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Falls Risk in Long-Term Care Residents With Cognitive Impairment: Effects of COVID-19 Pandemic.
Cheung, Gary; Beyene, Kebede; Yan Chan, Amy Hai; Drayton, Bradley Alan; Jamieson, Hamish; Lyndon, Mataroria; Hikaka, Joanna; Ma'u, Etuini; Meehan, Brigette; Walker, Xaviour; Rivera-Rodriguez, Claudia.
Afiliación
  • Cheung G; Department of Psychological Medicine, School of Medicine, Faculty of Medical and Health Science, The University of Auckland, Auckland, New Zealand. Electronic address: g.cheung@auckland.ac.nz.
  • Beyene K; Department of Pharmaceutical and Administrative Sciences, University of Health Sciences and Pharmacy, St Louis, MO, USA.
  • Yan Chan AH; School of Pharmacy, Faculty of Medical and Health Science, The University of Auckland, Auckland, New Zealand.
  • Drayton BA; Department of Statistics, Faculty of Science, The University of Auckland, Auckland, New Zealand.
  • Jamieson H; Department of Medicine, Christchurch Medical School, University of Otago, Christchurch, New Zealand.
  • Lyndon M; The Centre for Medical and Health Sciences Education, School of Medicine, Faculty of Medical and Health Science, The University of Auckland, Auckland, New Zealand.
  • Hikaka J; Te Kupenga Hauora Maori, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
  • Ma'u E; Department of Psychological Medicine, School of Medicine, Faculty of Medical and Health Science, The University of Auckland, Auckland, New Zealand.
  • Meehan B; interRAI New Zealand, Te Whatu Ora/Health New Zealand, Wellington, New Zealand.
  • Walker X; Department of Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand.
  • Rivera-Rodriguez C; Department of Statistics, Faculty of Science, The University of Auckland, Auckland, New Zealand.
J Am Med Dir Assoc ; 25(1): 177-182, 2024 Jan.
Article en En | MEDLINE | ID: mdl-38104633
ABSTRACT

OBJECTIVES:

The aim of this study was to investigate the impact of the COVID-19 pandemic on falls rates in long-term care residents with cognitive impairment.

DESIGN:

An observational study using routinely collected national interRAI data. SETTING AND

PARTICIPANTS:

Participants were from long-term care residents (age ≥60 years) who received an interRAI Long Term Care Facility assessment anywhere in New Zealand between August 17, 2018, and August 16, 2022.

METHODS:

The primary outcome was "At least 1 fall in the last 30 days." Based on the Cognitive Performance Scale (CPS), cognitive impairment was categorized into 3 levels intact or borderline intact (0-1), mild to moderate impairment (2-3), and moderately to very severe impairment (4-6). The COVID-19 pandemic was divided into 3 periods (First wave March 21, 2020, to June 8, 2020; Varying level of community outbreaks June 9, 2020 to August 16, 2021; and Delta-Omicron wave August 17, 2021, to August 16, 2021) and compared to a pre-COVID-19 period (August 17, 2018, to March 20, 2020). Cox regression modeling was used to study falls and interactions between CPS and COVID-19 pandemic periods, along with other established falls risk factors in the literature.

RESULTS:

A total of 282,518 interRAI-LTCF assessments from 75,132 unique residents were included. Interactions between CPS and COVID-19 pandemic periods found that cognitive impairment was associated with a higher hazard ratio (ranged from 1.22 to 1.37) in each of the 3 COVID-19 pandemic periods. We also found unstable health, unsteady gait, wandering, and moderate to severe ADL dependency were the strongest risk factors for falls. CONCLUSIONS AND IMPLICATIONS Cognitively impaired long-term care residents had an increased risk for falls during the COVID-19 pandemic. This risk was influenced by several factors. In future pandemic or infection control related isolation, residents who are most at risk can be identified for targeted falls prevention programs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disfunción Cognitiva / COVID-19 Límite: Humans / Middle aged Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disfunción Cognitiva / COVID-19 Límite: Humans / Middle aged Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos