© 1996 Oxford University Press
research-article |
Predictors of Fall-related Injuries among Community-dwelling Elderly People with Dementia
1Geriatric Psychiatry Division, National Centre of Neurology and Psychiatry 4-1-1 Ogawahigashi-Cho, Kodaira, Tokyo, 187 Japan
2Department of Neurology and Psychiatry, Yamanashi Medical University Tamaho, Yamanashi 409-38, Japan
3Department of Health Sciences, Yamanashi Medical University Tamaho, Yamanashi 409-38, Japan
4Nursing Division, Yamanashi Kosei Hospital Ochiai, Yamanashi City, Yamanashi 405, Japan
5Kamikawa Hospital Hachioji, Tokyo 192–01, Japan
6New York Hospital—Cornell Medical Center Westchester Division, White Plains, New York 1065, USA
To determine the annual incidence of fall-related injuries among community-dwelling elderly people with dementia and to identify the factors predicting those likely to sustain such injuries, we conducted a cohort study with a one-year follow-up. As predicting factors, we paid particular attention to behavioural problems and difficulties in helping with activities of daily living based on the Assessment of Basic Care for the Demented (ABCD) scale. Thirty-five of 86 final study subjects and nine of 98 final control subjects sustained fall-related injuries. Significant factors associated with fall-related injuries to demented elderly subjects were ABCD score (adjusted odds ratio 0.73, 95% confidence interval 0.60–0.89), history of falls in the past year (3.65, 1.34–9.95), and Barthel index score (1.04, 1.00–1.08). This highlights the predictive value of better physical function but more difficult care status in relation to ADL for fall-related injuries.
Revision received May 25, 1995.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  D. J. Thurman, J. A. Stevens, and J. K. Rao Practice Parameter: Assessing patients in a neurology practice for risk of falls (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology Neurology, February 5, 2008; 70(6): 473 - 479. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H Xiang, A-M Chany, and G A Smith Wheelchair related injuries treated in US emergency departments Inj. Prev., February 1, 2006; 12(1): 8 - 11. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H Xiang, M Leff, and L Stallones Non-fatal injuries among adults with activity limitations and participation restrictions Inj. Prev., June 1, 2005; 11(3): 157 - 162. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Eccles, J. Clarke, M. Livingston, N. Freemantle, and J. Mason North of England evidence based guidelines development project: guideline for the primary care management of dementia BMJ, September 19, 1998; 317(7161): 802 - 808. [Full Text] [PDF]
|
|