Background Falls warrant investigation as a risk factor for nursing home admission because falls are common and are associated with functional disability and because they may be preventable.
Methods We conducted a prospective study of a probability sample of 1103 people over 71 years of age who were living in the community.
Data on demographic and medical characteristics, use of health care, and cognitive, functional, psychological, and social functioning were obtained at base line and one year later during assessments in the participants'homes.
The primary outcome studied was the number of days from the initial assessment to a first long-term admission to a skilled-nursing facility during three years of follow-up.
Patients were assigned to four categories during follow-up : those who had no falls, those who had one fall without serious injury, those who had two or more falls without serious injury, and those who had at least one fall causing serious injury.
Results A total of 133 participants (12.1 percent) had long-term admissions to nursing homes.
In an unadjusted model, the risk of admission increased progressively, as compared with that for the patients with no falls, for those with a single noninjurious fall (relative risk, 4.9 ; 95 percent confidence interval, 3.2 to 7.5), those with multiple noninjurious falls (relative risk, 8.5 ; 95 percent confidence interval, 3.4 to 21.2), and those with at least one fall causing serious injury (relative risk, 19. (...)
Mots-clés Pascal : Chute, Incapacité, Risque, Admission hôpital, Nursing, Vieillard, Homme, Etats Unis, Amérique du Nord, Amérique, Traumatisme
Mots-clés Pascal anglais : Fall, Disability, Risk, Hospital admission, Nursing, Elderly, Human, United States, North America, America, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0001846
Code Inist : 002B30A03B. Création : 17/04/1998.