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Factors Associated with the Risk of Falls of Nursing Home Residents Aged 80 or Older

Background Falls are the leading cause of mortality and morbidity in older and represents one of the major and most costly public health problems worldwide. Purpose Evaluate the influences of lower limb muscle performance, static balance, functional independence and quality of life on fall risk as a... Full description

Journal Title: Rehabilitation nursing 2016-01, Vol.41 (1), p.16-25
Main Author: Álvarez Barbosa, Francisco
Other Authors: Pozo‐Cruz, Borja , Pozo‐Cruz, Jesús , Alfonso‐Rosa, Rosa M , Sañudo Corrales, Borja , Rogers, Michael E
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Lippincott Williams & Wilkins, WK Health
ID: ISSN: 0278-4807
Link: https://www.ncbi.nlm.nih.gov/pubmed/26399374
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recordid: cdi_proquest_miscellaneous_1760916727
title: Factors Associated with the Risk of Falls of Nursing Home Residents Aged 80 or Older
format: Article
creator:
  • Álvarez Barbosa, Francisco
  • Pozo‐Cruz, Borja
  • Pozo‐Cruz, Jesús
  • Alfonso‐Rosa, Rosa M
  • Sañudo Corrales, Borja
  • Rogers, Michael E
subjects:
  • accidental falls
  • Accidental Falls - prevention & control
  • Accidental Falls - statistics & numerical data
  • Aged
  • Aged, 80 and over
  • aging
  • Cross-Sectional Studies
  • Cross‐sectional study
  • Falls
  • Falls (Accidents)
  • Female
  • Humans
  • lower extremity
  • Male
  • Medical care
  • Mortality
  • Nursing
  • Nursing home patients
  • Nursing homes
  • Nursing Homes - statistics & numerical data
  • Postural Balance
  • Posture
  • Quality management
  • Quality of Life
  • Rehabilitation Nursing - methods
  • Risk Assessment
  • Risk Factors
  • Spain
ispartof: Rehabilitation nursing, 2016-01, Vol.41 (1), p.16-25
description: Background Falls are the leading cause of mortality and morbidity in older and represents one of the major and most costly public health problems worldwide. Purpose Evaluate the influences of lower limb muscle performance, static balance, functional independence and quality of life on fall risk as assessed with the timed up and go (TUG) test. Design Cross‐sectional study. Methods Fifty‐two residents aged 80 or older were assessed and distributed in one of the two study groups (no risk of falls; risk of falls) according to the time to complete the TUG test. A Kistler force platform and linear transducer was used to determinate lower limb muscle performance. Postural Stability (static balance) was measured by recording the center of pressure. The EuroQol‐5 dimension was used to assess Health‐related quality of life and the Barthel index was used to examine functional status. Student's t‐test was performed to evaluate the differences between groups. Correlations between variables were analyzed using Spearman or Pearson coefficient. ROC (receiver operating charasteristic) analysis was used to determine the cut‐off points related to a decrease in the risk of a fall. Findings Participants of no‐fall risk group showed better lower limb performance, quality of life, and functional status. Cut‐off points were determined for each outcome. Conclusions Risk of falls in nursing home residents over the age of 80 is associated with lower limb muscle performance, functional status, and quality of Life. Clinical Relevance Cut‐off points can be used by clinicians when working toward fall prevention and could help in determining the optimal lower limb muscle performance level for preventing falls.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0278-4807
fulltext: fulltext
issn:
  • 0278-4807
  • 2048-7940
url: Link


