Does history of falling predict length of stay in post-acute geriatric rehabilitation?

Détails

ID Serval
serval:BIB_23EE84A1A98C
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Institution
Titre
Does history of falling predict length of stay in post-acute geriatric rehabilitation?
Titre de la conférence
63rd Annual Scientific Meeting of the Gerontological Society of America, Transitions of Care Across the Aging Continuum
Auteur⸱e⸱s
Martin E., Dreher R., Rochat S., Bula C.J.
Adresse
New Orleans, Louisiana, November 19-22, 2010
ISBN
0016-9013
ISSN-L
0016-9013
Statut éditorial
Publié
Date de publication
2010
Volume
50
Série
Gerontologist
Pages
171
Langue
anglais
Notes
Publication type : Meeting Abstract
Résumé
Objectives:To investigate the associations between falls before hospital¦admission, falls during hospitalization, and length of stay in elderly¦people admitted to post-acute geriatric rehabilitation. Method: History¦of falling in the previous 12 months before admission was recorded¦among 249 older persons (mean age 82.3±7.4 years, 69.1% women)¦consecutively admitted to post-acute rehabilitation. Data on medical,¦functional and cognitive status were collected upon admission. Falls¦during hospitalization and length of stay were recorded at discharge.¦Results: Overall, 92 (40.4%) patients reported no fall in the 12 months¦before admission; 63(27.6%) reported 1 fall, and 73(32.0%) reported¦multiple falls. Previous falls occurrence (one or more falls) was significantly¦associated with in-stay falls (19.9% of previous fallers fell¦during the stay vs 7.6% in patients without history of falling, P=.01),¦and with a longer length of stay (22.4 ± 10.1 days vs 27.1 ± 14.3 days,¦P=.01). In multivariate robust regression controlling for gender, age,¦functional and cognitive status, history of falling remained significantly¦associated with longer rehabilitation stay (2.8 days more in single fallers,¦p=.05, and 3.3 days more in multiple fallers, p=.0.1, compared to¦non-fallers). Conclusion: History of falling in the 12 months prior to¦post acute geriatric rehabilitation is independently associated with a¦longer rehabilitation length of stay. Previous fallers have also an¦increased risk of falling during rehabilitation stay. This suggests that¦hospital fall prevention measures should particularly target these high¦riskpatients.
Mots-clé
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Création de la notice
07/05/2012 15:06
Dernière modification de la notice
20/08/2019 14:01
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