We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Changes in Motor Behavior Predict Falls and Identify Acute Events.
- Authors
Bowen, Mary Elizabeth; Cacchione, Pamela
- Abstract
This study aimed to examine how changes in motor behavior are associated with falls, delirium, and urinary tract infections (UTIs). Twenty-three (128 observations) skilled nursing residents were examined for up to 18 months. In multilevel models, motor behaviors (e.g., time and distance traveled, gait speed), measured by a real-time locating system, were used to predict falls, UTIs, and delirium. Falls were associated with decreased gait speed (OR = 0.01; p ≤ 0.001) and path distance (OR = 0.99; p ≤ 0.05); delirium was associated with increased distance traveled (OR = 1.01; p ≤ 0.001), path distance (OR = 1.02; p ≤ 0.001), and decreased time traveled (OR = 0.99; p ≤ 0.001) and path time (OR = 0.99; p ≤ 0.001); UTIs were associated with increased distance traveled (OR = 1.01; p ≤ 0.001), decreased time traveled (OR = 0.99; p ≤ 0.001), and the number of paths (OR = 0.91; p ≤ 0.01). Subtle changes in motor behavior may be an early warning sign of falls and acute events. Continuous monitoring may enable clinical staff to prevent, identify early, and/or delay these poor health outcomes.
- Subjects
RISK of delirium; COGNITION disorders; CONFIDENCE intervals; URINARY tract infections; INDEPENDENT variables; PSYCHOLOGICAL vulnerability; REGRESSION analysis; ACTIVITIES of daily living; COGNITION; RISK assessment; NEUROPSYCHOLOGICAL tests; ACCIDENTAL falls; DESCRIPTIVE statistics; RESEARCH funding; DATA analysis software; ODDS ratio; SENSITIVITY &; specificity (Statistics); MOTOR ability; LONGITUDINAL method; DISEASE risk factors
- Publication
Western Journal of Nursing Research, 2022, Vol 44, Issue 12, p1100
- ISSN
0193-9459
- Publication type
Article
- DOI
10.1177/01939459211031981