title: Cohort study of institutionalized elderly people: fall risk factors from the nursing diagnosis.
abstract: OBJECTIVE
  To determine the incidence of falls in elderly residents of long-stay institutions of the Federal District, to identify the aspects involved in the falls, in terms of risk factors, from the application of scales and the Taxonomy II of NANDA-I, and to define the level of accuracy with its sensitivity and specificity for application in the clinical nursing practice.
  
  
  METHODS
  This was a cohort study with the evaluation of 271 elderly people. Cognition, functionality, mobility and other intrinsic factors were evaluated. After six months, the elderly people who fell were identified, with significance analysis then performed to define the risk factors.
  
  
  RESULTS
  The results showed an incidence of 41%. Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period. Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145).
  
  
  CONCLUSIONS
  The taxonomy has high validity regarding the detection of elderly people at risk of falling and should be applied consistently in the clinical nursing practice.
authors.affiliation: Universidade de Brasília, Brasília, DF, Brazil.
authors.forename: Karine Marques Costa
authors.initials: KM
authors.lastname: dos Reis
authors.affiliation: Departamento de Enfermagem, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, DF, Brazil.
authors.forename: Cristine Alves Costa
authors.initials: CA
authors.lastname: de Jesus
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000368:Aged; D002908:Chronic Disease; D015331:Cohort Studies; D006801:Humans; D015994:Incidence; D007326:Institutionalization / Q000706:statistics & numerical data*; D009733:Nursing Diagnosis; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity; D020521:Stroke / Q000150:complications