@article{ref1,
title="The Contribution Falls Have to Increasing Risk of Nursing Home Placement in Community-Dwelling Older Adults",
journal="Clinical nursing research",
year="2012",
author="Spoelstra, Sandra Lee and Given, Barbara A. and You, Mei and Given, Charles W.",
volume="21",
number="1",
pages="24-42",
abstract="Purpose: To determine whether a fall, as an adverse event in combination with other risk factors, influences nursing home placement (NHP). Method: A retrospective longitudinal study of 6,515 high-risk, community-dwelling, dually eligible (Medicare/Medicaid) participants in a waiver program during 2002-2007 are examined. Data are obtained from the Minimum Data Set-Home Care linked with Medicaid claim files. The authors fit multiple factors to a logistic curve, using generalized linear modeling to predict increased risk of NHP when a fall occurred. Results: Prior NHP and an increased rate of falls (Odds Ratio [OR] = 1.52, 95% Confidence Interval [CI] = 1.25-1.84) and prior NHP and the same rate of falls (OR = 1.55, 95% CI = 1.26-1.91) both increased NHP. Conclusion: An adverse event such as a fall and prior NHP is a strong predictor of future NHP and should be taken into consideration while developing care plans for community-dwelling older adults.<p /> <p>Language: en</p>",
language="en",
issn="1054-7738",
doi="10.1177/1054773811431491",
url="http://dx.doi.org/10.1177/1054773811431491"
}