Risk Factors for Falls in Residential Care: Evidence from RAI MDS ...

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Normal MDS assessment pattern Day of stay in facility 14 105 196 287 378 150 30 Issues to consider in identifying day of first fall event: - Principle of conservatism: certain that fall occurred in facility (LOS>30 days for J4a, LOS>180 days for J4b) - Don’t know exactly when fall occurred, so assign mid-point day in possible interval - Take all possible events, choose earliest one for time-to-event analysis - ‘Under-detecting’ falls early in stay due to conservative approach
‘Survival’ Plot for new admissions (Ontario LTC Homes, 2005-2008, CCRS, falls) Under-detection early in stay Interpretation: 25% of residents experience a fall in a facility within 130 days of admission Artifacts of periodic reassessment Proportion without a fall Day of stay
Page 1 and 2: Risk Factors for Falls in Residenti
Page 3 and 4: Some Observations About Falls Niaga
Page 5 and 6: Applications of interRAI Instrument
Page 7 and 8: MDS 2.0 Assessment • Developed in
Page 9 and 10: Example MDS 2.0 items
Page 11: Instrumentation Issues: falls • M
Page 15 and 16: Relative Risk • Expressed as a nu
Page 17 and 18: Fun With Data
Page 19 and 20: Fell in last 31-180 days Relative R
Page 21 and 22: Relative Risk < 65: 1.00 65-74: 1.1
Page 23 and 24: Visually Impaired (D1 > 2) Relative
Page 25 and 26: Physical Dependence (ADL) Relative
Page 27 and 28: DIAGNOSES?
Page 29 and 30: Osteoporosis? Relative Risk: 1.18
Page 31 and 32: Parkinson’s? Relative Risk: 1.30
Page 33 and 34: Diabetic retinopathy? Relative Risk
Page 35 and 36: Cane, walker, or crutch Relative Ri
Page 37 and 38: Factor Relative Risk Fell last 30 d
Page 39 and 40: Scott Fall Risk Screening Tool •
Page 41 and 42: 10 Factors, Ontario LTC, new admiss
Page 43 and 44: Scott Risk Scale, 7 significant fac
Page 45 and 46: Scott Risk Scale, 7 factors, re-wei
Page 47 and 48: Scott Risk Scale, 7 significant ite
Page 53 and 54: Can Risk Adjust Falls • Ontario c
Page 55: Future work • B.C. Data • More

Risk Factors for Falls in Residential Care: Evidence from RAI MDS ...

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