Falls in focus: an analysis of the rate of falls in 25 Australian residential aged care facilities from 2019 to 2021, pre- and during COVID-19 lockdowns DOI Creative Commons
Isabelle Meulenbroeks, Nasir Wabe, Magdalena Z. Raban

и другие.

BMC Health Services Research, Год журнала: 2024, Номер 24(1)

Опубликована: Сен. 2, 2024

During 2020–2021 Australia maintained comparatively low rates of COVID-19 in the community and residential aged care facilities (RAC) due to stringent public health measures such as lockdowns. However, implemented may have had unintended impacts on critical RAC resident outcomes, falls, routine disruptions isolation. We utilised a longitudinal data assess association between lockdowns rate falls settings. A cohort study was conduct using routinely collected from 25 one non-profit provider Sydney, Australia. The included 2,996 long term residents March 2019 2021. outcome were all injurious assessed requiring hospitalisation. Generalised estimating equations (GEE) applied determine lockdown periods fall-related outcomes while adjusting for confounders seasonality. period 11,658 recorded. Residents frequently experienced at least fall during (median: 1, interquartile range: 0–4). Lockdown 1 (March-June 2020) increased 32% (IRR 1.32, 95% CI 1.19–1.46, p < 0.01) by 28% 1.28, 1.12–1.46, compared pre-pandemic rates. hospitalisation remained unchanged 1.07, 0.86–1.32, = 0.519). 2 (Dec 2020-Jan 2021) did not change significantly These findings suggest that consequences restrictions, seen produced changes residents' which contributed more associated harm. subsequent lockdown, less restrictive occurred after staff gained experience, with no significant increase rate. nature extent infection control need balance multiple potential adverse effects. Factors facilitated resilience this require exploration future research.

Язык: Английский

Fall Risk Prediction for Community-Dwelling Older Adults: Analysis of Assessment Scale and Evaluation Items without Actual Measurement DOI Open Access
Akihiko Murayama, Daisuke Higuchi,

Kosuke Saida

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(2), С. 224 - 224

Опубликована: Фев. 14, 2024

The frequency of falls increases with age. In Japan, the population is aging rapidly, and fall prevention measures are an urgent issue. However, assessing risk during coronavirus disease pandemic was complicated by social distancing implemented to prevent disease, while traditional assessments that involve actual measurements complicated. This prospective cohort study predicted in community-dwelling older adults using assessment method does not require measurements. A survey conducted among 434 obtain data regarding baseline attributes (age, sex, living family, use long-term care insurance, multimorbidity), Frailty Screening Index (FSI) score, Questionnaire for Medical Checkup Old-Old (QMCOO) score. participants were categorized into (n = 78) non-fall 356) groups. binomial logistic regression analysis showed it better focus on QMCOO sub-item which focuses multiple factors. items significantly associated Q5 (odds ratio [OR] 1.95), Q8 (OR 2.33), Q10 3.68). Our results similar common factors normal times. During pandemic, being able gauge without actually measuring them important.

Язык: Английский

Процитировано

6
Effectiveness of telerehabilitation and home-based falls prevention programs for community-dwelling older adults: a systematic review and meta-analysis protocol DOI Creative Commons
Karen K Leung, Frances Carr, Megan Kennedy

и другие.

