Publication:
Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study.

dc.contributor.authorAranda-Gallardo, Marta
dc.contributor.authorMorales-Asencio, Jose M
dc.contributor.authorEnriquez de Luna-Rodriguez, Margarita
dc.contributor.authorVazquez-Blanco, Maria J
dc.contributor.authorMorilla-Herrera, Juan C
dc.contributor.authorRivas-Ruiz, Francisco
dc.contributor.authorToribio-Montero, Juan C
dc.contributor.authorCanca-Sanchez, Jose C
dc.date.accessioned2023-01-25T10:04:22Z
dc.date.available2023-01-25T10:04:22Z
dc.date.issued2018-02-23
dc.description.abstractFalls 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. 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. 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. 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.
dc.identifier.doi10.1136/bmjopen-2017-020039
dc.identifier.essn2044-6055
dc.identifier.pmcPMC5855255
dc.identifier.pmid29476031
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855255/pdf
dc.identifier.unpaywallURLhttps://bmjopen.bmj.com/content/bmjopen/8/2/e020039.full.pdf
dc.identifier.urihttp://hdl.handle.net/10668/12177
dc.issue.number2
dc.journal.titleBMJ open
dc.journal.titleabbreviationBMJ Open
dc.language.isoen
dc.organizationHospital Costa del Sol
dc.organizationValle del Guadalhorce
dc.page.numbere020039
dc.pubmedtypeJournal Article
dc.pubmedtypeMulticenter Study
dc.pubmedtypeResearch Support, Non-U.S. Gov't
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectaccident prevention
dc.subjectaccidental fall
dc.subjectnursing homes
dc.subjectphysical restraint
dc.subject.meshAccidental Falls
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshFemale
dc.subject.meshFractures, Bone
dc.subject.meshGeriatric Assessment
dc.subject.meshHomes for the Aged
dc.subject.meshHumans
dc.subject.meshIncidence
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshNursing Homes
dc.subject.meshProspective Studies
dc.subject.meshRestraint, Physical
dc.subject.meshRisk Factors
dc.subject.meshSpain
dc.subject.meshTime Factors
dc.titleCharacteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number8
dspace.entity.typePublication

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