Limits...
Relationship between location and activity in injurious falls: an exploratory study.

Bleijlevens MH, Diederiks JP, Hendriks MR, van Haastregt JC, Crebolder HF, van Eijk JT - BMC Geriatr (2010)

Bottom Line: These injurious fall types were significantly related to age, cause of the fall, activity avoidance and daily functioning.However, we found no relationship between the injurious fall types and severity of the consequences of the fall.However, the conclusions reached in this exploratory analysis are tentative and need to be validated in a separate dataset.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Health Care and Nursing Science, Faculty of Health, Medicine and Life Sciences Maastricht University, PO box 616, 6200 MD Maastricht, The Netherlands. m.bleijlevens@zw.unimaas.nl

ABSTRACT

Background: Knowledge about the circumstances under which injurious falls occur could provide healthcare workers with better tools to prevent falls and fall-related injuries. Therefore, we assessed whether older persons who sustain an injurious fall can be classified into specific fall types, based on a combination of fall location and activity up to the moment of the fall. In addition, we assessed whether specific injurious fall types are related to causes of the fall, consequences of the fall, socio-demographic characteristics, and health-related characteristics.

Methods: An exploratory, cross-sectional study design was used to identify injurious fall types. The study population comprised 333 community-dwelling Dutch elderly people aged 65 years or over who attended an accident and emergency department after a fall. All participants received a self-administered questionnaire after being discharged home. The questionnaire comprised items concerning circumstances of the injurious fall, causes of the fall, consequences of the fall, socio-demographic characteristics and health-related characteristics. Injurious fall types were distinguished by analyzing data by means of HOMALS (homogeneity analysis by means of alternating least squares).

Results: We identified 4 injurious fall types: 1) Indoor falls related to lavatory visits (hall and bathroom); 2) Indoor falls during other activities of daily living; 3) Outdoor falls near the home during instrumental activities of daily living; 4) Outdoor falls away from home, occurring during walking, cycling, and shopping for groceries. These injurious fall types were significantly related to age, cause of the fall, activity avoidance and daily functioning.

Conclusion: The face validity of the injurious fall typology is obvious. However, we found no relationship between the injurious fall types and severity of the consequences of the fall. Nevertheless, there appears to be a difference between the prevalence of fractures and the cause of the fall between the injurious fall types. Our data suggests that with regard to prevention of serious injuries, we should pay special attention to outdoor fallers and indoor fallers during lavatory visits. In addition, we should have special attention for causes of the fall. However, the conclusions reached in this exploratory analysis are tentative and need to be validated in a separate dataset.

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Injurious Fall Types in HOMALS Plot of Participant Scores. Figure 1 shows the optimal quantifications for both the location of the fall and the activity up to the moment of the fall, and reveals four types of injurious falls. The size of the dots represents the number of participants; the bigger a dot, the more participants it represents.
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Figure 1: Injurious Fall Types in HOMALS Plot of Participant Scores. Figure 1 shows the optimal quantifications for both the location of the fall and the activity up to the moment of the fall, and reveals four types of injurious falls. The size of the dots represents the number of participants; the bigger a dot, the more participants it represents.

Mentions: Figure 1 shows the distribution of persons within the two-dimensional HOMALS solution. It reduced the complexity of the available data, and yielded a two-dimensional solution with eigenvalues of 0.879 and 0.752 for the first and second dimension, respectively.


Relationship between location and activity in injurious falls: an exploratory study.

Bleijlevens MH, Diederiks JP, Hendriks MR, van Haastregt JC, Crebolder HF, van Eijk JT - BMC Geriatr (2010)

Injurious Fall Types in HOMALS Plot of Participant Scores. Figure 1 shows the optimal quantifications for both the location of the fall and the activity up to the moment of the fall, and reveals four types of injurious falls. The size of the dots represents the number of participants; the bigger a dot, the more participants it represents.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2902483&req=5

Figure 1: Injurious Fall Types in HOMALS Plot of Participant Scores. Figure 1 shows the optimal quantifications for both the location of the fall and the activity up to the moment of the fall, and reveals four types of injurious falls. The size of the dots represents the number of participants; the bigger a dot, the more participants it represents.
Mentions: Figure 1 shows the distribution of persons within the two-dimensional HOMALS solution. It reduced the complexity of the available data, and yielded a two-dimensional solution with eigenvalues of 0.879 and 0.752 for the first and second dimension, respectively.

Bottom Line: These injurious fall types were significantly related to age, cause of the fall, activity avoidance and daily functioning.However, we found no relationship between the injurious fall types and severity of the consequences of the fall.However, the conclusions reached in this exploratory analysis are tentative and need to be validated in a separate dataset.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Health Care and Nursing Science, Faculty of Health, Medicine and Life Sciences Maastricht University, PO box 616, 6200 MD Maastricht, The Netherlands. m.bleijlevens@zw.unimaas.nl

ABSTRACT

Background: Knowledge about the circumstances under which injurious falls occur could provide healthcare workers with better tools to prevent falls and fall-related injuries. Therefore, we assessed whether older persons who sustain an injurious fall can be classified into specific fall types, based on a combination of fall location and activity up to the moment of the fall. In addition, we assessed whether specific injurious fall types are related to causes of the fall, consequences of the fall, socio-demographic characteristics, and health-related characteristics.

Methods: An exploratory, cross-sectional study design was used to identify injurious fall types. The study population comprised 333 community-dwelling Dutch elderly people aged 65 years or over who attended an accident and emergency department after a fall. All participants received a self-administered questionnaire after being discharged home. The questionnaire comprised items concerning circumstances of the injurious fall, causes of the fall, consequences of the fall, socio-demographic characteristics and health-related characteristics. Injurious fall types were distinguished by analyzing data by means of HOMALS (homogeneity analysis by means of alternating least squares).

Results: We identified 4 injurious fall types: 1) Indoor falls related to lavatory visits (hall and bathroom); 2) Indoor falls during other activities of daily living; 3) Outdoor falls near the home during instrumental activities of daily living; 4) Outdoor falls away from home, occurring during walking, cycling, and shopping for groceries. These injurious fall types were significantly related to age, cause of the fall, activity avoidance and daily functioning.

Conclusion: The face validity of the injurious fall typology is obvious. However, we found no relationship between the injurious fall types and severity of the consequences of the fall. Nevertheless, there appears to be a difference between the prevalence of fractures and the cause of the fall between the injurious fall types. Our data suggests that with regard to prevention of serious injuries, we should pay special attention to outdoor fallers and indoor fallers during lavatory visits. In addition, we should have special attention for causes of the fall. However, the conclusions reached in this exploratory analysis are tentative and need to be validated in a separate dataset.

Show MeSH
Related in: MedlinePlus