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Title: Characteristics and outcomes of older adults admitted for inpatient rehabilitation with and without a high falls risk.
Authors: Redley, Bernice
Wood, Beverley
Botti, Mari
Hutchinson, Ana
Other Authors: Blatsis, E.
Shkuratova, Nataliya
Keywords: Rehabilitation
Accidental Falls
Older Adults
Preventable Harm
Shkuratova Assessment of Falls-Risk Rehabilitation Tool
Functional Independence Measure
Falls Risk
Timed Up-and-Go Test
10-Metre Walking Test
Unpaired T-Tests
Chi-Square Tests
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2017
Citation: Epworth Research Institute Research Week 2017; Poster 1: pp 24
Conference Name: Epworth Research Institute Research Week 2017
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: Background: Falls are a major cause of preventable harm for patients within hospital settings. The aim of this study was to compare the characteristics and outcomes of older adults admitted for rehabilitation identified as being a high falls risk versus those without an increased risk. Methods: A retrospective cross-sectional study of a random sample of 105 older adults admitted for inpatient rehabilitation was conducted. Data included: Functional Independence Measure (FIM) at admission and discharge, falls risk based on the Shkuratova Assessment of Falls-risk in Rehabilitation (SAFER) tool, 'Timed Up-and-Go' test, and '10-meter walking test'. Data were analysed using descriptive statistics, differences between groups were analysed using unpaired t-tests and chi-square tests. Results: Forty-four percent of patients had a high falls risk, their mean length of stay was longer (14.0(SD 5.4) vs 10.5(SD4.7), p <(0.001) and they were less likely to retun home 34, (74%) versus 57 (97%), p=0.007). Their mean FIM score was lower on admission (90.4(SD8.7) versus 103.3(SD6.6),p<0.001) and at discharge (107.2(SD19.0) versus 119.1(SD4.9), p=0.001). Conclusion: More than 40% of older adults admitted for rehabilitation had a high falls risk, these individuals had greater functional impairment, longer length of stay and were less likely to return home. Relevance to Clinical Practice: The results of this study highlight the need to develop models of care delivery for aged-care rehabilitation settings that can minimise falls risk while promoting functional independence.
Type: Conference Poster
Affiliated Organisations: Deakin University Centre for Quality and Patient Safety Research-Epworth HealthCare Partnership
The Morninton Center at Peninsula Health, Victoria, Australia
Deakin University, Geelong, School of Nursing and Midwifery
Type of Clinical Study or Trial: Retrospective cross-sectional studies
Appears in Collections:Rehabilitation
Research Week

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