Assessment of risk and incidence of falls in neurosurgical inpatients

Diccini, Solange; Pinho, Priscila Gomes de; Silva, Fabiana Oliveira da

doi:10.1590/s0104-11692008000400016

Cited by 27 publications

(37 citation statements)

References 9 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, additional studies on this issue will need to be conducted. Second, the changes in the level of awareness, use of medication, incontinence, and increased age (> 65 years) have previously been found to be associated with a risk of falls in stroke patients (Diccini et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Cho¹,

Lee

2013

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Falling is one of the most common complications of stroke. The purpose of this study was to investigate the impact of falling on cognitive and physical function in post-stroke patients. Further, the predictive factors associated with independence of activity of daily living (ADL) in stroke patients with falls experience were investigated. Sixty-six participants were divided into 2 groups according to history of falling: faller (n = 34) and non-faller (n = 32). All participants were examined for cognitive and physical function. Static balance was measured by postural sway using a force platform. Dynamic balance was measured using the Berg Balance Scale (BBS) and the Modified Rivermead Mobility Index (MRMI), which shows the degree of performance for balance tasks. ADL was measured using the Modified Barthel Index (MBI), which shows the degree of independence. The fallers showed lower cognitive and physical function than the non-fallers (p < 0.05). This finding indicates that falling is associated with reduced physical function, as well as reduced cognitive function. In the fallers, the ADL (MBI) was moderately correlated with each of cognition [MMSE (r = 0.388, p = 0.023)], dynamic balance [MRMI (r = 0.514, p = 0.002) and BBS (r = 0.572, p < 0.000)]. In addition, regression analysis showed that BBS was a primary predictor for ADL performance (R 2 = 0.327, β = 0.572, p < 0.000). Our findings indicate that enhancement of dynamic balance is needed to improve in activities necessary for normal self-care of stroke patients with falls experience.

show abstract

Section: Discussionmentioning

confidence: 99%

Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Cho¹,

Lee

2013

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

show abstract

“…During the three years assessed, falls mostly took place in the room (53), followed by the corridor (6) and bathroom (5). Most events were registered during the morning shift (11:9:9 for each year, respectively), although a considerable number of events was found during the night shift (2:6:12), followed by the afternoon shift with the lowest number of falls (5:6:4).…”

Section: Methodsmentioning

confidence: 99%

“…This situation may be due to the fact that patients were left unsupervised in the rooms for a (5,10) . A smaller percentage of falls take place when walking from the bed to the bathroom, which also corroborates our study.…”

Section: Methodsmentioning

confidence: 99%

“…More than 70% of the falls happen in the rooms, when patients move to the bed, armchair or wheelchair, and 19% when walking from the bed to the bathroom and vice-versa (5) . About 23% of the falls that affected hospitalized patients resulted in injuries, mainly bruises, sprains and lacerations (83%), while 9% were fractures.…”

Section: According To the Inspecção-geral Dasmentioning

confidence: 99%

See 1 more Smart Citation

Falls in hospital settings: a longitudinal study

Abreu

Mendes

Monteiro

et al. 2012

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

This study aims to assess the prevalence of falls, understand their consequences, identify causes and analyze intervention strategies to prevent them. This is a descriptive longitudinal study, from 2007 to 2009, in which nurses recorded patients' falls in a medicine ward, using a scale developed for this end. Most falls occurred with partially dependent patients, with a mean age ranging from 64 to 74 years. The bedroom was, in all of these years, the place where most of these falls occurred. Although most falls did not have consequences, they were observed in 36% of the cases. The number of falls increased throughout the years of the study. There was also a difference in the percentage of occurrences in the afternoon and night shifts (39% in 2007, 57% in 2008 and 64% in 2009 Caídas en el medio hospitalario: un estudio longitudinalEste estudio intenta evaluar la prevalencia de las caídas, conocer sus consecuencias, identificar causas y estudiar estrategias de intervención para prevenirlas. Es un estudio descriptivo longitudinal, realizado entre 2007 y 2009, donde los enfermeros registraron las caídas de enfermos en un servicio de medicina, de acuerdo con una escala elaborada para este propósito. La mayoría de las caídas ocurrió en enfermos parcialmente dependientes, cuyas edades variaban entre 64 y 74 años. La habitación fue, en todos los años, donde mayoritariamente estas ocurrieron. Aunque la mayoría de las caídas no hayan tenido consecuencias, se registraron en 36% de los casos.Este número aumentó a lo largo de los años del estudio. Se rebeló, igualmente, una diferencia en la proporcionalidad del número de registros para los turnos de la tarde/ noche (39%, 2007, 57%, 2008 y 64%, 2009). Se analiza la identificación de las barreras a la referencia y como rebasar estas barreras.

show abstract

“…Problems related to the hospital environment such as high beds and no grids, process failures such as grids that remained lowered and no requests for nursing assistance, were identified in a study that evaluated the risk factors and the incidence of falls in neurosurgical patients in the pre and postoperative periods (22) . The identification of environmental hazards such as the following: slippery or uneven floors; low-light places; periodic checking of conditions of beds; latches; wheelchairs; grab bars; in addition to guidance of patients regarding the use of assistive devices for ambulation, allows detecting priority needs and developing strategies for the prevention of accidental falls (23) .…”

Section: Rev Esc Enfermmentioning

confidence: 99%

Nursing care mapping for patients at risk of falls in the Nursing Interventions Classification

Luzia

Almeida

Lucena

2014

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objetivo: Identificar los cuidados de enfermería prescritos para pacientes hospitalizados con riesgos de caídas y compararlos con las intervenciones de la Nursing Interventions Classifications (NIC). Método: Estudio transversal realizado en un hospital universitario del sur de Brasil. La recolección de datos fue retrospectiva en un sistema informatizado de registros de enfermería. La muestra se constituyó por 174 pacientes adultos internados en unidades clínicas y quirúrgicas con el Diagnóstico de Enfermería Riesgo de Caídas. Los cuidados prescritos fueron comparados con las intervenciones de la NIC por el método de mapeo cruzado. Resultados: Los cuidados más prevalentes fueron: mantener barandas en la cama, orientar al paciente y familia en relación a los riesgos y prevención de caídas, mantener el timbre al alcance del paciente y mantener las pertenencias cerca al paciente. Estos fueron mapeados en las intervenciones Control del Ambiente: Seguridad y Protección contra Caídas. Conclusión: Los cuidados prescritos en la práctica clínica fueron corroborados por el referencial de la NIC.

show abstract

Assessment of risk and incidence of falls in neurosurgical inpatients

Cited by 27 publications

References 9 publications

Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Falls in hospital settings: a longitudinal study

Nursing care mapping for patients at risk of falls in the Nursing Interventions Classification

Contact Info

Product

Resources

About