TY - JOUR
T1 - Falls in newly admitted nursing home residents
T2 - A national study
AU - Leland, Natalie E.
AU - Gozalo, Pedro
AU - Teno, Joan
AU - Mor, Vince
PY - 2012/5
Y1 - 2012/5
N2 - 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.
AB - 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.
KW - falls
KW - nursing home
KW - quality
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U2 - 10.1111/j.1532-5415.2012.03931.x
DO - 10.1111/j.1532-5415.2012.03931.x
M3 - Article
C2 - 22587857
AN - SCOPUS:84862111244
SN - 0002-8614
VL - 60
SP - 939
EP - 945
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 5
ER -