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Observational Study
. 2018 Aug 9:26:e3016.
doi: 10.1590/1518-8345.2460.3016.

Risk factors for fall occurrence in hospitalized adult patients: a case-control study

[Article in English, Portuguese, Spanish]
Isis Marques Severo  1 , Ricardo de Souza Kuchenbecker  2 , Débora Feijó Villas Boas Vieira  3 , Amália de Fátima Lucena  3 , Miriam de Abreu Almeida  3
Affiliations
Observational Study

Risk factors for fall occurrence in hospitalized adult patients: a case-control study

[Article in English, Portuguese, Spanish]
Isis Marques Severo et al. Rev Lat Am Enfermagem. .

Abstract

Objective: to identify risk factors for falls in hospitalized adult patients.

Methods: a matched case-control study (one control for each case). A quantitative study conducted in clinical and surgical units of a teaching hospital in Southern Brazil. The sample comprised 358 patients. Data were collected over 18 months between 2013-2014. Data analysis was performed with descriptive statistics and conditional logistic regression using Microsoft Excel and SPSS version 18.0.

Results: risk factors identified were: disorientation/confusion [OR 4.25 (1.99 to 9.08), p<0.001]; frequent urination [OR 4.50 (1.86 to 10.87), p=0.001]; walking limitation [OR 4.34 (2.05 to 9.14), p<0.001]; absence of caregiver [OR 0.37 (0.22 to 0.63), p<0.001]; postoperative period [OR 0.50 (0.26 to 0.94), p=0.03]; and number of medications administered within 72 hours prior the fall [OR 1.20 (1.04 to 1.39) p=0.01].

Conclusion: risk for falls is multifactorial. However, understanding these factors provides support to clinical decision-making and positively influences patient safety.

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Figures

Figure 1
Figure 1. Conceptual and operational definitions of the study variables. Porto Alegre, RS, Brazil, 2013-2014
Figure 2
Figure 2. Number of medications administered prior the fall (n=358). Porto Alegre, RS, Brazil, 2013-2014
See this image and copyright information in PMC

References

    1. Word Health Organization . WHO Global report on falls prevention in older age [Internet] Geneva: WHO; 2007. http://www.who.int/violence_injury_prevention/other_injury/falls/en
    1. National Patient Safety Agency . Slips trips and falls in hospital [Internet] London: National Patient Safety Agency; 2007. http://www.nrls.npsa.nhs.uk/EasySiteWeb/getresource.axd?AssetID=61390&
    1. Cigolle CT, Ha J, Min LC, Lee PG, Gure TR, Alexander NB, et al. The epidemiologic data on falls, 1998-2010 more older Americans report falling. JAMA Intern Med. 2015;175(3):443–445. doi: 10.1001/jamainternmed.2014.7533. - DOI - PMC - PubMed
    1. Hartholt KA, Van der Velde N, Looman CW, Van Lieshout EM, Panneman MJ, Van Beeck EF, et al. Trends in fall-related hospital admissions in older persons in the Netherlands. Arch Intern Med. 2010;170(10):905–911. doi: 10.1001/archinternmed.2010.106. - DOI - PubMed
    1. Halfens RJG, Meesterberends E, Nie-Visser NCV, Lohermann C, Scheonherr S, Meijers JMM, et al. International prevalence measurement of care problems: results. JAN. 2013;69(9):e5–e17. doi: 10.1111/jan.12189.. - DOI - PubMed

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