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Compliant sports fl...
Compliant sports floors and fall-related injuries: evidence from a residential care setting and updated meta-analysis for all patient care settings
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- Gustavsson, Johanna, 1972- (author)
- Karlstads universitet,Institutionen för samhälls- och kulturvetenskap (from 2013),Centrum för forskning om samhällsrisker, CSR (från 2020)
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- Nilson, Finn, 1980- (author)
- Karlstads universitet,Centrum för forskning om samhällsrisker, CSR (från 2020),Institutionen för samhälls- och kulturvetenskap (from 2013)
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- Bonander, Carl (author)
- Karlstads universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Centrum för forskning om samhällsrisker, CSR (från 2020),University of Gothenburg
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(creator_code:org_t)
- 2022-12-23
- 2023
- English.
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In: Injury Prevention. - : BMJ. - 1353-8047 .- 1475-5785. ; 29:4, s. 283-289
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Abstract
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- BackgroundCompliant flooring may prevent fall injuries in residential care, but evidence is inconclusive. We investigate compliant sports floors and fall-related injuries in a residential care setting and update a meta-analysis from a recent systematic review on compliant flooring. MethodsA non-randomised study comparing outcomes in a residential care unit that installed sports flooring in bedrooms with four units with regular flooring in a Norwegian municipality (n=193). Data on falls were collected for a period of 46 months (323 falls on sports flooring; 414 on regular flooring). Outcomes were injurious falls per person bed-day, falls per person bed-day and injury risks per fall. Confounding was adjusted for using Andersen-Gill proportional hazards and log-binomial regression models. Random-effects inverse variance models were used to pool estimates. ResultsInjurious fall rates were 13% lower in the unit with sports flooring (adjusted HR (aHR): 0.87 (95% CI: 0.55 to 1.37)). There was limited evidence of adverse effects on fall rates (aHR: 0.93 (95% CI: 0.63 to 1.38)) and the injury risk per fall was lower in fall events that occurred on sports floors (adjusted relative risk (RR): 0.75 (95% CI: 0.53 to 1.08)). Pooling these estimates with previous research added precision, but the overall pattern was the same (pooled RR for injurious falls: 0.66 (95% CI: 0.39 to 1.12); fall rates: 0.87 (95% CI: 0.68 to 1.12); injury risks per fall: 0.71 (95% CI: 0.52 to 0.97)). ConclusionSports floors may be an alternative to novel shock-absorbing floors in care settings; however, more research is needed to improve precision.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- hip facture
- environmental modification
- fall
- non-randomized trial
- outcome evaluation
- older people
- impact attenuation
- hip fracture
- risk-factors
- prevention
- wards
- model
- Public
- Environmental & Occupational Health
- hip facture
- Risk and Environmental Studies
Publication and Content Type
- ref (subject category)
- art (subject category)
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