OBJECTIVE: Falls cause significant morbidity and mortality in long term care facilities. Dual-stiffness flooring (DSF) has previously shown promise in reducing such morbidity in experimental models. This study set out to measure the impact of SmartCell flooring on falls-related morbidity in a nursing home. METHODS: All falls occurring at an Arizona nursing home between July 1, 2008, and December 31, 2010, were reviewed for age, sex, diagnosis of osteoporosis, number of medications, history of previous falls, type of flooring (normal vs DSF), time of day, type of injury, and resulting actions. Fall-related outcomes were compared across room types using chi-square and logistic regression methods. RESULTS: Eighty-two falls on the DSF were compared with 85 falls on the regular floor. There was a tendency for residents falling on DSF to have less bruising and abrasions, while having more redness and cuts. There were 2 fractures on regular flooring (2.4% fracture rate) and none on the DSF flooring (0% fracture rate). CONCLUSIONS: The fracture rate of 2.4% of falls on the regular floor is consistent with previous reports in the literature, whereas a 0% rate found on the DSF floor is a clinically significant improvement. This suggests that DSF may be a practical approach for institutions and consumers to reduce fall-related injuries. A larger scale controlled study to confirm these encouraging preliminary findings is warranted.
OBJECTIVE: Falls cause significant morbidity and mortality in long term care facilities. Dual-stiffness flooring (DSF) has previously shown promise in reducing such morbidity in experimental models. This study set out to measure the impact of SmartCell flooring on falls-related morbidity in a nursing home. METHODS: All falls occurring at an Arizona nursing home between July 1, 2008, and December 31, 2010, were reviewed for age, sex, diagnosis of osteoporosis, number of medications, history of previous falls, type of flooring (normal vs DSF), time of day, type of injury, and resulting actions. Fall-related outcomes were compared across room types using chi-square and logistic regression methods. RESULTS: Eighty-two falls on the DSF were compared with 85 falls on the regular floor. There was a tendency for residents falling on DSF to have less bruising and abrasions, while having more redness and cuts. There were 2 fractures on regular flooring (2.4% fracture rate) and none on the DSF flooring (0% fracture rate). CONCLUSIONS: The fracture rate of 2.4% of falls on the regular floor is consistent with previous reports in the literature, whereas a 0% rate found on the DSF floor is a clinically significant improvement. This suggests that DSF may be a practical approach for institutions and consumers to reduce fall-related injuries. A larger scale controlled study to confirm these encouraging preliminary findings is warranted.
Authors: Chantelle C Lachance; Michal P Jurkowski; Ania C Dymarz; Stephen N Robinovitch; Fabio Feldman; Andrew C Laing; Dawn C Mackey Journal: PLoS One Date: 2017-02-06 Impact factor: 3.240
Authors: Dawn C Mackey; Chantelle C Lachance; Peiwei T Wang; Fabio Feldman; Andrew C Laing; Pet M Leung; X Joan Hu; Stephen N Robinovitch Journal: PLoS Med Date: 2019-06-24 Impact factor: 11.069
Authors: Amy Drahota; Lambert M Felix; Bethany E Keenan; Chantelle C Lachance; Andrew Laing; Dawn C Mackey; James Raftery Journal: BMJ Open Date: 2020-02-17 Impact factor: 2.692
Authors: Amy Drahota; Lambert M Felix; James Raftery; Bethany E Keenan; Chantelle C Lachance; Dawn C Mackey; Chris Markham; Andrew C Laing Journal: BMC Geriatr Date: 2022-01-06 Impact factor: 3.921