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Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study
OBJECTIVES: 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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855255/ https://www.ncbi.nlm.nih.gov/pubmed/29476031 http://dx.doi.org/10.1136/bmjopen-2017-020039 |
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author | Aranda-Gallardo, Marta Morales-Asencio, Jose M Enriquez de Luna-Rodriguez, Margarita Vazquez-Blanco, Maria J Morilla-Herrera, Juan C Rivas-Ruiz, Francisco Toribio-Montero, Juan C Canca-Sanchez, Jose C |
author_facet | Aranda-Gallardo, Marta Morales-Asencio, Jose M Enriquez de Luna-Rodriguez, Margarita Vazquez-Blanco, Maria J Morilla-Herrera, Juan C Rivas-Ruiz, Francisco Toribio-Montero, Juan C Canca-Sanchez, Jose C |
author_sort | Aranda-Gallardo, Marta |
collection | PubMed |
description | OBJECTIVES: 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. METHODS: 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. RESULTS: 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 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. CONCLUSIONS: Falls 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. |
format | Online Article Text |
id | pubmed-5855255 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-58552552018-03-19 Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study Aranda-Gallardo, Marta Morales-Asencio, Jose M Enriquez de Luna-Rodriguez, Margarita Vazquez-Blanco, Maria J Morilla-Herrera, Juan C Rivas-Ruiz, Francisco Toribio-Montero, Juan C Canca-Sanchez, Jose C BMJ Open Nursing OBJECTIVES: 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. METHODS: 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. RESULTS: 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 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. CONCLUSIONS: Falls 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. BMJ Publishing Group 2018-02-23 /pmc/articles/PMC5855255/ /pubmed/29476031 http://dx.doi.org/10.1136/bmjopen-2017-020039 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Nursing Aranda-Gallardo, Marta Morales-Asencio, Jose M Enriquez de Luna-Rodriguez, Margarita Vazquez-Blanco, Maria J Morilla-Herrera, Juan C Rivas-Ruiz, Francisco Toribio-Montero, Juan C Canca-Sanchez, Jose C Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study |
title | Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study |
title_full | Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study |
title_fullStr | Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study |
title_full_unstemmed | Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study |
title_short | Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study |
title_sort | characteristics, consequences and prevention of falls in institutionalised older adults in the province of malaga (spain): a prospective, cohort, multicentre study |
topic | Nursing |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855255/ https://www.ncbi.nlm.nih.gov/pubmed/29476031 http://dx.doi.org/10.1136/bmjopen-2017-020039 |
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