UBC Faculty Research and Publications

Injuries from falls by older adults in long-term care captured on video: Prevalence of impacts and injuries to body parts Komisar, Vicki; Dojnov, Aleksandra; Yang, Yijian; Shishov, Nataliya; Chong, Helen; Yu, Ying; Bercovitz, Ian; Cusimano, Michael D.; Becker, Clemens; Mackey, Dawn C.; Robinovitch, Stephen N.

Abstract

Background Falls are the leading cause of injuries in older adults. However, most falls in older adults do not cause serious injury, suggesting that older adults may fall in a manner that reduces the likelihood of impact to body sites that are most vulnerable to injury. In this observational study of falls in long-term care (LTC), we tested whether body parts differed in their probability of impact and injury. Methods We recorded and analyzed videos of 2388 falls by 658 LTC residents (mean age 84.0 (SD = 8.1); 56.4% female). We used Linear Mixed Models to test for differences between body parts in the probability of impact and injury, and injury when impacts occurred. Results Injuries were reported in 38.2% of falls, and 85.9% of injuries involved direct impact to the injured body part. Impact occurred most often to the hip/pelvis (probability (standard error) = 0.95 (0.01); p 

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Attribution 4.0 International (CC BY 4.0)