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Falls in the nursing home setting: does time matter?
Paula Lester1, Mahenaaz Haq, Amruta Vadnerkar
1Winthrop University Hospital, Mineola, NY, USA.
Nursing home falls are more common in the evening, particularly between 4 pm and 8 pm, and are linked to more severe injuries. This contrasts with hospital fall patterns, suggesting targeted interventions are needed.
Area of Science:
- Gerontology
- Nursing Home Care
- Patient Safety
Background:
- Falls are a significant cause of morbidity and mortality in nursing home residents.
- Identifying patterns in falls is crucial for developing effective prevention strategies.
Purpose of the Study:
- To determine if falls among nursing home residents occur more frequently at specific times of the day.
- To compare the temporal patterns of falls in nursing homes with those in hospital settings.
Main Methods:
- Retrospective chart review of falls in a skilled nursing facility.
- Data collected over a 6-month period (January to June 2007).
Main Results:
- 220 falls were recorded; 66% occurred in resident rooms, and 48% resulted in injury.
- A significant peak in falls (27%) occurred between 4 pm and 8 pm (P < .001).
- Evening falls were associated with more serious injuries than daytime falls (P = .03), and the night shift (11 pm-7 am) had the lowest fall percentage (16%).
Conclusions:
- Fall prevalence in nursing homes varies by time of day, differing from hospital patterns.
- Further research is needed to understand the causes of these temporal fall patterns.
- Findings suggest implementing time-specific interventions to reduce fall risk in nursing homes.
