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Ambulatory assisted living fallers at greatest risk for head injury

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TypeOfResource
Text
TitleInfo
Title
Ambulatory assisted living fallers at greatest risk for head injury
Name (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (type = personal); (valueURI = http://orcid.org/0000-0003-4626-9286)
NamePart (type = family)
Gray-Miceli
NamePart (type = given)
Deanna
Affiliation
College of Nursing, Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (type = personal); (valueURI = http://orcid.org/0000-0002-6644-8284)
NamePart (type = family)
Ratcliffe
NamePart (type = given)
Sarah J.
Affiliation
University of Pennsylvania
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Thomasson
NamePart (type = given)
Arwin
Affiliation
University of Pennsylvania
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = RutgersOrg-Department); (type = corporate)
NamePart
College of Nursing
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
School of Nursing (Newark and New Brunswick)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Accepted Manuscript (AM)
OriginInfo
DateCreated (encoding = w3cdtf); (keyDate = yes); (qualifier = exact)
2013
Publisher
Wiley
Abstract (type = Abstract)
OBJECTIVES: To determine the relationship between head injuries sustained during each fall with various known high risk health and demographic factors predictive of falls.
DESIGN: Prospective cohort study conducted over 1 year
SETTING: Assisted living and skilled nursing units of a Continuing Care Retirement Community located in the northeastern United States.
PARTICIPANTS: Sixty nine OAs who fell.
MEASUREMENTS: Age, gender, diagnosis, high risk medication, functional, cognitive, ambulation/elimination status, mode of locomotion, fall related symptoms and the position of the fall, were analyzed using General Estimating Equations among elderly fallers with and without head injury.
RESULTS: A total of 173 falls (average of 2.9 times) were observed for 62 patients who had complete injury data. Injuries were recorded in 40.5% of falls, with 41.4% being head injuries. Head injuries were more likely to be hematomas than lacerations (66.7% vs. 14.7%) and among assisted living residents (p=0.04). Head injured patients were more likely to be walking at the time of the fall (69% vs. 36.1%) and less likely to have bowel incontinence (3.5% vs. 28.5%; p=0.04). None of the high risk diagnosis or medications associated with falls risk increased risk for head injury.
CONCLUSION: Those at greatest risk for head injury were ambulatory assisted living residents. None of the known clinical conditions predictive of risk to fall were predictive of head injury. For head injury prevention to be successful we need a closer examination of resident’s mobility, shoe-wear, health behavior with respect to ability to use assistive devices, and floor surface landing area. Future health policy implications include measures to ensure standard of care practices for head injured patients are in place.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
PhysicalDescription
InternetMediaType
application/pdf
Extent
29 p.
Subject (authority = LCSH)
Topic
Head--Wounds and injuries
Subject (authority = local)
Topic
Long term care
Subject (authority = local)
Topic
Assisted living
Subject (authority = LCSH)
Topic
Congregate housing
Subject (authority = LCSH)
Topic
Falls (Accidents)--Prevention
Subject (authority = LCSH)
Topic
Nursing homes
Subject (authority = local)
Topic
Post fall
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2013
AssociatedObject
Name
Journal of the American Geriatrics Society
Type
Journal
Relationship
Has part
Detail
1817-1819
Identifier (type = volume and issue)
61(10)
Reference (type = url)
https://dx.doi.org/10.1111/jgs.12467
Note (type = version identification)
This is the peer reviewed version of the following article: Gray-Miceli, D. L., Ratcliffe, S. J. and Thomasson, A. (2013), Ambulatory Assisted Living Fallers at Greatest Risk for Head Injury. Journal of the American Geriatrics Society, 61: 1817–1819, which has been published in final form at https://dx.doi.org/10.1111/jgs.12467. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Note (type = peerReview)
Peer reviewed
RelatedItem (type = host)
TitleInfo
Title
Gray-Miceli, Deanna
Identifier (type = local)
rucore30171000001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3ZC84SK
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RightsDeclaration (AUTHORITY = FS); (ID = rulibRdec0004)
Copyright for scholarly resources published in RUcore is retained by the copyright holder. By virtue of its appearance in this open access medium, you are free to use this resource, with proper attribution, in educational and other non-commercial settings. Other uses, such as reproduction or republication, may require the permission of the copyright holder.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers.Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work.I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others.I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work.By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
RightsHolder (type = personal)
Name
FamilyName
Gray-Miceli
GivenName
Deanna
MiddleName
L.
Role
Copyright holder
RightsHolder (type = personal)
Name
FamilyName
Ratcliffe
GivenName
Sarah
MiddleName
J.
Role
Copyright holder
RightsHolder (type = personal)
Name
FamilyName
Thomasson
GivenName
Arwin
Role
Copyright holder
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RULTechMD (ID = TECHNICAL1)
ContentModel
Document
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