Falls in newly admitted nursing home residents: a national study.
Falls in newly admitted nursing home residents: a national study.
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DOI：
10.1111/j.1532-5415.2012.03931.x
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发表时间：
2012-05
影响因子：
6.3
通讯作者：
Mor V
中科院分区：
文献类型：
--
作者：
Leland NE;Gozalo P;Teno J;Mor V
目的探讨养老院组织特征与新入住养老院居民跌倒的关系。2006年1月1日至2006年12月31日的观察性横断面研究。2006年在美国的国民健康保险制度。2006年，230,730名未在医院住院且在入院后30天或更长时间内完成追踪最低数据集(MDS)评估的个人进入医院。检查了在MDS评估中记录的下降与NH特征(例如，人员配备、利润和连锁地位、宗教信仰、以医院为基础的设施状态、床位数量、是否存在特殊护理单元、资金)之间的关系，并根据NH居民的特征进行了调整。这些队列中的21%(n=47,750)在MDS评估时至少经历过一次NH，这是针对新入院的NH居民进行的，他们至少有30天的停留时间。具有较高执业护士助理(CNA)人员的NHS跌倒发生率较低(调整后的优势比=0.97，95%可信区间=0.95-0.99)。对于新入院的NH居民，CNA人员较多的NHS的下落率较低。为了最大限度地预防跌倒，需要进行进一步的研究，以了解在这一NH人口中，CNA人员配备与跌倒之间的关系。
To examine the relationship between nursing home (NH) organizational characteristics and falls in newly admitted NH residents. Observational cross-sectional study from January 1, 2006, to December 31, 2006. NHs in the United States in 2006. Individuals (n = 230,730) admitted to a NH in 2006 without a prior NH stay and with a follow-up Minimum Data Set (MDS) assessment completed 30 days or more after admission. The relationship between experiencing a fall noted on the MDS assessment and NH characteristics (e.g., staffing, profit and chain status, religious affiliation, hospital-based facility status, number of beds, presence of a special care unit, funding) was examined, adjusting for NH resident characteristics. Twenty-one percent of this cohort (n = 47,750) had experienced at least one fall in the NH at the time of the MDS assessment, which was completed for newly admitted NH residents who had at least a 30-day stay. NHs with higher certified nursing assistant (CNA) staffing had lower rates of falls (adjusted odds ratio = 0.97, 95% confidence interval = 0.95–0.99). For newly admitted NH residents, NHs with higher CNA staffing had a lower fall rate. In an effort to maximize fall prevention efforts, further research is needed to understand the relationship between CNA staffing and falls in this NH population.
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影响因子：
12.7
作者：
Harrington, C;Woolhandler, S;Himmelstein, DU
通讯作者：
Himmelstein, DU
DOI：
10.1111/j.1532-5415.1996.tb00913.x
发表时间：
1996-03-01
影响因子：
6.3
作者：
Thapa, PB;Brockman, KG;Ray, WA
通讯作者：
Ray, WA
影响因子：
39.2
作者：
RUBENSTEIN, LZ;JOSEPHSON, KR;ROBBINS, AS
通讯作者：
ROBBINS, AS
影响因子：
3
作者：
O'Neill, C;Harrington, C;Saliba, D
通讯作者：
Saliba, D
影响因子：
4
作者：
Rapp, K.;Lamb, S. E.;Becker, C.
通讯作者：
Becker, C.