PMID- 14599699
OWN - NLM
STAT- MEDLINE
DCOM- 20040617
LR  - 20191026
IS  - 0167-4943 (Print)
IS  - 0167-4943 (Linking)
VI  - 38
IP  - 1
DP  - 2004 Jan-Feb
TI  - Long-term survival after falls among the elderly in institutional care.
PG  - 1-10
AB  - Falls of the elderly are a major problem in institutional care. However, more 
      comprehensive studies concerning the long-time survival of fallen 
      institutionalised elderly are lacking. We investigated the 5-year survival of 
      institutionalised elderly fallers and controls. Data of the patients aged over 60 
      years, who fell during the 1-year period (n=218) in four institutions were 
      collected prospectively. The controls consisted of patients of the same age who 
      did not fall within the same period (n=632). The survival of both groups was 
      analysed by gender in the total data, and in the short-term (ST) and long-term 
      (LT) patients separately. In addition, the survival of fallers was investigated 
      according to the number of falls per patient. After follow-up, 164 (75%) fallers 
      and 369 (58%) controls were dead. The female controls survived best and the 
      survival of the male fallers was the poorest. The death rate was higher than 
      expected among female fallers and lower than expected among female controls. The 
      survival of the patients who fell twice during the 1-year period was clearly 
      poorer than of those who fell once or three or more times. No difference in the 
      survival rates was found between the injured and non-injured fallers. Falls in 
      institutional care predict poor survival. The first and especially the second 
      fall should be prevented.
FAU - Nurmi, Ilona S
AU  - Nurmi IS
AD  - Department of General Practice and Primary Health Care, University of Helsinki, 
      P.O. Box 41, FIN-00014 Helsinki, Finland. ilona.nurmi@pp.inet.fi
FAU - Luthje, Peter M J
AU  - Luthje PM
FAU - Kataja, J Matti
AU  - Kataja JM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - Netherlands
TA  - Arch Gerontol Geriatr
JT  - Archives of gerontology and geriatrics
JID - 8214379
SB  - IM
MH  - Accidental Falls/*mortality/prevention & control/statistics & numerical data
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Finland/epidemiology
MH  - Follow-Up Studies
MH  - *Hospitals/statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - *Nursing Homes/statistics & numerical data
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Sex Factors
MH  - Statistical Distributions
MH  - Survival Rate
MH  - Survivors/*statistics & numerical data
EDAT- 2003/11/06 05:00
MHDA- 2004/06/18 05:00
CRDT- 2003/11/06 05:00
PHST- 2003/11/06 05:00 [pubmed]
PHST- 2004/06/18 05:00 [medline]
PHST- 2003/11/06 05:00 [entrez]
AID - S0167494303000797 [pii]
AID - 10.1016/s0167-4943(03)00079-7 [doi]
PST - ppublish
SO  - Arch Gerontol Geriatr. 2004 Jan-Feb;38(1):1-10. doi: 
      10.1016/s0167-4943(03)00079-7.