Aims: To describe the circumstances and consequences of falls in long-term residential care homes in New Zealand.
Methods: A study followed 14 residential care facilities over 18 months and recorded all falls experienced by 680 residents (97% participation rate). The number and characteristics of falls are described according to the timing, activities, direction, and severity of falls. Predictors of injury are examined using regression techniques.
Results: 271 residents sustained 954 falls, 63% of which resulted in injury. The rate of falls increased in the afternoons especially in rest homes. Environmental hazards were involved with 15% of falls. Falling in the dining room was associated with fewer injuries, and falling from a standing height, and to the side, were independently associated with major injury such as hip fracture.
Conclusion: The timing and circumstances of observed falls and their subsequent injuries is useful information for healthcare planners, and staff involved in the care of older people living in long-term residential care settings.