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Cohort study of institutionalized elderly people: fall risk factors from the nursing diagnosis.

dos Reis KM, de Jesus CA - Rev Lat Am Enfermagem (2015 Nov-Dec)

Bottom Line: The results showed an incidence of 41%.Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period.Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145).

View Article: PubMed Central - PubMed

Affiliation: Universidade de Brasília, Brasília, DF, Brazil.

ABSTRACT

Objective: To determine the incidence of falls in elderly residents of long-stay institutions of the Federal District, to identify the aspects involved in the falls, in terms of risk factors, from the application of scales and the Taxonomy II of NANDA-I, and to define the level of accuracy with its sensitivity and specificity for application in the clinical nursing practice.

Method: This was a cohort study with the evaluation of 271 elderly people. Cognition, functionality, mobility and other intrinsic factors were evaluated. After six months, the elderly people who fell were identified, with significance analysis then performed to define the risk factors.

Results: The results showed an incidence of 41%. Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period. Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145).

Conclusion: The taxonomy has high validity regarding the detection of elderly people at risk of falling and should be applied consistently in the clinical nursing practice.

No MeSH data available.


Related in: MedlinePlus

- ROC curve of the various cutoff points of the estimated probabilities offalling, from the significant variables found in the Taxonomy II ofNANDA-I
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f1: - ROC curve of the various cutoff points of the estimated probabilities offalling, from the significant variables found in the Taxonomy II ofNANDA-I

Mentions: The estimated probabilities, sorted and plotted on a graph, provided the ROC (ReceiverOperating Characteristic) curve, as shown in Figure1. The area under the curve is able to predict the ability of the model todetect elderly people who had a chance to fall. The estimate of probability of eachindividual of the sample to fall, due to the significant variables, provided informationon the individuals, and to establish the accuracy of NANDA Taxonomy, on theirsignificant aspects.


Cohort study of institutionalized elderly people: fall risk factors from the nursing diagnosis.

dos Reis KM, de Jesus CA - Rev Lat Am Enfermagem (2015 Nov-Dec)

- ROC curve of the various cutoff points of the estimated probabilities offalling, from the significant variables found in the Taxonomy II ofNANDA-I
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4664014&req=5

f1: - ROC curve of the various cutoff points of the estimated probabilities offalling, from the significant variables found in the Taxonomy II ofNANDA-I
Mentions: The estimated probabilities, sorted and plotted on a graph, provided the ROC (ReceiverOperating Characteristic) curve, as shown in Figure1. The area under the curve is able to predict the ability of the model todetect elderly people who had a chance to fall. The estimate of probability of eachindividual of the sample to fall, due to the significant variables, provided informationon the individuals, and to establish the accuracy of NANDA Taxonomy, on theirsignificant aspects.

Bottom Line: The results showed an incidence of 41%.Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period.Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145).

View Article: PubMed Central - PubMed

Affiliation: Universidade de Brasília, Brasília, DF, Brazil.

ABSTRACT

Objective: To determine the incidence of falls in elderly residents of long-stay institutions of the Federal District, to identify the aspects involved in the falls, in terms of risk factors, from the application of scales and the Taxonomy II of NANDA-I, and to define the level of accuracy with its sensitivity and specificity for application in the clinical nursing practice.

Method: This was a cohort study with the evaluation of 271 elderly people. Cognition, functionality, mobility and other intrinsic factors were evaluated. After six months, the elderly people who fell were identified, with significance analysis then performed to define the risk factors.

Results: The results showed an incidence of 41%. Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period. Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145).

Conclusion: The taxonomy has high validity regarding the detection of elderly people at risk of falling and should be applied consistently in the clinical nursing practice.

No MeSH data available.


Related in: MedlinePlus