Sit-stand powered mechanical lifts in long-term care and resident quality indicators

J Occup Environ Med. 2013 Jan;55(1):36-44. doi: 10.1097/JOM.0b013e3182749c35.


Objective: To determine associations between long-term care powered mechanical lift (PML) availability and mobility-related resident outcomes.

Methods: Long-term care directors of nursing (N = 271) nationwide gave facility information on the PML availability and the lifting policy to which we linked data on mobility-related resident outcomes from the Centers for Medicare & Medicaid Services Minimum Data Set Quality Indicators.

Results: Four of six Centers for Medicare & Medicaid Services-derived resident indicators improved with the PML number but were maximal for the sit-stand lift use. In facilities with the fewest lifts, 16% of residents had pressure ulcers and 4% were bedfast. In facilities with the maximum number of lifts, only 10% had pressure ulcers (P = 0.000) and 2% were bedfast (P = 0.002). Although falls were more frequent with more lift use, this risk was blunted by a comprehensive safe lift program.

Conclusion: The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls / prevention & control
  • Accidental Falls / statistics & numerical data
  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Fractures, Bone / epidemiology
  • Fractures, Bone / prevention & control
  • Geriatric Assessment
  • Geriatric Nursing
  • Homes for the Aged*
  • Humans
  • Long-Term Care / methods
  • Male
  • Mobility Limitation
  • Moving and Lifting Patients / instrumentation*
  • Moving and Lifting Patients / methods
  • Nursing Homes*
  • Patient Safety
  • Pressure Ulcer / epidemiology
  • Pressure Ulcer / prevention & control
  • Quality Indicators, Health Care
  • Quality of Life*
  • Self-Help Devices*