+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Associated factors of falls in nursing home residents in Hong Kong and the role of restraints: a cross-sectional survey using the Resident Assessment Instrument (RAI) 2.0

Associated factors of falls in nursing home residents in Hong Kong and the role of restraints: a cross-sectional survey using the Resident Assessment Instrument (RAI) 2.0

Aging Clinical and Experimental Research 20(5): 447-453

To identify factors associated with falls in non-bedridden nursing home residents in Hong Kong, and to examine whether restraints are protective against falls. Cross-sectional survey of 1710 nursing home residents, examining factors associated with falls and use of restraints, as documented in the RAI questionnaire. Vision impairment is highly associated with falls (OR 1.75, 95% CI 1.29-2.34), whereas older age (OR 1.03, 95% CI 1.01-1.05), dementia (OR 1.46, 95% CI 1.05-2.04), and intake of psychotropics (OR 1.52, 95% CI 1.06-2.17) were moderately associated. Women were less likely to fall (OR 0.65, 95% CI 0.48-0.90). Walking with aids and taking more medications were not associated with falls in this population. Restraints were used in 68%. The use of any type of restraint was marginally associated with fewer falls (OR 0.73, 95% CI 0.53-1.00). Men, those with impaired vision, dementia or taking psychotropic drugs were more likely to fall. Restraints are very commonly used in Hong Kong nursing homes. Although their use was associated with fewer falls, their effect on preventing falls could not be established in this cross-sectional study.

(PDF emailed within 1 workday: $29.90)

Accession: 051670523

Download citation: RISBibTeXText

PMID: 19039287

Related references

Can the HCFA-mandated resident assessment instrument predict falls in the nursing home?. Clinical Research 41(2): 116A, 1993

Factors associated with the quality of life of nursing home residents in Hong Kong. International Nursing Review 62(1): 120-129, 2016

Exploring faecal incontinence in nursing home patients: a cross-sectional study of prevalence and associations derived from the Residents Assessment Instrument for Long-Term Care Facilities. Journal of Advanced Nursing 72(7): 1579-1591, 2018

Effects of the implementation of the Resident Assessment Instrument on gaps between perceived needs and nursing care supply for nursing home residents in the Netherlands. International Journal of Nursing Studies 38(6): 619-628, 2001

Abilities and restrictions of nursing home residents. Evaluation with the Minimum Data Set of the Resident Assessment Instrument. Zeitschrift für Gerontologie und Geriatrie 36(4): 260-265, 2003

Comparison of the prevalence and risk factors for depressive symptoms among elderly nursing home residents in Taiwan and Hong Kong. International Journal of Geriatric Psychiatry 20(4): 315-321, 2005

Short-term mortality in nursing home residents with severe dementia Can a prediction model be developed from the resident assessment instrument?. Journal of the American Geriatrics Society 45(9): S77, 1997

Factors associated with use of restraints on older adults with home care: A secondary analysis of a cross-sectional survey study. International Journal of Nursing Studies 89: 39-45, 2018

Potential quality indicators for seriously ill home care clients: a cross-sectional analysis using Resident Assessment Instrument for Home Care (RAI-HC) data for Ontario. Bmc Palliative Care 18(1): 3-3, 2019

Vitamin D deficiency was common among nursing home residents and associated with dementia: a cross sectional study of 545 Swedish nursing home residents. Bmc Geriatrics 17(1): 229-229, 2017

Predictors of adjustment to nursing home life of elderly residents: a cross-sectional survey. International Journal of Nursing Studies 47(8): 957-964, 2010

Prevalence of and Risk Factors for Childhood Asthma, Rhinitis, and Eczema in Hong Kong: Proposal for a Cross-Sectional Survey. Jmir Research Protocols 6(6): E106-E106, 2017

Characteristics of TCM constitutions of adult Chinese women in Hong Kong and identification of related influencing factors: a cross-sectional survey. Journal of Translational Medicine 12(): 140-140, 2015

Factors influencing the career interest of medical graduates in obstetrics and gynaecology in Hong Kong: a cross-sectional questionnaire survey. Hong Kong Medical Journal 22(2): 138-143, 2016

Malnutrition and associated factors in nursing home residents: a cross-sectional, multi-centre study. Clinical Nutrition 32(3): 438-443, 2014