OBJECTIVE: To examine the impact of a fall prevention programme over a 12 month follow-up period after the introduction of a RCT and to describe possible differences between incidence density rate of falls associated with caregiver time during weekends and ordinary working days. DESIGN: Prospective observational study, duration 12 months. SETTING: Six community nursing homes, Germany. PARTICIPANTS: Long-stay residents (n=881); 771 resident years; median age 85.0 years (min 60; max 101); 79.1% female. MEASUREMENTS: Incidence density rate of falls and fractures, staff time per resident. RESULTS: The incidence density rate over all days was 1367/1000 resident years (RY) for falls [95% confidence interval 1041;1693]. The incidence density rate of hip fractures was 29/1000 RY [95% confidence interval 12;45] and 29/1000 RY [95% confidence interval 12;45] for non-hip fractures. The incidence density rate showed similar results comparing weekends/ public holidays vs normal working days; falls 1193 vs 1447/ 1000 RY; hip fractures 25 vs 30/ 1000 RY and other fractures 16 vs 34/1000 RY. CONCLUSION: During the period, we observed a marked decline of the fracture rate compared with the controlled phase of the intervention trial. A lower number of nursing care hours on weekends was not associated with a higher incidence density rate for falls, fallers, or any type of fracture.
OBJECTIVE: To examine the impact of a fall prevention programme over a 12 month follow-up period after the introduction of a RCT and to describe possible differences between incidence density rate of falls associated with caregiver time during weekends and ordinary working days. DESIGN: Prospective observational study, duration 12 months. SETTING: Six community nursing homes, Germany. PARTICIPANTS: Long-stay residents (n=881); 771 resident years; median age 85.0 years (min 60; max 101); 79.1% female. MEASUREMENTS: Incidence density rate of falls and fractures, staff time per resident. RESULTS: The incidence density rate over all days was 1367/1000 resident years (RY) for falls [95% confidence interval 1041;1693]. The incidence density rate of hip fractures was 29/1000 RY [95% confidence interval 12;45] and 29/1000 RY [95% confidence interval 12;45] for non-hip fractures. The incidence density rate showed similar results comparing weekends/ public holidays vs normal working days; falls 1193 vs 1447/ 1000 RY; hip fractures 25 vs 30/ 1000 RY and other fractures 16 vs 34/1000 RY. CONCLUSION: During the period, we observed a marked decline of the fracture rate compared with the controlled phase of the intervention trial. A lower number of nursing care hours on weekends was not associated with a higher incidence density rate for falls, fallers, or any type of fracture.
Authors: Ellen C Jørstad-Stein; Klaus Hauer; Clemens Becker; Marc Bonnefoy; Rachel A Nakash; Dawn A Skelton; Sarah E Lamb Journal: J Aging Phys Act Date: 2005-10 Impact factor: 1.961
Authors: Micaela Jantzi; Amy C Maher; George Ioannidis; John P Hirdes; Lora M Giangregorio; Alexandra Papaioannou Journal: Age Ageing Date: 2014-11-14 Impact factor: 10.668
Authors: M Richter; G Lob; F Pühlhofer; J Siegrist; C Becker; K Dreinhöfer; A Ekkernkamp; M Feldmann; A Fieguth; C Haasper; F Gebhard; A Icks; J Kleinert; K Knobloch; L Lampl; U Liener; S Märzheuser; H J Oestern; G Pistor; W von Renteln-Kruse; J Seifert; M Wildner Journal: Unfallchirurg Date: 2007-09 Impact factor: 1.000
Authors: Nozomu Oya; Nobutaka Ayani; Akiko Kuwahara; Riki Kitaoka; Chie Omichi; Mio Sakuma; Takeshi Morimoto; Jin Narumoto Journal: Int J Environ Res Public Health Date: 2022-03-07 Impact factor: 3.390