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NSW Public Health Bulletin archive

Incidence of falls and fall-related outcomes among people in aged-care facilities in the Lower Hunter region, NSW Volume 19 Issue 9-10

Richard E. Gibson, Mandy Harden, Julie Byles, John Ward

New South Wales Public Health Bulletin 19(10) 166–169 Published online: 21 November 2008

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Richard E. Gibson

Mandy Harden

Julie Byles

John Ward


This article describes the rate of falls and adverse outcomes following falls, such as fracture, hospitalisation and death, among residents of 88 aged-care facilities in the Lower Hunter region of NSW from July to December 2005. A high rate of falls was observed with a crude incidence of 171 falls per 1000 beds per month. Around 40% of the falls resulting in hospitalisation were for fractured neck of femur. Estimated 3-month survival following fractured neck of femur was low, with a rate ratio of around 1 : 3. The data indicate an urgent need for falls injury prevention in aged-care facilities.