The incidence and consequences of falls were investigated in three dif
ferent types of Swedish geriatric care clinics: a geriatric rehabilita
tion clinic, a psychogeriatric clinic and a nursing home. Falls were p
rospectively registered by the nursing staff. The incidence rate (and
95% confidence interval) of falls per 10,000 patient days of the psych
ogeriatric clinic was 171 (146-196), compared with 92 (72-112) at the
geriatric rehabilitation clinic, and 31 (22-41) at the nursing home. M
ost falls (62%) did not result in injury, while major injuries occurre
d in 5%. We conclude that accidental falls are a major problem in geri
atric care in Sweden, but there is a considerable difference in incide
nce rates between different types of institutions.