TY  - JOUR
PY  - 2022//
TI  - Trajectories of cognitive and physical performance after accidental falls in nursing home residents: a prospective study
JO  - Geriatric nursing
A1  - Trevisan, Caterina
A1  - Noale, Marianna
A1  - Imoscopi, Alessandra
A1  - Bigolaro, Chiara
A1  - Derni, Cosetta
A1  - Agio, Elena
A1  - Dal Ben, Sara
A1  - Ceccato, Marco
A1  - Tono, Federica
A1  - Maggi, Stefania
A1  - Welmer, Anna-Karin
A1  - Sergi, Giuseppe
SP  - 100
EP  - 106
VL  - 47
IS  - 
N2  - This prospective study evaluated cognitive and physical trajectories of nursing home (NH) residents after fall occurrence and their predictors. In 167 residents aged ≥60, we considered the closest pre-fall assessment and up to the first three post-fall assessments of cognitive and physical functions performed through Mini-Mental State Examination (MMSE) and Tinetti tests. Mixture models identified three post-fall cognitive and physical trajectories: stability, slow decline, and rapid decline. At logistic regression, older age, fewer informal visits, and falls within one month from institutionalization increased the probability of experiencing a decline in MMSE and Tinetti scores. Worse pre-fall cognitive function increased the likelihood of cognitive and physical decline, while worse pre-fall Tinetti score negatively impacted only physical decline. In conclusion, the impact of falls on the cognitive and physical health of NH residents may be modulated by their pre-fall cognitive function and some modifiable factors, such as social interactions and physical function.<p />  <p>Language: en</p>
LA  - en
SN  - 0197-4572
UR  - http://dx.doi.org/10.1016/j.gerinurse.2022.07.001
ID  - ref1
ER  -