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A quasi-experimental evaluation of compliant flooring in a residential care setting

BACKGROUND: Fall injuries affect the lives of older people to a substantial degree. This quasi-experimental observational study investigates the potential fall injury reducing effect of a compliant flooring in a residential care setting. METHODS: The allocation of the compliant flooring was non-rand...

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Autores principales: Gustavsson, Johanna, Bonander, Carl, Nilson, Finn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062098/
https://www.ncbi.nlm.nih.gov/pubmed/30048517
http://dx.doi.org/10.1371/journal.pone.0201290
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author Gustavsson, Johanna
Bonander, Carl
Nilson, Finn
author_facet Gustavsson, Johanna
Bonander, Carl
Nilson, Finn
author_sort Gustavsson, Johanna
collection PubMed
description BACKGROUND: Fall injuries affect the lives of older people to a substantial degree. This quasi-experimental observational study investigates the potential fall injury reducing effect of a compliant flooring in a residential care setting. METHODS: The allocation of the compliant flooring was non-random. Data on fall-events and individual characteristics were collected in a residential care unit during a period of 68 months. The primary outcome was the fall injury rate per fall, and a logistic regression analysis was used to test for the effect of complaint flooring. Falls per 1000 bed days was the secondary outcome, used to measure the difference in fall risk on compliant flooring versus regular flooring. RESULTS: The event dataset is an unbalanced panel with repeated observations on 114 individuals, with 70% women. The mean age was 84.9 years of age, the average Body Mass Index (BMI) was 24.7, and there was a mean of 6.57 (SD: 15.28) falls per individual. The unadjusted effect estimate showed a non-significant relative risk injury reduction of 29% per fall (RR 0.71 [95% CI: 0.46–1.09]) compared to regular flooring. Re-estimating, excluding identified outliers, showed an injury risk reduction of 63% (RR 0.37 [95% CI: 0.25–0.54]). Falls per 1000 bed days showed that individuals living in apartments with compliant flooring had a fall rate of 5.3 per 1000 bed days compared to a fall rate of 8.4 per 1000 bed days among individuals living in regular apartments. This corresponds to an incidence rate ratio (IRR) of 0.63 (95% exact Poisson CI: 0.50–0.80). CONCLUSION: The results of this non-randomized study indicate that compliant flooring has the potential to reduce the risk of fall injury without increasing the fall risk among older people in a Swedish residential care setting.
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spelling pubmed-60620982018-08-03 A quasi-experimental evaluation of compliant flooring in a residential care setting Gustavsson, Johanna Bonander, Carl Nilson, Finn PLoS One Research Article BACKGROUND: Fall injuries affect the lives of older people to a substantial degree. This quasi-experimental observational study investigates the potential fall injury reducing effect of a compliant flooring in a residential care setting. METHODS: The allocation of the compliant flooring was non-random. Data on fall-events and individual characteristics were collected in a residential care unit during a period of 68 months. The primary outcome was the fall injury rate per fall, and a logistic regression analysis was used to test for the effect of complaint flooring. Falls per 1000 bed days was the secondary outcome, used to measure the difference in fall risk on compliant flooring versus regular flooring. RESULTS: The event dataset is an unbalanced panel with repeated observations on 114 individuals, with 70% women. The mean age was 84.9 years of age, the average Body Mass Index (BMI) was 24.7, and there was a mean of 6.57 (SD: 15.28) falls per individual. The unadjusted effect estimate showed a non-significant relative risk injury reduction of 29% per fall (RR 0.71 [95% CI: 0.46–1.09]) compared to regular flooring. Re-estimating, excluding identified outliers, showed an injury risk reduction of 63% (RR 0.37 [95% CI: 0.25–0.54]). Falls per 1000 bed days showed that individuals living in apartments with compliant flooring had a fall rate of 5.3 per 1000 bed days compared to a fall rate of 8.4 per 1000 bed days among individuals living in regular apartments. This corresponds to an incidence rate ratio (IRR) of 0.63 (95% exact Poisson CI: 0.50–0.80). CONCLUSION: The results of this non-randomized study indicate that compliant flooring has the potential to reduce the risk of fall injury without increasing the fall risk among older people in a Swedish residential care setting. Public Library of Science 2018-07-26 /pmc/articles/PMC6062098/ /pubmed/30048517 http://dx.doi.org/10.1371/journal.pone.0201290 Text en © 2018 Gustavsson et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Gustavsson, Johanna
Bonander, Carl
Nilson, Finn
A quasi-experimental evaluation of compliant flooring in a residential care setting
title A quasi-experimental evaluation of compliant flooring in a residential care setting
title_full A quasi-experimental evaluation of compliant flooring in a residential care setting
title_fullStr A quasi-experimental evaluation of compliant flooring in a residential care setting
title_full_unstemmed A quasi-experimental evaluation of compliant flooring in a residential care setting
title_short A quasi-experimental evaluation of compliant flooring in a residential care setting
title_sort quasi-experimental evaluation of compliant flooring in a residential care setting
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062098/
https://www.ncbi.nlm.nih.gov/pubmed/30048517
http://dx.doi.org/10.1371/journal.pone.0201290
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