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Am J Epidemiol. 2013 Aug 1;178(3):418-25. doi: 10.1093/aje/kws554. Epub 2013 Apr 1.

Association of injurious falls with disability outcomes and nursing home admissions in community-living older persons.

Author information

1
Department of Internal Medicine,Yale School of Medicine, Adler Geriatric Center, 20 York Street, New Haven, CT 06510, USA. thomas.gill@yale.edu

Abstract

Little is known about the deleterious effects of injurious falls relative to those of other disabling conditions or whether these effects are driven largely by hip fractures. From a cohort of 754 community-living elders of New Haven, Connecticut, we matched 122 hospitalizations for an injurious fall (59 hip-fracture and 63 other fall-related injuries) to 241 non-fall-related hospitalizations. Participants (mean age: 85.7 years) were evaluated monthly for disability in 13 activities and admission to a nursing home from 1998 to 2010. For both hip-fracture and other fall-related injuries, the disability scores were significantly greater during each of the first 6 months after hospitalization than for the non-fall-related admissions, with adjusted risk ratios at 6 months of 1.5 (95% confidence interval (CI): 1.3, 1.7) for hip fracture and 1.4 (95% CI: 1.2, 1.6) for other fall-related injuries. The likelihood of having a long-term nursing home admission was considerably greater after hospitalization for a hip fracture and other fall-related injury than for a non-fall-related reason, with adjusted odds ratios of 3.3 (95% CI: 1.3, 8.3) and 3.2 (95% CI: 1.3, 7.8), respectively. Relative to other conditions leading to hospitalization, hip-fracture and other fall-related injuries are associated with worse disability outcomes and a higher likelihood of long-term nursing home admissions.

KEYWORDS:

accidental falls; activities of daily living; aged; cohort studies; nursing homes

PMID:
23548756
PMCID:
PMC3816345
DOI:
10.1093/aje/kws554
[Indexed for MEDLINE]
Free PMC Article

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