Epidemiology of falls in residential aged care: Analysis of more than 70,000 falls from residents of Bavarian nursing homes

Journal of the American Medical Directors Association

Volumn 13, Issue 2, 2012, Pages 187.e1-187.e6

  Rapp, Kilian ^a,b   Becker, Clemens ^a   Cameron, Ian D ^c   König, Hans Helmut ^d   Büchele, Gisela ^b  

^a ROBERT BOSCH HOSPITAL   (Germany)

^b UNIVERSITY OF ULM   (Germany)

^c UNIVERSITY OF SYDNEY   (Australia)

^d UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

Author keywords

Epidemiology; Falls; Residential facilities

Indexed keywords

AGED; ARTICLE; BATH; DESCRIPTIVE RESEARCH; FALL RISK; FALLING; FEMALE; FUNCTIONAL STATUS; GERMANY; GROUPS BY AGE; HOSPITAL BED CAPACITY; HOSPITAL BED UTILIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; NURSING HOME; NURSING HOME PATIENT; PATIENT TRANSPORT; PROSPECTIVE STUDY; RISK ASSESSMENT; SEX DIFFERENCE; WALKING;

EID: 84856090939     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2011.06.011     Document Type: Article

References (24)

1. Becker C., Rapp K. Fall prevention in nursing homes. Clin Geriatr Med 2010, 26:693-704.
2. Rubenstein L.Z., Josephson K.R., Robbins A.S. Falls in the nursing home. Ann Intern Med 1994, 121:442-451.
3. Rubenstein L.Z. Falls in older people: Epidemiology, risk factors and strategies for prevention. Age Ageing 2006, 35:ii37-ii41.
4. Lester P., Haq M., Vadnerkar A., et al. Falls in the nursing home setting: Does time matter?. JAm Med Dir Assoc 2008, 9:684-686.
5. Gibson R.E., Harden M., Byles J., et al. Incidence of falls and fall-related outcomes among people in aged-care facilities in the Lower Hunter region, NSW. NS W Public Health Bull 2008, 19:166-169.
6. Heinze C., Halfens R.J., Dassen T. Falls in German in-patients and residents over 65 years of age. JClin Nurs 2007, 16:495-501.
7. Jensen J., Lundin-Olsson L., Nyberg L., et al. Falls among frail older people in residential care. Scand J Public Health 2002, 30:54-61.
8. Nurmi I., Luthje P. Incidence and costs of falls and fall injuries among elderly in institutional care. Scand J Prim Health Care 2002, 20:118-122.
9. Jensen J., Lundin-Olsson L., Nyberg L., et al. Fall and injury prevention in older people living in residential care facilities. A cluster randomized trial. Ann Intern Med 2002, 136:733-741.
10. Becker C., Kron M., Lindemann U., et al. Effectiveness of a multifaceted intervention on falls in nursing home residents. JAm Geriatr Soc 2003, 51:306-313.
11. Kerse N., Butler M., Robinson E., et al. Fall prevention in residential care: A cluster, randomized, controlled trial. JAm Geriatr Soc 2004, 52:524-531.
12. Dyer C.A., Taylor G.J., Reed M., et al. Falls prevention in residential care homes: A randomised controlled trial. Age Ageing 2004, 33:596-602.
13. Cacha C.A. An analysis of the 1976 incident reports of the Carillon Nursing Home. JAm Health Care Assoc 1979, 5:29-33.
14. Jantti P.O., Pyykko V.I., Hervonen A.L. Falls among elderly nursing home residents. Public Health 1993, 107:89-96.
15. Ashley M.J., Gryfe C.I., Amies A. Alongitudinal study of falls in an elderly population II. Some circumstances of falling. Age Ageing 1977, 6:211-220.
16. Becker C., Leistner K., Nikolaus T. Introducing a statutory insurance system for long-term care (Pflegeversicherung) in Germany. Geriatric Programs and Departments Around the World 1998, 55-64. Serd-Springer, Paris. J.P. Michel, L.Z. Rubenstein, B.J. Vellas (Eds.).
17. Statistische Ämter des Bundes und der Länder: Statistik über die Empfänger von Pflegeleistungen, Pflegebedürftige nach Leistungsart und Geschlecht, Stichtag, regionale Tiefe: Reg.-Bez./Stat. Available at: Accessed December 17, 2010. https://www.regionalstatistik.de/genesis/online.
18. Klenk J., Kurrle S., Rissmann U., et al. Availability and use of hip protectors in residents of nursing homes. Osteoporos Int 2011, 22:1593-1598.
19. Kliebsch U., Brenner H. [Interrater reliability of expert assessment by the health insurance medical service in determining eligibility for disability benefits]. Gesundheitswesen 1995, 57:638-644.
20. Fried L.P., Guralnik J.M. Disability in older adults: Evidence regarding significance, etiology, and risk. JAm Geriatr Soc 1997, 45:92-100.
21. Svensson M.L., Rundgren A., Larsson M., et al. Accidents in the institutionalized elderly: injuries and consequences. Aging (Milano) 1992, 4:125-133.
22. Lord S.R., March L.M., Cameron I.D., et al. Differing risk factors for falls in nursing home and intermediate-care residents who can and cannot stand unaided. JAm Geriatr Soc 2003, 51:1645-1650.
23. Rubenstein L.Z., Robbins A.S., Josephson K.R., et al. The value of assessing falls in an elderly population. A randomized clinical trial. Ann Intern Med 1990, 113:308-316.
24. Bayerisches Landesamt für Statistik und Datenverarbeitung: Statistische Berichte. Pflegeeinrichtungen und Pflegegeldempfänger in Bayern. Ergebnisse der Pflegestatistik. Available at: Accessed December 31, 2007. http://www.statistik.bayern.de/statistik/.