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Related Experiment Video

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Design and Analysis for Fall Detection System Simplification

Design and Analysis for Fall Detection System Simplification

Published on: April 6, 2020

Low-Impact Flooring: Does It Reduce Fall-Related Injuries?

H Carl Hanger¹

¹Older Persons Health Specialist Service, Canterbury District Health Board; and Christchurch School of Medicine, University of Otago, Christchurch, New Zealand.

Journal of the American Medical Directors Association

|March 11, 2017

Summary

Low-impact flooring (LIF) significantly reduces fall-related injuries in older inpatients compared to standard vinyl flooring. However, LIF did not alter the overall risk of falling, though it presented challenges with moving heavy equipment.

Keywords:

Falls fall-related injuries flooring and floor coverings low-impact flooring older people

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Area of Science:

Gerontology
Healthcare Safety
Materials Science

Background:

Falls are a significant concern for older adults in healthcare settings, leading to injuries and increased healthcare costs.
Standard vinyl flooring is common but may not effectively mitigate fall-related injuries.

Purpose of the Study:

To compare the incidence of falls and fall-related injuries on low-impact flooring (LIF) versus standard vinyl flooring in a geriatric ward.
To evaluate the effectiveness of LIF in reducing fall severity.

Main Methods:

A prospective, observational, nonrandomized controlled study was conducted in a 20-bed Subacute Older Persons Health ward.
Older inpatients were monitored for falls over 31 months, comparing fall rates and injury severity between LIF and standard vinyl flooring.
Incident reporting captured fall location and consequences, with fall rates per 1000 bed days analyzed.

Main Results:

No significant difference was found in bedroom fall rates between LIF and control groups (median 15 vs. 17 falls per 1000 bed days, P=.47).
Fall-related injuries were significantly less frequent on LIF (22% of falls) compared to standard vinyl flooring (34% of falls, P=.02).
Fracture incidence was lower on LIF (0.7% of falls) versus control flooring (2.3% of falls).

Conclusions:

Low-impact flooring significantly reduces the severity of fall-related injuries in older inpatients without altering the overall fall rate.
Healthcare facilities should consider LIF to improve patient safety and reduce injury burden from falls.
Challenges with rolling resistance for heavy equipment on LIF require further consideration for implementation.