History of falls and dementia among the main predictors of fall-related hospitalizations

A resident’s history of fracture and fall and a diagnosis of dementia are common predictors of fall-related hospitalizations in the first three months after entering a nursing home, according to a study by the Australian senior registry.

The study, published in BMC Geriatrics, examined the individual, system, medication and health care factors of new residents in senior care to determine predictors of fall-related hospitalizations.

He also developed a risk assessment tool using integrated age and health care data to help predict the likelihood of a fall within 90 days and a year.

Professor Maria Inacio

The study looked at data from 32,316 nursing home residents aged 65 or older who permanently entered an elderly care home between January 2008 and December 2016.

Lead researcher Professor Maria Inacio said the study found that about 4% of residents had been hospitalized for a fall within three months of entering the facility and 10% of residents had had one. one in the year.

“We really wanted to identify when someone comes into care and if we can determine their risk of having these events in the next year or so,” Prof. Inacio said. Australian Agenda on Aging.

Prof Inacio said the study identified 20 common predictors of fall-related hospitalizations within 90 days of entering senior care.

“Common variables are an individual’s history of fracture, history of falls, and diagnosis of dementia,” said Professor Inacio, director of the Senior Australian Registry at the South Australian Health and Medical Research Institute and assistant research professor at the University of South Australia.

These three factors were also top of the 27 predictors identified by the study for fall-related hospitalizations within one year of admission to senior care, although in a different order, with dementia being the most common, followed history of falls and history of fractures.

Prof Inacio said the findings highlight opportunities to minimize the risk of fall-related hospitalizations for new residents.

“About 70,000 people come in every year and a huge amount of information is being collected on these people at this point. This comes from the evaluations that are done by ACAT [Aged Care Assessment Team], their ACFI [Aged Care Funding Instrument], and their care plans which are put in place at the start of care.

“There is a great opportunity for us to act on the risks of these events that they might experience,” she said.

“It’s just another demonstration that at this point in their care journey, we can derive new information from all the information that is being collected to prepare for what might happen. And falls are one of the main things we are concerned about, ”said Professor Inacio.

She said the Royal Commission on the Care of the Elderly has highlighted the need for more individualized care and better integration of electronic information into the care of the elderly.

“Once you integrate this information… we can learn new things that can be used in the point of care,” said Prof Inacio.

“And that’s what we want people to take away from that. If there is a way to operationalize the integration of point-of-care information between elderly care and health service records, then providers can use this information in a variety of ways to inform their care planning. residents.

Access the study.

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