Risk Factors for Falls Among Older Adults Following Transition From Nursing Home to the Community.
This study analyzes the incidence of falls for older adults who transitioned from institutions to the community through the Connecticut Money Follows the Person demonstration program, identifying intrinsic and extrinsic fall risk factors for this population. This prospective cohort study analyzed data from 648 Money Follows the Person participants aged 65 years and older, using 6- and 12-month posttransition surveys. Of the 648 participants, 161 (25.2%) fell in the first 6 months after transition, while 156 (24.5%) fell between 6 and 12 months after transition. Unmet medical care needs, depressive symptoms, mistreatment, and previous falls significantly predicted falls. Given the vulnerability of this population and increased use of fall-related health services, fall prevention represents a critical element in posttransition care. Beyond previously identified risk factors, care providers should consider issues such as unmet medical care needs, depressive symptoms, and mistreatment in assessing fall risk.
['Marrero|Jing|J|', 'Fortinsky|Richard H|RH|', 'Kuchel|George A|GA|', 'Robison|Julie|J|']
D000058:Accidental Falls D000368:Aged D000369:Aged, 80 and over D005260:Female D006801:Humans D057187:Independent Living D008297:Male D009735:Nursing Homes D011446:Prospective Studies D012307:Risk Factors
fall mistreatment home and community-based services unmet needs