TY - JOUR PY - 2004// TI - Circumstances and consequences of falls in residential care: the New Zealand story JO - New Zealand medical journal A1 - Butler, M. A1 - Kerse, Ngaire A1 - Todd, Michael SP - U1076 EP - U1076 VL - 117 IS - 1202 N2 - AIMS: To describe the circumstances and consequences of falls in long-term residential care homes in New Zealand. METHODS: A study followed 14 residential care facilities over 18 months and recorded all falls experienced by 680 residents (97% participation rate). The number and characteristics of falls are described according to the timing, activities, direction, and severity of falls. Predictors of injury are examined using regression techniques. RESULTS: 271 residents sustained 954 falls, 63% of which resulted in injury. The rate of falls increased in the afternoons especially in rest homes. Environmental hazards were involved with 15% of falls. Falling in the dining room was associated with fewer injuries, and falling from a standing height, and to the side, were independently associated with major injury such as hip fracture. CONCLUSION: The timing and circumstances of observed falls and their subsequent injuries is useful information for healthcare planners, and staff involved in the care of older people living in long-term residential care settings. LA - SN - 0028-8446 UR - http://dx.doi.org/ ID - ref1 ER -