Falls and Fall-Related Consequences among Older People Living in Long-Term Care Facilities in a Megacity of China.
Gerontology
; 66(6): 523-531, 2020.
Article
en En
| MEDLINE
| ID: mdl-33022681
ABSTRACT
INTRODUCTION:
Falls are currently the top safety problem in long-term care facilities (LTCFs) in China. Due to the increasing number of residents living in LTCFs, more evidence is needed to give a foundation for fall prevention.OBJECTIVE:
This study aimed to explore the epidemiological characteristics of falls in LTCFs in central Shanghai.METHODS:
The study was conducted in 21 LTCFs in a central district in Shanghai, with a capacity of 3,065 residents. A two-stage sampling method was applied in participant recruitment. Falls were recorded by LTCF staff over a 12-month period. Details of falls were obtained by face-to-face interviews. The χ2 test was used in data analyses.RESULTS:
The incidence of falls was 13.5%; 64.0% falls resulted in injuries, with 32.0% involving fractures. Women had a significantly higher incidence of injurious falls than men (χ2 = 4.066, p = 0.044). Residents aged 80-89 years or in level 1 care had the highest incidence of falls with severe consequences. The incidence of falls was significantly higher at small- or medium-sized LTCFs, public LTCFs, and LTCFs with higher environmental risk levels compared to their counterparts. Most falls occurred when walking on a flat floor (28.9%) and rising up or sitting down (24.0%); 40.9% occurred during the night. Of those injured, 54.8% were treated in hospitals, and only 53.7% completely recovered.CONCLUSIONS:
Though the average incidence of falls in LTCFs in Shanghai was relatively low, great variation was observed between LTCFs, and severe consequences occurred frequently. Fall prevention programmes should be evidence-based with applicable devices and individualized care services and supports. The roles of personal and institutional factors on falls warrant further study.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Accidentes por Caídas
/
Cuidados a Largo Plazo
/
Recuperación de la Función
Tipo de estudio:
Observational_studies
/
Qualitative_research
Límite:
Aged
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Aged80
/
Female
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
Gerontology
Año:
2020
Tipo del documento:
Article
País de afiliación:
China