Falls in Newly Admitted Nursing Home Residents:: A National Study

• Autores: Natalie E. Leland, Pedro L. Gozalo, Joan M. Teno, Vincent Mor
• Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 60, Nº. 5, 2012, págs. 939-945
• Idioma: inglés
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• Resumen

  • Objectives: To examine the relationship between nursing home (NH) organizational characteristics and falls in newly admitted NH residents.

    Design: Observational cross-sectional study from January 1, 2006, to December 31, 2006.

    Setting: NHs in the United States in 2006.

    Participants: Individuals (n = 230,730) admitted to a NH in 2006 without a prior NH stay and with a follow-up Minimum Data Set (MDS) assessment completed 30 days or more after admission.

    Measurements: The relationship between experiencing a fall noted on the MDS assessment and NH characteristics (e.g., staffing, profit and chain status, religious affiliation, hospital-based facility status, number of beds, presence of a special care unit, funding) was examined, adjusting for NH resident characteristics.

    Results: Twenty-one percent of this cohort (n = 47,750) had experienced at least one fall in the NH at the time of the MDS assessment, which was completed for newly admitted NH residents who had at least a 30-day stay. NHs with higher certified nursing assistant (CNA) staffing had lower rates of falls (adjusted odds ratio = 0.97, 95% confidence interval = 0.95�0.99).

    Conclusion: For newly admitted NH residents, NHs with higher CNA staffing had a lower fall rate. In an effort to maximize fall prevention efforts, further research is needed to understand the relationship between CNA staffing and falls in this NH population.