Associations between home injury falls and prior hospitalizations in community dwelling older adults: A population case-crossover study

Adams, Christy; Tancredi, Daniel J.; Bell, Janice F.; Catz, Sheryl L.; Romano, Patrick S.

doi:10.1016/j.injury.2019.11.035

Cited by 5 publications

(5 citation statements)

References 29 publications

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“…Furthermore, the finding was expected because it concurred with results in a previous study that women were obliged to be the caregivers in the family in the eyes of society, leading to them being the ones with more knowledge on the safety of their homes, including when it is related to the elderly dependent (26). Admittedly, there was a lack of studies that highlighted the gender association as a risk of unintentional home injuries among the elderly; instead, the studies on unintentional home injuries had focused on children and mothers, making it difficult to compare with the findings in terms of gender influence (27)(28). Another study in Indonesia also highlighted that in terms of safety, women perceived it more negatively compared to men (29).…”

Section: Discussionmentioning

confidence: 99%

Community Profile Towards Risk for Unintentional Home Injuries Among Elderly in Low-Income Urban Area

Suddin,

Jamil

2023

MJMHS

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Introduction: Home injury among the elderly was among the recognized public health issues that could become more prevalent in any nation that would approach an ageing society. However, the community’s perception and preparedness toward the nature of this condition still needed to be improved. This study aimed to determine the community’s profile on unintentional home injury risks among the elderly. Methods: A cross-sectional study was conducted among the community of low-income urban areas in Selangor, using non-probability sampling and a validated self-administered questionnaire covering three domains of risk for unintentional home injuries. Results: 246 respondents participated in this study, with a mean age of 40. The proportion of reported unintentional home injuries among the elderly was 7.3%. Fall was the most common type of injury (72.7%). Of the three domains for risks of unintentional home injuries, only two domains for risks of unintentional home injuries, were significantly associated with the community’s gender (with home safety domain: difficulties in moving things [p=0.027] and difficulties with a staircase [p=0.034]); self-manage domain: concerned when missing medications [p=0.029]), educational level (with self-manage domain: self-care ability [p=0.012] and ability to take balanced diet [p=0.008]), and occupational status (with self-manage domain: concerned when losing weight [p=0.028]) which were home safety and ability to self-manage. Conclusion: The gender and educational level of the community members might reflect different community profiles regarding the risk of unintentional home injuries among the elderly. Thus, to overcome the dangers of elderly unintentional home injuries in the future, policymakers should advocate targeted health education programs for both the elderly population and the community at large.

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Section: Discussionmentioning

confidence: 99%

Community Profile Towards Risk for Unintentional Home Injuries Among Elderly in Low-Income Urban Area

Suddin,

Jamil

2023

MJMHS

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“…In older adults, interventions used by community health workers to decrease fall risk varied by study, were more often multifactorial, and typically included education and environmental modifications (Kennedy et al, 2021;Lee & Yu, 2020). For community-living adults 65 years and older, environmental factors were consistently identified as a primary causal factor in fall events and injuries sustained from falls (Adams et al, 2020;Stamm et al, 2016;Verma et al, 2016). Patient education about fall risks is an important intervention; however, to date, there are no standardized education, assessment and intervention strategies known to be most important in relation to knowledge attainment.…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of discharge placement, 44.6% were readmitted to the hospital within 1 year and the 1-year overall and discharged-alive mortality rates were 33% and 24%, respectively (Ayoung-Chee et al, 2014). In another report of older adults who had falls with injuries in their homes, in the 90 days preceding the fall event, they had a 121% greater risk of having been hospitalized (Adams et al, 2020). Thus, a hospital stay for any reason may be associated with an increase in both hospital and post-discharge fall risk.…”

Section: Introductionmentioning

confidence: 99%

Simulation Versus Written Fall Prevention Education in Older Hospitalized Adults: A Randomized Controlled Study

Stahorsky

Sturges

et al. 2022

Clin Nurs Res

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Using a randomized controlled, non-blinded, two-group design, differences in fall risk assessment, post-discharge sustainable fall risk changes, fall events and re-hospitalization were examined in 77 older adults who received a simulation ( n = 36) or written ( n = 41) education intervention. Between-group differences and changes in pre- versus post-fall risk assessment scores were examined using Pearson’s chi-square, Wilcoxon rank sum or Fisher’s exact tests (categorical variables) and two-sample t-tests (continuous variables). There were no statistically significant differences between groups in demographic characteristics. Patients who received simulation education had higher fall risk post-assessment scores than the written education group, p = .022. Change in fall risk assessment scores (post-vs.-pre; 95% confidence intervals) were higher in the simulation group compared to the written education group, 1.43 (0.37, 2.50), p = .009. At each post-discharge assessment, fall events were numerically fewer but not significantly different among simulation and education group participants. There were no statistically significant between-group differences in re-hospitalization.

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“…We designed a structured questionnaire to survey the risk factors of falls through panel meetings and literature review 2 25–27. The survey questionnaire was divided into three sections: demographic information, fall characteristics and an assessment of comprehensive geriatric syndromes.…”

Section: Methodsmentioning

confidence: 99%

Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

Zha

Lü

Jiang³

et al. 2023

BMJ Open

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ObjectivesThis study aimed to explore the potential risk factors associated with toileting-related falls in community-dwelling older adults who presented to the emergency department and were subsequently hospitalised.DesignThis was a cross-sectional study.Setting and participantsThis study was conducted in two teaching hospitals in Shanghai, China between October 2019 and December 2021 among community-dwelling adults aged ≥60 years.MethodsIn-person interviews, physical assessment and medical record review were performed to collect data on the characteristics and risk factors of falls. Associations of toileting-related falls with demographic characteristics and geriatric syndromes were examined using logistic regression models.Main outcome measuresPotential risk factors for toileting-related falls.ResultsThis study included 419 older patients with a mean age of 73.8±9.7 years. Among 60 (14.3%) patients with toileting-related falls (mean age: 78.8±9.2 years), 63.3% of toileting-related falls, mainly occurred between 00:00 and 05:59 hours, compared with 17.3% of non-toileting-related falls, which primarily occurred during the daytime. The rate of recurrent falls (35%) was significantly higher in the toileting-related falls group than in the non-toileting-related falls group (21.2%) (p=0.02). Logistic regression showed that visual impairment (OR 2.7, 95% CI 1.1 to 7.1), cognitive impairment (OR 3.3, 95% CI 1.3 to 8.4), gait instability (OR 3.1, 95% CI 1.1 to 8.8) and urinary incontinence (OR 3.4, 95% CI 1.2 to 9.9) were strongly associated with toileting-related falls. Twenty-three (38.3%) patients in the toileting-related falls group had moderate and severe injuries, compared with 71.7% in the non-toileting-related falls group (p<0.05).ConclusionsThis study revealed that patients who reported toileting-related falls were more likely to have cognitive impairment, urinary incontinence, gait instability, visual impairment than patients who fell during other activities. Social and healthcare professionals should prioritise the management of toileting activities in older patients and provide targeted interventions to those in the high-risk group.

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Associations between home injury falls and prior hospitalizations in community dwelling older adults: A population case-crossover study

Cited by 5 publications

References 29 publications

Community Profile Towards Risk for Unintentional Home Injuries Among Elderly in Low-Income Urban Area

Community Profile Towards Risk for Unintentional Home Injuries Among Elderly in Low-Income Urban Area

Simulation Versus Written Fall Prevention Education in Older Hospitalized Adults: A Randomized Controlled Study

Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

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