TY - JOUR PY - 2021// TI - Changes in motor behavior predict falls and identify acute events JO - Western journal of nursing research A1 - Bowen, Mary Elizabeth A1 - Cacchione, Pamela SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.
Language: en
LA - en SN - 0193-9459 UR - http://dx.doi.org/10.1177/01939459211031981 ID - ref1 ER -