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Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings

BACKGROUND: Compliant flooring may prevent fall injuries in residential care, but evidence is inconclusive. We investigate compliant sports floors and fall-related injuries in a residential care setting and update a meta-analysis from a recent systematic review on compliant flooring. METHODS: A non-...

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Autores principales: Gustavsson, Johanna, Nilson, Finn, Bonander, Carl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423535/
https://www.ncbi.nlm.nih.gov/pubmed/36564164
http://dx.doi.org/10.1136/ip-2022-044713
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author Gustavsson, Johanna
Nilson, Finn
Bonander, Carl
author_facet Gustavsson, Johanna
Nilson, Finn
Bonander, Carl
author_sort Gustavsson, Johanna
collection PubMed
description BACKGROUND: Compliant flooring may prevent fall injuries in residential care, but evidence is inconclusive. We investigate compliant sports floors and fall-related injuries in a residential care setting and update a meta-analysis from a recent systematic review on compliant flooring. METHODS: A non-randomised study comparing outcomes in a residential care unit that installed sports flooring in bedrooms with four units with regular flooring in a Norwegian municipality (n=193). Data on falls were collected for a period of 46 months (323 falls on sports flooring; 414 on regular flooring). Outcomes were injurious falls per person bed-day, falls per person bed-day and injury risks per fall. Confounding was adjusted for using Andersen-Gill proportional hazards and log-binomial regression models. Random-effects inverse variance models were used to pool estimates. RESULTS: Injurious fall rates were 13% lower in the unit with sports flooring (adjusted HR (aHR): 0.87 (95% CI: 0.55 to 1.37)). There was limited evidence of adverse effects on fall rates (aHR: 0.93 (95% CI: 0.63 to 1.38)) and the injury risk per fall was lower in fall events that occurred on sports floors (adjusted relative risk (RR): 0.75 (95% CI: 0.53 to 1.08)). Pooling these estimates with previous research added precision, but the overall pattern was the same (pooled RR for injurious falls: 0.66 (95% CI: 0.39 to 1.12); fall rates: 0.87 (95% CI: 0.68 to 1.12); injury risks per fall: 0.71 (95% CI: 0.52 to 0.97)). CONCLUSION: Sports floors may be an alternative to novel shock-absorbing floors in care settings; however, more research is needed to improve precision.
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spelling pubmed-104235352023-08-14 Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings Gustavsson, Johanna Nilson, Finn Bonander, Carl Inj Prev Original Research BACKGROUND: Compliant flooring may prevent fall injuries in residential care, but evidence is inconclusive. We investigate compliant sports floors and fall-related injuries in a residential care setting and update a meta-analysis from a recent systematic review on compliant flooring. METHODS: A non-randomised study comparing outcomes in a residential care unit that installed sports flooring in bedrooms with four units with regular flooring in a Norwegian municipality (n=193). Data on falls were collected for a period of 46 months (323 falls on sports flooring; 414 on regular flooring). Outcomes were injurious falls per person bed-day, falls per person bed-day and injury risks per fall. Confounding was adjusted for using Andersen-Gill proportional hazards and log-binomial regression models. Random-effects inverse variance models were used to pool estimates. RESULTS: Injurious fall rates were 13% lower in the unit with sports flooring (adjusted HR (aHR): 0.87 (95% CI: 0.55 to 1.37)). There was limited evidence of adverse effects on fall rates (aHR: 0.93 (95% CI: 0.63 to 1.38)) and the injury risk per fall was lower in fall events that occurred on sports floors (adjusted relative risk (RR): 0.75 (95% CI: 0.53 to 1.08)). Pooling these estimates with previous research added precision, but the overall pattern was the same (pooled RR for injurious falls: 0.66 (95% CI: 0.39 to 1.12); fall rates: 0.87 (95% CI: 0.68 to 1.12); injury risks per fall: 0.71 (95% CI: 0.52 to 0.97)). CONCLUSION: Sports floors may be an alternative to novel shock-absorbing floors in care settings; however, more research is needed to improve precision. BMJ Publishing Group 2023-08 2022-12-23 /pmc/articles/PMC10423535/ /pubmed/36564164 http://dx.doi.org/10.1136/ip-2022-044713 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Gustavsson, Johanna
Nilson, Finn
Bonander, Carl
Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
title Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
title_full Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
title_fullStr Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
title_full_unstemmed Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
title_short Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
title_sort compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423535/
https://www.ncbi.nlm.nih.gov/pubmed/36564164
http://dx.doi.org/10.1136/ip-2022-044713
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