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Falls and hip fractures after admission, Ontario, 1997-2003 / ZELMER, Jennifer ; LEEB, Kira ; GULA, Cheryl ; FINLAY, Patricia ; BINGHAM, Jack. In Health Care in Canada 2004.
Ottawa : Canadian Institute for Health Information;Statistics Canada, 2004, p. 64.

http://secure.cihi.ca/cihiweb/en/hcic2004_fig35_e.html (17/06/2004)
Éditeur(s) des données : Ontario Chronic Care Patient System
Format de fichier : Image GIF
Taille du fichier : 21 Ko Type de graphique : Graphique à courbes
Droits d'auteur : La reproduction de ce document à des fins non commerciales est autorisée à condition que la source soit dûment mentionnée.

Mots-clés principaux
:
Statistiques
Chute
Fracture de la hanche
Établissement de santé et services sociaux
Hébergement
Canada
Ontario


Résumé :

Source : Ontario Chronic Care Patient System

Cited from : ZELMER, Jennifer ; LEEB, Kira ; GULA, Cheryl ; FINLAY, Patricia ; BINGHAM, Jack . Health Care in Canada 2004 [Online]. Ottawa : Canadian Institute for Health Information , Statistics Canada, 2004, p. 64. http://secure.cihi.ca/cihiweb/fr/hcic2004_fig35_E.html (Retrieved June 17, 2004).

Falls are one of the leading causes of serious injury. They account for almost 30% of all injury hospitalizations and about a third of in-hospital deaths among people admitted for injuries. Most falls occur in the community, but health care facilities identify preventing falls within their walls as an important patient safety challenge. Overall, across the country between 2000-2001 and 2002-2003, about 0.9 people aged 65 and over per 1,000 surgical and medical hospitalizations broke a hip after admission. Put another way, one inpatient sustained a hip fracture for every 1,124 surgical and medical hospitalizations among seniors.

Likewise, between 1997-1998 and 2002-2003, about 4% to 5% of longer-term patients in complex continuing care settings in Ontario had a fall recorded on their quarterly assessment. (Although complex continuing care residents are primarily elderly, they differ from residents typically found in nursing homes and homes for the aged in that they tend to be more functionally impaired and clinically complex.) The younger the resident, the less likely they were to have fallen. However, previous falls were a strong predictor of future falls. Residents were at least five times more likely to have fallen in the last 30 days, if they had experienced a fall in the previous 31 to 180 days.

Men were more likely to fall, but less likely to experience a fracture. Fall rates for men were up to two times higher than for women. Experts suggest that osteoporosis, a risk factor for fractures, may partly explain the difference. Women are more likely to have osteoporosis than men. The Osteoporosis Society of Canada estimates that one in four women over the age of 50 has osteoporosis, compared to one in eight men. The prevalence has been reported to be as high as 85% to 95% in female residents in long-term care, aged 85 years and older.

A wide range of strategies has been proposed to reduce the risk of falls and resulting injuries in care facilities. Hamilton researchers reviewed the literature on how to prevent falls in older adults. For institutional settings, they found that there was evidence to suggest that falls-related programs of safety checks, staff education, and monitoring can be effective. Based on their review, they also recommended assessing residents who have fallen for specific risk factors and clinical indicators in order to decide on the best management options.

The Cochrane Collaboration has also conducted a systematic review of evidence regarding interventions to prevent falls in the elderly.64 It included 62 randomized controlled trials involving more than 21,000 people. The researchers found some interventions that were supported by the evidence (e.g. muscle strengthening and balance retraining, home hazard assesment and modification for fallers, and specialized exercise interventions); others had yet to be proven.

Langue : Anglais
Doc n° : 17333
NumRec : 1733303
Contenu dans
    Monographie : Health Care in Canada 2004 / ZELMER, Jennifer ; LEEB, Kira ; GULA, Cheryl ; FINLAY, Patricia ; BINGHAM, Jack. -Ottawa : Canadian Institute for Health Information;Statistics Canada, 2004. - 117 p.
    ISBN 1-55392-418-5

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