Circumstances of Falls During Sit-to-Stand Transfers in Older People: A Cohort Study of Video-Captured Falls in Long-Term Care.

Autor:	Komisar V; Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, Canada; School of Engineering, University of British Columbia, Kelowna, Canada. Electronic address: vkomisar@sfu.ca., van Schooten KS; Neuroscience Research Australia, Sydney, Australia; School of Population Health, Faculty of Medicine, University of New South Wales, Sydney, Australia., Aguiar OMG; Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, Canada., Shishov N; Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, Canada., Robinovitch SN; Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, Canada; School of Engineering Science, Simon Fraser University, Burnaby, Canada.
Jazyk:	angličtina
Zdroj:	Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2023 Apr; Vol. 104 (4), pp. 533-540. Date of Electronic Publication: 2022 Nov 17.
DOI:	10.1016/j.apmr.2022.10.012
Abstrakt:	Objective: To characterize the circumstances of falls during sit-to-stand transfers in long-term care (LTC), including the frequency, direction, stepping and grasping responses, and injury risk, based on video analysis of real-life falls. Design: Cohort study. Setting: LTC. Participants: We analyzed video footage of 306 real-life falls by 183 LTC residents that occurred during sit-to-stand transfers, collected from 2007 to 2020. The mean age was 83.7 years (SD=9.0 years), and 93 were female (50.8%). Intervention: Not applicable. Main Outcome Measures: We used Generalized Estimating Equations to test for differences in the odds that a resident would fall at least once during the rising vs stabilization phases of sit-to-stand and to test the association between the phase of the transfer when the fall occurred (rising vs stabilization) and the following outcomes: (1) the initial fall direction; (2) the occurrence, number, and direction of stepping responses; (3) grasping of environmental supports; and (4) documented injury. Results: Falls occurred twice as often in the rising phase than in the stabilization phase of the transfer (64.0% and 36.0%, respectively). Falls during rising were more often directed backward, while falls during stabilization were more likely to be sideways (odds ratio [OR]=1.95; 95% confidence interval [CI]=1.07-3.55). Falls during rising were more often accompanied by grasping responses, while falls during stabilization were more likely to elicit stepping responses (grasping: OR=0.30; 95% CI=0.14-0.64; stepping: OR=8.29; 95% CI=4.54-15.11). Injuries were more likely for falls during the stabilization phase than the rising phase of the transfer (OR=1.73; 95% CI=1.04-2.87). Conclusion: Most falls during sit-to-stand transfers occurred from imbalance during the rising phase of the transfer. However, falls during the subsequent stabilization phase were more likely to cause injury. (Copyright © 2022 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu