Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings

Morrison, Greg, Lee, Huang-Ling, Kuys, Suzanne S., Clarke, Jane, Bew, Paul and Haines, Terry P. (2011) Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings. Disability and Rehabilitation, 33 11: 900-907. doi:10.3109/09638288.2010.514019


Author Morrison, Greg
Lee, Huang-Ling
Kuys, Suzanne S.
Clarke, Jane
Bew, Paul
Haines, Terry P.
Title Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
1464-5165
Publication date 2011-01-01
Sub-type Article (original research)
DOI 10.3109/09638288.2010.514019
Volume 33
Issue 11
Start page 900
End page 907
Total pages 8
Place of publication London, United Kingdom
Publisher Informa Healthcare
Subject 2742 Rehabilitation
Abstract Purpose: To compare falls event rates and risk factors for falls across three rehabilitation settings. Methods. A multi-centre prospective longitudinal cohort study was conducted of 1682 participants referred for rehabilitation from 18 sites (across two Australian states) and receiving physiotherapy treatment. Falls risk factors across multiple domains (rehabilitation settings, medical diagnoses, age, gender, standing balance, functional capacity, cognition, prior living arrangements, pre-admission use of gait aid and past history of falls) were collected by treating physiotherapists on admission to rehabilitation. Falls were measured by incident reporting and review of medical histories in the inpatient settings and by weekly interviews in the outpatient and domiciliary settings. Results. Overall, outpatient and domiciliary settings demonstrated lower falls event rates compared to inpatient [IRR (95% CI): 0.58 (0.36-0.93) and 0.35 (0.24-0.51)], respectively. Cognitive status, functional ability and past history of falls were consistent risk factors across settings. However medical diagnoses of stroke, other neurological conditions, elective orthopaedic and other orthopaedic together with standing balance were inconsistent as risk factors or protective factors across settings. Conclusions. Risk factors for falls, including medical diagnosis, are not necessarily universal across settings. Balance performance was a significant risk factor for outpatient and domiciliary settings but was not a risk factor for inpatients. Cognitive status and a previous history of falls were, however, consistent risk factors across all settings. This suggests that different approaches for the prevention of falls may be required for the same diagnostic group of patients depending on the location of the rehabilitation setting.
Keyword ageing
diagnoses
Elderly
falls
geriatric rehabilitation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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