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

Incidence of falls and fractures in disabled elderly people utilizing long-term care insurance



Incidence of falls and fractures in disabled elderly people utilizing long-term care insurance



Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 46(4): 334-340



To investigate the incidence of falls and fall-related fractures in disabled elderly people utilizing long-term care insurance, and influence of gender, age, disabled level is examined. Subjects were 8,335 elderly people (mean age, 82.2+/-7.4 years). Falls and fractures were investigated retrospectively for the one year study period either via a self-report questionnaire, or via care workers and/or family members when the subjects had cognitive impairments. The care workers gave are a free description about for the fall that had occurred when using the facilities. Men showed significantly higher rate of falls (26.8%) than women (24.6%). In women, there was a significant difference in fall rates between the severely disabled group (26.4%) and the moderately disabled group (23.5%). Women showed a significantly higher rate of fractures (12.2%) than that of men (4.5%). In relationship between fall-related fractures and potential correlates, there was a significant relation between women and the fall-related fractures [OR 2.5, 95%CI 1.7-3.6]. The severely disabled group showed a significantly higher rate of falls in the toilet, on the other hand, the moderately disabled group showed significantly higher rate of falls during exercise and recreation or standing. The rate of falls in women was lower than men in this study population. The result may be affected by the lower proportion of women in the moderately disabled group compared with men. Only gender was significantly associated with the incidence of fall-related fractures in disabled elderly people.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 053790982

Download citation: RISBibTeXText

PMID: 19713666


Related references

Antidepressants and falls among elderly people in long-term care. American Journal of Public Health 83(5): 746-749, 1993

Long-term care in New York: innovation in care for elderly and disabled people. Issue Brief 2001(348): 1-10, 2001

Falls in long-term care institutions for elderly people: protocol validation. Revista Brasileira de Enfermagem 70(4): 740-746, 2018

Investigation and analysis of osteoporosis, falls, and fragility fractures in elderly people in the Beijing area: a study on the bone health status of elderly people ≥ 80 years old with life self-care. Archives of Osteoporosis 12(1): 108, 2018

Falls by elderly people living in long-term care institutions in Pelotas, Rio Grande do Sul State, Brazil. Cadernos de Saude Publica 26(1): 31-40, 2010

Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. Lancet 381(9860): 47-54, 2013

Video Capture of the Circumstances of Falls in Elderly People Residing in Long-term Care: An Observational Study. Journal of Emergency Medicine 44(5): 1060-1061, 2013

Incidence of Pressure Ulcers During Home and Institutional Care Among Long-Term Care Insurance Beneficiaries With Dementia Using the Korean Elderly Cohort. Journal of the American Medical Directors Association 18(7): 638.E1-638.E5, 2017

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. Journal of Safety Research 42(6): 525-535, 2012

Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese population-based cohorts: the ROAD study. Geriatrics and Gerontology International 14(3): 695-701, 2015

Effectiveness and implementation aspects of interventions for preventing falls in elderly people in long-term care facilities: a systematic review of RCTs. Journal of the American Medical Directors Association 12(6): 410-425, 2011

Relationship between status of physical and mental function and quality of life among the elderly people admitted from long-term care insurance. Journal of Preventive Medicine and Public Health 43(4): 319-329, 2010

Questions of distributive justice: public health nurses' perceptions of long-term care insurance for elderly Japanese people. Nursing Ethics 9(1): 67-79, 2005

Case management in long-term care--the task of individual related and family-oriented support for people in need of care and its realization through the reform of long-term care insurance. Zeitschrift für Gerontologie und Geriatrie 41(2): 92-105, 2008

Assessing the incidence of gastroenteritis among elderly people living in long term care facilities. Journal of Hospital Infection 76(1): 12-17, 2010