TY - JOUR
T1 - Prodromal falls among older nursing home residents
AU - Gray Miceli, Deanna L.
AU - Waxman, Howard
AU - Cavalieri, Thomas
AU - Lage, Susan
N1 - Funding Information:
From the School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, and the Belmont Center for Comprehensive Treatment, Philadelphia, PA. Deanna L. Gray Miceli, MSN, RNC: Gerontological Nurse Practitioner, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey: Howard Waxman, PhD: Director of Research, Belmont Center for Comprehensive Treatment; Thomas Cavalieri, DO: Director of Center for Aging, Associate Professor of Medicine, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey; and Susan Lage, DO: Resident Physician, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey. Funded in part by the University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, through a Biomedical research support grant. Address reprint requests to Deanna L. Gray Miceli, MSN, RNC, Gerontological Nurse Practitioner, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, 301 South Central Plaza, Suite 3200. Center for Aging, Stratford, NJ, 08084-1504. Copyright 0 1994 by W.B. Saunders Company 0897-1897/94/0701-0005$5.0010
PY - 1994/2
Y1 - 1994/2
N2 - Although numerous studies have identified medical antecedents of falls among the elderly (premonitory), few have examined falls as a possible predictor of subsequent disease onset (prodromal falling). This study compared disease incidence (up to 12 months after the first fall) among fallers (n = 42) and nonfallers (n = 20) selected from 236 admissions to the health care center of a nursing home. Data collected on up to five new falls per resident (total of 102 falls) included (a) predictors of falls, (b) circumstance of falls, and (c) postfall events. Results showed that although faller and nonfaller groups were similar on admission in both numbers and types of medical diseases, fallers showed greater frequency of developing new medical problems in the 12-month postfall follow-up period. However, no particular medical diseases were found to singularly account for the greater number of medical problems evident among fallers. Additionally, fallers tended to be more impaired on admission in ambulation and daily living abilities than nonfallers.
AB - Although numerous studies have identified medical antecedents of falls among the elderly (premonitory), few have examined falls as a possible predictor of subsequent disease onset (prodromal falling). This study compared disease incidence (up to 12 months after the first fall) among fallers (n = 42) and nonfallers (n = 20) selected from 236 admissions to the health care center of a nursing home. Data collected on up to five new falls per resident (total of 102 falls) included (a) predictors of falls, (b) circumstance of falls, and (c) postfall events. Results showed that although faller and nonfaller groups were similar on admission in both numbers and types of medical diseases, fallers showed greater frequency of developing new medical problems in the 12-month postfall follow-up period. However, no particular medical diseases were found to singularly account for the greater number of medical problems evident among fallers. Additionally, fallers tended to be more impaired on admission in ambulation and daily living abilities than nonfallers.
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U2 - 10.1016/0897-1897(94)90016-7
DO - 10.1016/0897-1897(94)90016-7
M3 - Article
C2 - 8203875
AN - SCOPUS:31544448346
VL - 7
SP - 18
EP - 27
JO - Applied Nursing Research
JF - Applied Nursing Research
SN - 0897-1897
IS - 1
ER -