Falls and long-term care: a report from the care by design observational cohort study.

摘要: Falls and the resulting complications are common among frail older adults. We aimed to explore risk factors potential prevention strategies for falls in elderly residents of Long-Term Care Facilities (LTCF). This was a cross sectional study design using data from by Design (CBD) study, within Nova Scotia’s Capital District Health Authority. observational time series cohort collected before, during after implementation CBD, new model coordinated primary care LTCF. Here, we analyzed CBD (September 1, 2011- February 28, 2012). were frequent; 56.2% our sample 395 fell at least once. In univariate analyses, male gender (p = 0.009), dementia (p = 0.005), use Selective Serotonin Reuptake Inhibitors or Serotonin-Norepinepherine (SSRI/SNRI) (p = 0.084) showed statistically significant associations with having fallen. Benzodiazepine appeared be protective (p = 0.058). fully adjusted multivariable linear regression model, (β coefficient 0.96, 95% CI: 0.83,1.84; p = 0.032), visual impairment 0.84, 0.13,1.56; p = 0.021), any PIMs 0.34, 0.037,0.65; p = 0.028) associated increased remained reduced numbers SSRI/SNRI (p = 0.007). Male which excluded frailty (p = 0.022), though lost statistical significance once added (p = 0.06). LTCF residents, common. Cognitive impairment, gender, PIM medications falls, while benzodiazepine decreased remain an important problem LTC residents. Screening patient encounters is recommended, along further research identify target interventions.