TY - JOUR PY - 2011// TI - Fall Risk Factors in Community-Dwelling Elderly Who Receive Medicaid-Supported Home- and Community-Based Care Services JO - Journal of aging and health A1 - Yamashita, Takashi A1 - Jeon, Haesang A1 - Bailer, A. John A1 - Nelson, Ian M. A1 - Mehdizadeh, Shahla SP - 682 EP - 703 VL - 23 IS - 4 N2 - OBJECTIVE: This study identifies fall risk factors in an understudied population of older people who receive community-based care services. METHOD: Data were collected from enrollees of Ohio's Medicaid home- and community-based waiver program (preadmission screening system providing options and resources today [PASSPORT]). A total of 23,182 participants receiving PASSPORT services in 2005/2006 was classified as fallers and nonfallers, and a variety of risk factors for falling was analyzed using logistic regressions. RESULTS: The following factors were identified as risk factors for falling: previous fall history, older age, White race, incontinence, higher number of medications, fewer numbers of activity of daily living limitations, unsteady gait, tremor, grasping strength, and absence of supervision. DISCUSSION: Identifying risk factors for the participants of a Medicaid home- and community-based waiver program are useful for a fall risk assessment, but it would be most helpful if the community-based care service programs incorporate measurements of known fall risk factors into their regular data collection, if not already included.

Language: en

LA - en SN - 0898-2643 UR - http://dx.doi.org/10.1177/0898264310390941 ID - ref1 ER -