Association of injurious falls with disability outcomes and nursing home admissions in community-living older persons

Little is known about the deleterious effects of injurious falls relative to those of other disabling conditions or whether these effects are driven largely by hip fractures. From a cohort of 754 community-living elders of New Haven, Connecticut, we matched 122 hospitalizations for an injurious fall...

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Vydané v:American journal of epidemiology Ročník 178; číslo 3; s. 418
Hlavní autori: Gill, Thomas M, Murphy, Terrence E, Gahbauer, Evelyne A, Allore, Heather G
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.08.2013
Predmet:
Accidental Falls - statistics & numerical data
Activities of Daily Living
Aged, 80 and over
Case-Control Studies
Cohort Studies
Disabled Persons - statistics & numerical data
Female
Hip Fractures - epidemiology
Hospitalization - statistics & numerical data
Humans
Length of Stay
Logistic Models
Male
Nursing Homes - utilization
Prospective Studies
Treatment Outcome
Wounds and Injuries - classification
Wounds and Injuries - epidemiology
accidental falls
aged
cohort studies
activities of daily living
nursing homes
ISSN:1476-6256, 1476-6256
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Shrnutí:Little is known about the deleterious effects of injurious falls relative to those of other disabling conditions or whether these effects are driven largely by hip fractures. From a cohort of 754 community-living elders of New Haven, Connecticut, we matched 122 hospitalizations for an injurious fall (59 hip-fracture and 63 other fall-related injuries) to 241 non-fall-related hospitalizations. Participants (mean age: 85.7 years) were evaluated monthly for disability in 13 activities and admission to a nursing home from 1998 to 2010. For both hip-fracture and other fall-related injuries, the disability scores were significantly greater during each of the first 6 months after hospitalization than for the non-fall-related admissions, with adjusted risk ratios at 6 months of 1.5 (95% confidence interval (CI): 1.3, 1.7) for hip fracture and 1.4 (95% CI: 1.2, 1.6) for other fall-related injuries. The likelihood of having a long-term nursing home admission was considerably greater after hospitalization for a hip fracture and other fall-related injury than for a non-fall-related reason, with adjusted odds ratios of 3.3 (95% CI: 1.3, 8.3) and 3.2 (95% CI: 1.3, 7.8), respectively. Relative to other conditions leading to hospitalization, hip-fracture and other fall-related injuries are associated with worse disability outcomes and a higher likelihood of long-term nursing home admissions.
Bibliografia:ObjectType-Article-1
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ISSN:1476-6256
1476-6256
DOI:10.1093/aje/kws554