Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study

Abstract Background Falls and falls-related injuries are common among older adults. Injuries in older adults lead to poor outcomes and lower quality of life. The objective of our study was to identify factors associated with fall-related injuries among home care clients in New Zealand. Methods The s...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Rebecca Abey-Nesbit, Philip J. Schluter, Tim J. Wilkinson, John Hugh Thwaites, Sarah D. Berry, Heather Allore, Hamish A. Jamieson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Falls-related injuries Geriatric assessment Older adults interRAI Home care Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/452b881651ae46fa8c980ae4d8a4444f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:452b881651ae46fa8c980ae4d8a4444f
record_format	dspace
spelling	oai:doaj.org-article:452b881651ae46fa8c980ae4d8a4444f2021-11-07T12:16:33ZRisk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study10.1186/s12877-021-02576-11471-2318https://doaj.org/article/452b881651ae46fa8c980ae4d8a4444f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02576-1https://doaj.org/toc/1471-2318Abstract Background Falls and falls-related injuries are common among older adults. Injuries in older adults lead to poor outcomes and lower quality of life. The objective of our study was to identify factors associated with fall-related injuries among home care clients in New Zealand. Methods The study cohort consisted of 75,484 community-dwelling people aged 65 years or older who underwent an interRAI home care assessment between June 2012 and June 2018 in New Zealand. The injuries included for analysis were fracture of the distal radius, hip fracture, pelvic fracture, proximal humerus fracture, subarachnoid haemorrhage, traumatic subdural haematoma, and vertebral fracture. Unadjusted and adjusted competing risk regression models were used to identify factors associated with fall-related injuries. Results A total of 7414 (9.8%) people sustained a falls-related injury over the 6-year period, and most injuries sustained were hip fractures (4735 63.9%). The rate of injurious falls was 47 per 1000 person-years. The factors associated with injury were female sex, older age, living alone, Parkinson’s disease, stroke/CVA, falls, unsteady gait, tobacco use, and being underweight. Cancer, dyspnoea, high BMI, and a decrease in the amount of food or fluid usually consumed, were associated with a reduced risk of sustaining an injury. After censoring hip fractures the risks associated with other types of injury were sex, age, previous falls, dyspnoea, tobacco use, and BMI. Conclusions While it is important to reduce the risk of falls, it is especially important to reduce the risk of falls-related injuries. Knowledge of risk factors associated with these types of injuries can help to develop focused intervention programmes and development of a predictive model to identify those who would benefit from intervention programmes.Rebecca Abey-NesbitPhilip J. SchluterTim J. WilkinsonJohn Hugh ThwaitesSarah D. BerryHeather AlloreHamish A. JamiesonBMCarticleFalls-related injuriesGeriatric assessmentOlder adultsinterRAIHome careGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Falls-related injuries Geriatric assessment Older adults interRAI Home care Geriatrics RC952-954.6
spellingShingle	Falls-related injuries Geriatric assessment Older adults interRAI Home care Geriatrics RC952-954.6 Rebecca Abey-Nesbit Philip J. Schluter Tim J. Wilkinson John Hugh Thwaites Sarah D. Berry Heather Allore Hamish A. Jamieson Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study
description	Abstract Background Falls and falls-related injuries are common among older adults. Injuries in older adults lead to poor outcomes and lower quality of life. The objective of our study was to identify factors associated with fall-related injuries among home care clients in New Zealand. Methods The study cohort consisted of 75,484 community-dwelling people aged 65 years or older who underwent an interRAI home care assessment between June 2012 and June 2018 in New Zealand. The injuries included for analysis were fracture of the distal radius, hip fracture, pelvic fracture, proximal humerus fracture, subarachnoid haemorrhage, traumatic subdural haematoma, and vertebral fracture. Unadjusted and adjusted competing risk regression models were used to identify factors associated with fall-related injuries. Results A total of 7414 (9.8%) people sustained a falls-related injury over the 6-year period, and most injuries sustained were hip fractures (4735 63.9%). The rate of injurious falls was 47 per 1000 person-years. The factors associated with injury were female sex, older age, living alone, Parkinson’s disease, stroke/CVA, falls, unsteady gait, tobacco use, and being underweight. Cancer, dyspnoea, high BMI, and a decrease in the amount of food or fluid usually consumed, were associated with a reduced risk of sustaining an injury. After censoring hip fractures the risks associated with other types of injury were sex, age, previous falls, dyspnoea, tobacco use, and BMI. Conclusions While it is important to reduce the risk of falls, it is especially important to reduce the risk of falls-related injuries. Knowledge of risk factors associated with these types of injuries can help to develop focused intervention programmes and development of a predictive model to identify those who would benefit from intervention programmes.
format	article
author	Rebecca Abey-Nesbit Philip J. Schluter Tim J. Wilkinson John Hugh Thwaites Sarah D. Berry Heather Allore Hamish A. Jamieson
author_facet	Rebecca Abey-Nesbit Philip J. Schluter Tim J. Wilkinson John Hugh Thwaites Sarah D. Berry Heather Allore Hamish A. Jamieson
author_sort	Rebecca Abey-Nesbit
title	Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study
title_short	Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study
title_full	Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study
title_fullStr	Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study
title_full_unstemmed	Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study
title_sort	risk factors for injuries in new zealand older adults with complex needs: a national population retrospective study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/452b881651ae46fa8c980ae4d8a4444f
work_keys_str_mv	AT rebeccaabeynesbit riskfactorsforinjuriesinnewzealandolderadultswithcomplexneedsanationalpopulationretrospectivestudy AT philipjschluter riskfactorsforinjuriesinnewzealandolderadultswithcomplexneedsanationalpopulationretrospectivestudy AT timjwilkinson riskfactorsforinjuriesinnewzealandolderadultswithcomplexneedsanationalpopulationretrospectivestudy AT johnhughthwaites riskfactorsforinjuriesinnewzealandolderadultswithcomplexneedsanationalpopulationretrospectivestudy AT sarahdberry riskfactorsforinjuriesinnewzealandolderadultswithcomplexneedsanationalpopulationretrospectivestudy AT heatherallore riskfactorsforinjuriesinnewzealandolderadultswithcomplexneedsanationalpopulationretrospectivestudy AT hamishajamieson riskfactorsforinjuriesinnewzealandolderadultswithcomplexneedsanationalpopulationretrospectivestudy
_version_	1718443482921566208

Risk factors for injuries in New Zealand older adults with complex needs: a national population retrospective study

Ejemplares similares