File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Fall risk factors in elderly patients with cognitive impairment on rehabilitation wards

TitleFall risk factors in elderly patients with cognitive impairment on rehabilitation wards
Authors
Issue Date2009
Citation
Geriatrics and Gerontology International, 2009, v. 9 n. 1, p. 41-46 How to Cite?
AbstractBackground: Confusion and cognitive impairment, are risk factors for falls in hospital. Evidence for reducing falls in cognitively-impaired patients is limited and to date no intervention has consistently been shown to reduce falls in this group of patients. We explored characteristics associated with falls in cognitively-impaired patients in a rehabilitation setting. Methods: In a prospective observational study, 825 consecutive patients were studied. Patient characteristics were assessed on admission. Factors predisposing to falls in cognitively-impaired patients were identified. Results: Cognitively-impaired patients were more likely to be fallers or recurrent fallers and more likely to sustain an injury than cognitively intact patients. They had a higher incidence of nursing home discharges and a significantly higher mortality. Logistic regression analysis showed that an unsafe gait (P < 0.001; 95% confidence interval, 0.13 - 0.57) was the only independent risk factor for falls in this group of patients. There was a cumulative higher risk of falling associated with an unsafe gait demonstrable throughout the patients' stay. Conclusion: Unsafe gait was the only significant independent risk factor for falls among cognitively-impaired patients in a rehabilitation environment. Interventions that improve gait patterns or that enhance safety for patients with abnormal gait are required if fall reduction in this group of patients is to be achieved. © 2009 Japan Geriatrics Society.
Persistent Identifierhttp://hdl.handle.net/10722/194231
ISSN
2015 Impact Factor: 2.229
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorVassallo, M-
dc.contributor.authorMallela, SK-
dc.contributor.authorWilliams, A-
dc.contributor.authorKwan, J-
dc.contributor.authorAllen, S-
dc.contributor.authorSharma, JC-
dc.date.accessioned2014-01-30T03:32:20Z-
dc.date.available2014-01-30T03:32:20Z-
dc.date.issued2009-
dc.identifier.citationGeriatrics and Gerontology International, 2009, v. 9 n. 1, p. 41-46-
dc.identifier.issn1444-1586-
dc.identifier.urihttp://hdl.handle.net/10722/194231-
dc.description.abstractBackground: Confusion and cognitive impairment, are risk factors for falls in hospital. Evidence for reducing falls in cognitively-impaired patients is limited and to date no intervention has consistently been shown to reduce falls in this group of patients. We explored characteristics associated with falls in cognitively-impaired patients in a rehabilitation setting. Methods: In a prospective observational study, 825 consecutive patients were studied. Patient characteristics were assessed on admission. Factors predisposing to falls in cognitively-impaired patients were identified. Results: Cognitively-impaired patients were more likely to be fallers or recurrent fallers and more likely to sustain an injury than cognitively intact patients. They had a higher incidence of nursing home discharges and a significantly higher mortality. Logistic regression analysis showed that an unsafe gait (P < 0.001; 95% confidence interval, 0.13 - 0.57) was the only independent risk factor for falls in this group of patients. There was a cumulative higher risk of falling associated with an unsafe gait demonstrable throughout the patients' stay. Conclusion: Unsafe gait was the only significant independent risk factor for falls among cognitively-impaired patients in a rehabilitation environment. Interventions that improve gait patterns or that enhance safety for patients with abnormal gait are required if fall reduction in this group of patients is to be achieved. © 2009 Japan Geriatrics Society.-
dc.languageeng-
dc.relation.ispartofGeriatrics and Gerontology International-
dc.titleFall risk factors in elderly patients with cognitive impairment on rehabilitation wards-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1447-0594.2008.00506.x-
dc.identifier.pmid19260978-
dc.identifier.scopuseid_2-s2.0-61549120676-
dc.identifier.volume9-
dc.identifier.issue1-
dc.identifier.spage41-
dc.identifier.epage46-
dc.identifier.isiWOS:000263679900006-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats