+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Relationship between pre-discharge occupational therapy home assessment and prevalence of post-discharge falls

, : Relationship between pre-discharge occupational therapy home assessment and prevalence of post-discharge falls. Journal of Evaluation in Clinical Practice 16(6): 1333-1339

Pre-discharge occupational therapy home assessments are common practice, and considered important for falls prevention in older people. This prospective, observational cohort study describes the association between pre-discharge home assessment and falls in the first month post-discharge from a rehabilitation hospital. 342 inpatients were recruited and followed up 1 month post-discharge. Patients were classified into diagnostic groups (cardiac, orthopaedic trauma, spinal, peripheral joint surgery, neurological and deconditioned). Age, gender, falls risk [Falls Risk Assessment Scoring System (FRASS)], functional independence scores (FIM™) and receipt (or not) of a home assessment were recorded. Patients completed a diary to document post-discharge falls. Logistic regression analysis tested the effect on falling of receiving a home assessment, age, gender, diagnostic group, FRASS and FIM™. Considering all subjects, not receiving a home assessment increased the risk of falling 1 month post-discharge [odds ratio (OR) 2.6, 95% confidence interval (CI) 1.4-4.7, P=0.003]. Neurological and orthopaedic trauma patients had significantly elevated risks of falling [OR (95% CI), respectively, 12.5 (4.7-33.2), 3.4 (1.4-8.4)] relative to the orthopaedic joint group. For all diagnostic groups except neurological, falls risk was mitigated by a home assessment. In non-neurological patients, adjusting for the effect of diagnostic group, FRASS and FIM™ scores indicated a significant association between not receiving a home assessment and falling (OR 4.2, 95% CI 2.1-8.2, P<0.001). Pre-discharge occupational therapy home assessments are sound post-discharge falls-prevention strategies in non-neurological patients. The decision to conduct a home assessment should consider diagnosis, falls risk and functional independence.


PMID: 20738473

DOI: 10.1111/j.1365-2753.2009.01339.x

Other references

Dickinson R.; Price A.; Agrez M.V., 1991: Nodal involvement in poorly differentiated breast cancer. The degree of nodal involvement in a consecutive series of 400 patients with invasive ductal breast cancer is presented. A positive correlation was observed between the number of metastatic nodes identified and the number of axillary nodes examine...

York A.T.; Manski W., 1974: Quantitative poly acrylamide gel electrophoresis of crystallin and solubilized albuminoid lens proteins. Ophthalmic Research 6(2-4): 245-258

Carrau, T.; Silva, L.Machado.Ribeiro.; Pérez, D.; Ruiz de Ybáñez, R.; Taubert, A.; Hermosilla, C., 2016: First description of an in vitro culture system for Eimeria ovinoidalis macromeront formation in primary host endothelial cells. NlmCategory="UNASSIGNED">The apicomplexan parasite Eimeria ovinoidalis is distributed worldwide and causes clinical ovine coccidiosis. As one of the most pathogenic species in sheep, the principal clinical sign is profuse diarrhoea in...

Hoenig V.; Buday P., 1975: Urologic complications of pelvic fractures in poly traumatized persons. Jonasch, E (Ed ) Hefte Zur Unfallheilkunde, Heft 124 10 Tagung Der Oesterreichischen Gesellschaft Fuer Unfallchirurgie 11 Und 12 Oktober 1974, Salzburg, Austria (Series on Traumatology, No 124 Tenth Session Of The Austrian Society Of Traumatology, Salzburg, Austria, Oct 11-12, 1974 ) (In Ger ) Xiii+330p Illus Springer Verlag: Berlin, West Germany; New York, N Y , U S A Isbn 3-540-07495-3; Isbn 0-387-07495-3 168-170

Citi, S.; Paschoud, S.; Pulimeno, P.; Timolati, F.; D.R.bertis, F.; Jond, L.; Guillemot, L., 2009: The tight junction protein cingulin regulates gene expression and RhoA signaling. Tight junctions (TJ) regulate the passage of solutes across epithelial sheets, contribute to the establishment and maintenance of epithelial apico-basal polarity and are involved in the regulation of gene expression and cell proliferation. Cinguli...

Parwatikar, S.D.; Brown, M.S.; Stern, J.A.; Ulett, G.A.; Sletten, I.S., 1978: Acupuncture hypnosis and experimental pain part 1 study with volunteers. The protective effects of different agents.sbd.acupuncture, hypnosis, morphine, aspirin, diazepam and placebo.sbd.upon experimentally-induced pain in humans was evaluated. Normal, healthy volunteers (20) were subjected to cold water and tourniquet...

Bothe, A.; Galdston, R., 1972: The child's loss of consciousness: a psychiatric view of pediatric anesthesia. Pediatrics 50(2): 252-263

Baur, P.; Martin, Fçois-Pierre.; Gruber, L.; Bosco, N.; Brahmbhatt, V.; Collino, S.; Guy, P.; Montoliu, I.; Rozman, J.; Klingenspor, M.; Tavazzi, I.; Thorimbert, A.; Rezzi, S.; Kochhar, S.; Benyacoub, J.; Kollias, G.; Haller, D., 2012: Metabolic phenotyping of the Crohn's disease-like IBD etiopathology in the TNF(ΔARE/WT) mouse model. The underlying biochemical consequences of inflammatory bowel disease (IBD) on the systemic and gastrointestinal metabolism have not yet been fully elucidated but could help to better understand the disease pathogenesis and to identify tissue-spec...

Il'kovich, M.M.; Dovnar, T.E.; Kingo, Z.N.; Palamarchuk, G.F., 1984: Phagocytic activity of monocytes and alveolar macrophages in exogenous allergic alveolitis and other disseminated processes in the lungs. Problemy Tuberkuleza: 60-65

Gilmore D.D., 1983: Sexual ideology in andalusian spain oral literature a comparative view of a mediterranean complex. Ethnology 22(3): 241-252