title: The contribution falls have to increasing risk of nursing home placement in community-dwelling older adults.
abstract: OBJECTIVE
  To determine whether a fall, as an adverse event in combination with other risk factors, influences nursing home placement (NHP).
  
  
  METHODS
  A retrospective longitudinal study of 6,515 high-risk, community-dwelling, dually eligible (Medicare/Medicaid) participants in a waiver program during 2002-2007 are examined. Data are obtained from the Minimum Data Set-Home Care linked with Medicaid claim files. The authors fit multiple factors to a logistic curve, using generalized linear modeling to predict increased risk of NHP when a fall occurred.
  
  
  RESULTS
  Prior NHP and an increased rate of falls (Odds Ratio [OR] = 1.52, 95% Confidence Interval [CI] = 1.25-1.84) and prior NHP and the same rate of falls (OR = 1.55, 95% CI = 1.26-1.91) both increased NHP.
  
  
  CONCLUSIONS
  An adverse event such as a fall and prior NHP is a strong predictor of future NHP and should be taken into consideration while developing care plans for community-dwelling older adults.
authors.affiliation: Michigan State University College of Nursing, East Lansing, MI 48824, USA. spoelst5@msu.edu
authors.forename: Sandra Lee
authors.initials: SL
authors.lastname: Spoelstra
authors.forename: Barbara
authors.initials: B
authors.lastname: Given
authors.forename: Mei
authors.initials: M
authors.lastname: You
authors.forename: Charles W
authors.initials: CW
authors.lastname: Given
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000368:Aged; D005260:Female; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D057187:Independent Living / Q000706:statistics & numerical data*; D007326:Institutionalization; D016014:Linear Models; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors