{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T04:43:21Z","timestamp":1770957801178,"version":"3.50.1"},"reference-count":30,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gerontology"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; Falls are currently the top safety problem in long-term care facilities (LTCFs) in China. Due to the increasing number of residents living in LTCFs, more evidence is needed to give a foundation for fall prevention. &lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; This study aimed to explore the epidemiological characteristics of falls in LTCFs in central Shanghai. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; The study was conducted in 21 LTCFs in a central district in Shanghai, with a capacity of 3,065 residents. A two-stage sampling method was applied in participant recruitment. Falls were recorded by LTCF staff over a 12-month period. Details of falls were obtained by face-to-face interviews. The \u03c7&lt;sup&gt;2&lt;\/sup&gt; test was used in data analyses. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; The incidence of falls was 13.5%; 64.0% falls resulted in injuries, with 32.0% involving fractures. Women had a significantly higher incidence of injurious falls than men (\u03c7&lt;sup&gt;2&lt;\/sup&gt; = 4.066, &lt;i&gt;p&lt;\/i&gt; = 0.044). Residents aged 80\u201389 years or in level 1 care had the highest incidence of falls with severe consequences. The incidence of falls was significantly higher at small- or medium-sized LTCFs, public LTCFs, and LTCFs with higher environmental risk levels compared to their counterparts. Most falls occurred when walking on a flat floor (28.9%) and rising up or sitting down (24.0%); 40.9% occurred during the night. Of those injured, 54.8% were treated in hospitals, and only 53.7% completely recovered. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Though the average incidence of falls in LTCFs in Shanghai was relatively low, great variation was observed between LTCFs, and severe consequences occurred frequently. Fall prevention programmes should be evidence-based with applicable devices and individualized care services and supports. The roles of personal and institutional factors on falls warrant further study. <\/jats:p>","DOI":"10.1159\/000510469","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T21:00:51Z","timestamp":1602018051000},"page":"523-531","source":"Crossref","is-referenced-by-count":10,"title":["Falls and Fall-Related Consequences among Older People Living in Long-Term Care Facilities in a Megacity of China"],"prefix":"10.1159","volume":"66","author":[{"given":"Yu","family":"Jiang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qinghua","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuo","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinod\u00a0K.","family":"Diwan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biao","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2020,10,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-012-0368-6"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03286.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-3988(09)60043-X"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2010.07.002"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afs012"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0690(02)00002-2"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-3743.2007.00070.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1177\/0898264316641083"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21835"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000014375"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afn297"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X09990614"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53158.x"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51103.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/NOR.0000000000000023"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53455.x"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-50"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/aft130"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2012.08.005"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOHE.0000016717.22032.03"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1080\/pri.20.2.118.122"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.03.015"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-003-0143-8"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3506(02)90016-8"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2005.00081.x"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1177\/14034948020300011201"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01954.x"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2011.11.002"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.4048"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61263-X"}],"container-title":["Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/510469","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/510469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:56:35Z","timestamp":1745423795000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000510469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":30,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,12,2]]},"published-print":{"date-parts":[[2020,12,8]]}},"URL":"https:\/\/doi.org\/10.1159\/000510469","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.13055627","asserted-by":"subject"}]},"ISSN":["0304-324X","1423-0003"],"issn-type":[{"value":"0304-324X","type":"print"},{"value":"1423-0003","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}