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Related Concept Videos

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The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
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Falls Among Residents Living in Care Homes Using Real-Time Data Collection: A Large UK Case-Control Study.

Julian Gertner1, Ofir Dvir2, Niv Shifrin2

  • 1Division of Surgery and Interventional Science University College London London UK.

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|April 21, 2026
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Summary
This summary is machine-generated.

Falls are common in care homes, with advancing age increasing risk. Real-time data from the Mobile Care Monitoring (MCM) app identified key fall risk factors, aiding prevention strategies for older adults.

Keywords:
care home residentscare homesdigital healthfall riskfallsobservational studyreal‐time data

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Area of Science:

  • Gerontology
  • Public Health
  • Health Informatics

Background:

  • Falls are a significant public health issue for older adults in care homes, leading to increased morbidity, mortality, and healthcare costs.
  • Identifying fall patterns and risk factors is crucial for developing effective prevention strategies in this vulnerable population.

Purpose of the Study:

  • To investigate fall patterns and associated risk factors among care home residents using real-time data.
  • To explore the utility of the Mobile Care Monitoring (MCM) app for collecting comprehensive fall-related data.

Main Methods:

  • A case-control study involving 12,012 residents (aged 75+) across 1,700 English care homes over one year.
  • Utilized the Mobile Care Monitoring (MCM) app for continuous, real-time data collection on falls and resident characteristics.
  • Matched cohorts of residents with at least one fall (n=6,006) and those with no falls (n=6,006).

Main Results:

  • High fall incidence rate (1,249 per 1,000 residents/year); 45% of fallers experienced 3+ falls.
  • Advancing age (IRR: 1.11) and male sex (for falls with injury, IRR: 1.79) were significant risk factors.
  • Falls predominantly occurred indoors (98.5%), primarily in bedrooms, lounges, and bathrooms. Hospitalization rates were higher for fallers (54% vs. 34%).
  • Nine independent fall risk factors identified, including exercise frequency and fluid intake. No link found between falls and CQC ratings.

Conclusions:

  • Real-time electronic data collection via the MCM app provides a robust method for understanding and addressing falls in care home residents.
  • Findings highlight the need for targeted interventions focusing on modifiable risk factors like exercise and hydration.