@article{ref1,
title="Incidence and characteristics of fall-related serious injuries in patients under long-term care insurance: Japanese Prospective Fall Study in Elderly Patients under Home Nursing Care (J-FALLS)",
journal="Japanese journal of fall prevention",
year="2015",
author="Aiba, Ikuko and Saito, Yufuko and Yoshioka, Masaru and Matsuo, Hidenori and Fujimura, Harutoshi and Inui, Toshio and Kawai, Mitsuru and Tobita, Muneshige and Chida, Keiji and Kaneko, Mariko and Matsuda, Naomi and Tamakoshi, Akiko",
volume="2",
number="1",
pages="19-33",
abstract="【Objective】To determine the incidence and characteristics of serious fall-related injuries, such as fractures, in elderly patients under home nursing care.【Methods】A prospective cohort study with a one-year follow-up was conducted. A total of 1,415 outpatients under long-term care insurance were recruited from 43 hospitals in Japan. The annual incidence of fractures, injuries leading to hospitalization, and deaths due to falling using a fall diary, as well as the details of falls leading to injuries, were investigated. The condition of patients 6 months after the onset of serious injuries was also analyzed.【Results】Incidence of serious injuries (patients with serious injuries/ total patients × 100 %) was 6.6 % (n=94), 8.93/100 person-years. Incidence of fractures was 6.0 % (n=85), 8.08/100 person-years; injuries leading to hospitalization was 3.3 % (n=47), 4.47/100 person-years; and death was 0 %. Number of fracture regions was 21 in the upper extremities (annual incidence 1.5%), 19 in the vertebra (1.3 %), 16 in the ribs (1.1 %), and 14 in the hips (1.0%). Of all falls leading to serious injuries, 63 occurred indoors (67.0%), including 19 in the living room (20.2 %). Falls occurred most frequently during walking (39.4 %), followed by starting to walk (13.8 %) and standing up (13.8%). Falling mostly occurred due to loss of balance (66 %). Most frequent behavior leading to falling was excretion (14.9%), followed by picking up things (12.8%). Falls occurred mostly on wooden floors (27.7%), followed by concrete (18.1%). At 6 months after the onset of serious injuries, patients under home care accounted for 81.6 %, those hospitalized 13.8 %, and those under nursing home 4.6 %. Mobility and level of care required significantly worsened after onset of serious injuries (p ＜ 0.001).【Conclusions】Japanese patients under home nursing care had about a three-fold higher incidence of fall-related serious injuries than those of community-dwelling people. Mobility significantly worsened after the onset of serious injuries and 81.6 % of the injured were under home care.    <p>Language: ja</p>",
language="ja",
issn="2188-5702",
doi="10.11335/tentouyobou.2.1_19",
url="http://dx.doi.org/10.11335/tentouyobou.2.1_19"
}