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Centre for Policy on Ageing | |
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Fall determinants in older long-term care residents with dementia
— a systematic review | | Author(s) | Tobias F Kropelin, Jacques C L Neyens, Ruud J G Halfens |
| Journal title | International Psychogeriatrics, vol 25, no 4, April 2013 |
| Publisher | Cambridge University Press, April 2013 |
| Pages | pp 549-563 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Care homes ; Long term residents ; Falls ; At risk ; Research Reviews. |
| Annotation | Persons with dementia are 2-3 times more likely to fall compared to persons without dementia. In long-term care settings the dementia prevalence is highest. Therefore older long-term care residents with dementia can be considered a high risk group for falls. The purpose of this study was to identify fall determinants among older long-term care residents with dementia or cognitively impaired persons in long-term care by conducting a systematic literature review. 8 studies were found which met the inclusion criteria. Of these 3 were excluded from detailed analysis because of insufficient quality. Use of psychotropic drugs, a `fair or poor' general health, gait impairments and age were associated with an increased fall risk. Also trunk restraints were associated with an increased number of falls while full bedrails and wandering behaviour were protective against falls. Fall risk factors known from other populations, e.g. use of psychotropic drugs, physical restraints and health conditions are found in long-term care residents with dementia as well. Due to the limited evidence available, future studies with adequate sample sizes and prospective designs are required to determine specific fall risk factors and verify existing results in this population. (JL). |
| Accession Number | CPA-130315217 A |
| Classmark | EA: KW: KX:4Q: OLF: CA3: 3A:6KC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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