head injury with altered consciousness, fracture, joint dislocation or sprain, or sutured laceration) that received medical treatment (hospitalization, emergency room visit, physician visit, or on-site radiological examination), ascertained from facility incident reports and nursing home charts. Nonambulatory residents had a substantially greater prevalence of mental and physical impai...Continue Reading

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