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creatorÁlvarez Barbosa, Francisco ; Pozo‐Cruz, Borja ; Pozo‐Cruz, Jesús ; Alfonso‐Rosa, Rosa M ; Sañudo Corrales, Borja ; Rogers, Michael E
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descriptionBackground Falls are the leading cause of mortality and morbidity in older and represents one of the major and most costly public health problems worldwide. Purpose Evaluate the influences of lower limb muscle performance, static balance, functional independence and quality of life on fall risk as assessed with the timed up and go (TUG) test. Design Cross‐sectional study. Methods Fifty‐two residents aged 80 or older were assessed and distributed in one of the two study groups (no risk of falls; risk of falls) according to the time to complete the TUG test. A Kistler force platform and linear transducer was used to determinate lower limb muscle performance. Postural Stability (static balance) was measured by recording the center of pressure. The EuroQol‐5 dimension was used to assess Health‐related quality of life and the Barthel index was used to examine functional status. Student's t‐test was performed to evaluate the differences between groups. Correlations between variables were analyzed using Spearman or Pearson coefficient. ROC (receiver operating charasteristic) analysis was used to determine the cut‐off points related to a decrease in the risk of a fall. Findings Participants of no‐fall risk group showed better lower limb performance, quality of life, and functional status. Cut‐off points were determined for each outcome. Conclusions Risk of falls in nursing home residents over the age of 80 is associated with lower limb muscle performance, functional status, and quality of Life. Clinical Relevance Cut‐off points can be used by clinicians when working toward fall prevention and could help in determining the optimal lower limb muscle performance level for preventing falls.
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subjectaccidental falls ; Accidental Falls - prevention & control ; Accidental Falls - statistics & numerical data ; Aged ; Aged, 80 and over ; aging ; Cross-Sectional Studies ; Cross‐sectional study ; Falls ; Falls (Accidents) ; Female ; Humans ; lower extremity ; Male ; Medical care ; Mortality ; Nursing ; Nursing home patients ; Nursing homes ; Nursing Homes - statistics & numerical data ; Postural Balance ; Posture ; Quality management ; Quality of Life ; Rehabilitation Nursing - methods ; Risk Assessment ; Risk Factors ; Spain
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descriptionBackground Falls are the leading cause of mortality and morbidity in older and represents one of the major and most costly public health problems worldwide. Purpose Evaluate the influences of lower limb muscle performance, static balance, functional independence and quality of life on fall risk as assessed with the timed up and go (TUG) test. Design Cross‐sectional study. Methods Fifty‐two residents aged 80 or older were assessed and distributed in one of the two study groups (no risk of falls; risk of falls) according to the time to complete the TUG test. A Kistler force platform and linear transducer was used to determinate lower limb muscle performance. Postural Stability (static balance) was measured by recording the center of pressure. The EuroQol‐5 dimension was used to assess Health‐related quality of life and the Barthel index was used to examine functional status. Student's t‐test was performed to evaluate the differences between groups. Correlations between variables were analyzed using Spearman or Pearson coefficient. ROC (receiver operating charasteristic) analysis was used to determine the cut‐off points related to a decrease in the risk of a fall. Findings Participants of no‐fall risk group showed better lower limb performance, quality of life, and functional status. Cut‐off points were determined for each outcome. Conclusions Risk of falls in nursing home residents over the age of 80 is associated with lower limb muscle performance, functional status, and quality of Life. Clinical Relevance Cut‐off points can be used by clinicians when working toward fall prevention and could help in determining the optimal lower limb muscle performance level for preventing falls.
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abstractBackground Falls are the leading cause of mortality and morbidity in older and represents one of the major and most costly public health problems worldwide. Purpose Evaluate the influences of lower limb muscle performance, static balance, functional independence and quality of life on fall risk as assessed with the timed up and go (TUG) test. Design Cross‐sectional study. Methods Fifty‐two residents aged 80 or older were assessed and distributed in one of the two study groups (no risk of falls; risk of falls) according to the time to complete the TUG test. A Kistler force platform and linear transducer was used to determinate lower limb muscle performance. Postural Stability (static balance) was measured by recording the center of pressure. The EuroQol‐5 dimension was used to assess Health‐related quality of life and the Barthel index was used to examine functional status. Student's t‐test was performed to evaluate the differences between groups. Correlations between variables were analyzed using Spearman or Pearson coefficient. ROC (receiver operating charasteristic) analysis was used to determine the cut‐off points related to a decrease in the risk of a fall. Findings Participants of no‐fall risk group showed better lower limb performance, quality of life, and functional status. Cut‐off points were determined for each outcome. Conclusions Risk of falls in nursing home residents over the age of 80 is associated with lower limb muscle performance, functional status, and quality of Life. Clinical Relevance Cut‐off points can be used by clinicians when working toward fall prevention and could help in determining the optimal lower limb muscle performance level for preventing falls.
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