BMJ Open, Год журнала: 2023, Номер 13(4), С. e069543 - e069543

Опубликована: Апрель 1, 2023

Falls among older adults are associated with adverse sequelae including fractures, chronic pain and disability, which can lead to loss of independence increased risks nursing home admissions. The COVID-19 pandemic has significantly the uptake telehealth, but effectiveness virtual, home-based fall prevention programmes is not clearly known. We aim synthesise trials on telerehabilitation falls determine their in reducing outcomes, as well describe safety telerehabilitation.This protocol was developed using Preferred Reporting Items for Systematic Review Meta-Analysis Protocols (PRISMA-P). Database searches from inception August 2022 will be conducted without language restrictions MEDLINE, EMBASE, Ovid HealthSTAR, CINAHL, SPORTDiscus, Physiotherapy EvidenceDatabase (PEDro) Cochrane Library. Grey literature major geriatrics conference proceedings reviewed. Using Covidence software, two independent reviewers duplicate eligibility randomised controlled (RCTs). Eligible RCTs compare usual care community-dwelling report at least one efficacy outcome: falls, hospitalisations, mortality or quality life; pain, myalgias, dyspnoea, syncope fatigue. Secondary outcomes include functional performance activities daily living, balance endurance. Risk bias assessed Collaboration tool. DerSimonian-Laird random effects models used meta-analysis. Heterogeneity I2 statistic Cochran's Q statistic. assess publication Egger's test. Prespecified subgroup analyses univariate meta-regression used.Ethics approval required. results disseminated through peer-reviewed publications presentations.CRD42022356759.

Язык: Английский

Процитировано

4
EFFECT OF COVID-19 ON PAIN, FALL FREQUENCY, FEAR OF FALLING, AND PHYSICAL ACTIVITY LEVEL IN OLDER PEOPLE DOI
Ozan Gür, Selda Başar

Türk fizyoterapi ve rehabilitasyon dergisi, Год журнала: 2024, Номер 35(2), С. 178 - 187

Опубликована: Авг. 2, 2024

Purpose: People who have recovered from COVID-19 may experience a range of symptoms. These symptoms are linked to negative changes in pain, falls, fear falling, and physical activity. The current study aimed investigate the effect on fall frequency, activity level older people, as well identify associated factors with these variables. Methods: Participants were divided into two groups for this cross-sectional study: (n=48) healthy control (n=66). Pain, number participants assessed. Multiple linear regression analysis was also used asked about their demographics, illnesses, post-COVID-19 symptoms, smoking habits, they lived with, how long had been infected COVID-19, hospitalization due doses vaccine. Results: fatigue, cognitive impairment found be significantly more prevalent group (p=0.001, p=0.021, p=0.011, respectively). When compared group, showed worse results terms pain intensity, (p=0.009, p=0.030, p=0.005, p

Язык: Английский

Процитировано

0
Falls in focus: an analysis of the rate of falls in 25 Australian residential aged care facilities from 2019 to 2021, pre- and during COVID-19 lockdowns DOI Creative Commons
Isabelle Meulenbroeks, Nasir Wabe, Magdalena Z. Raban

и другие.

BMC Health Services Research, Год журнала: 2024, Номер 24(1)

Опубликована: Сен. 2, 2024

During 2020–2021 Australia maintained comparatively low rates of COVID-19 in the community and residential aged care facilities (RAC) due to stringent public health measures such as lockdowns. However, implemented may have had unintended impacts on critical RAC resident outcomes, falls, routine disruptions isolation. We utilised a longitudinal data assess association between lockdowns rate falls settings. A cohort study was conduct using routinely collected from 25 one non-profit provider Sydney, Australia. The included 2,996 long term residents March 2019 2021. outcome were all injurious assessed requiring hospitalisation. Generalised estimating equations (GEE) applied determine lockdown periods fall-related outcomes while adjusting for confounders seasonality. period 11,658 recorded. Residents frequently experienced at least fall during (median: 1, interquartile range: 0–4). Lockdown 1 (March-June 2020) increased 32% (IRR 1.32, 95% CI 1.19–1.46, p < 0.01) by 28% 1.28, 1.12–1.46, compared pre-pandemic rates. hospitalisation remained unchanged 1.07, 0.86–1.32, = 0.519). 2 (Dec 2020-Jan 2021) did not change significantly These findings suggest that consequences restrictions, seen produced changes residents' which contributed more associated harm. subsequent lockdown, less restrictive occurred after staff gained experience, with no significant increase rate. nature extent infection control need balance multiple potential adverse effects. Factors facilitated resilience this require exploration future research.

Язык: Английский

Процитировано

0