Incidence and costs of falls and XXXX among elderly in institutional care.

@entity1 @entity174 @entity130 @entity542 @entity7634
OBJECTIVE: To investigate the incidence and costs of falls among the elderly in institutional care. DESIGN: A prospective study during the course of 1 year. SETTING: Four institutions in Finland. SUBJECTS: A total of 554 falls and 211 @entity130 among @entity1 over 60 years of age. MAIN OUTCOME MEASURES: Falls and @entity130 were recorded prospectively. Treatment and the costs of injuries were analysed retrospectively. The incidence of falls and @entity130 was expressed per 1000 @entity1 years. Costs of @entity130 treated outside the @entity1 's own ward were calculated. RESULTS: The total incidence of falls was 1398/1000 @entity1 years. The incidence of @entity174 per 1000 @entity1 years was 54 (95% CI; 25-83) in @entity1 and 10 (95% CI; 1-54) in @entity1 . @entity1 fell on their hips or buttocks more often than @entity1 did (p < 0.01). Incidence of @entity542 per 1000 @entity1 years was 214 (95% CI; 160-267) in @entity1 and 433 (95% CI; 302-565) in @entity1 . The average costs were @entity7634 944 per fall. CONCLUSION: One-third of all falls resulted in an injury and every fifth injurious fall resulted in treatment outside the @entity1 's own ward. The type of fall and the injury profile differed between @entity1 and @entity1 .
