Analysis of fall risk factors in adults within the first 48 hours of hospitalization

Remor, Carine Peres; Cruz, Carla Barroca; Urbanetto, Janete de Souza

doi:10.1590/1983-1447.2014.04.50716

Cited by 20 publications

(29 citation statements)

References 12 publications

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“…Falls from bed were the second most common: 22.9% and 17.9% of the test and validation samples, respectively. These findings are similar to those of other studies (Pasa et al., ; Remor et al., ). Patients spend most of their time in the bedroom while hospitalized, rather than the bathroom or corridors, which explains the higher prevalence of falls there (Prates et al., ; Victor et al., ).…”

Section: Discussionsupporting

confidence: 93%

A predictive model for fall risk in hospitalized adults: A case–control study

Severo

Kuchenbecker

Vieira

et al. 2018

Journal of Advanced Nursing

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Aim:To develop and validate a predictive model for falls in hospitalized adult clinical and surgical patients, assessing intrinsic (i.e. patient-related) and extrinsic factors (i.e. care process-related). Background:To identify factors predictive of falls and enable appropriate management of fall risk it is necessary to understand patient and environmental factors, along with care delivery processes. Design:A matched case-control study. Methods:This study was conducted in the medical and surgical wards of a Brazilian teaching hospital. The sample included 536 patients, with data collected in 2013- Data analysis included descriptive statistics and conditional logistic regression.Cases of patients aged 18 years or older who fell while hospitalized were included.One patient who did not fall during hospitalization, matched by sex, ward and admission date, was selected as a control for each included case. Results: The SAK Fall Scale (Severo-Almeida-Kuchenbecker) was developed and validated. The scale includes seven variables: disorientation/confusion, frequent urination, walking limitations, lack of caregiver, postoperative status, previous falls and number of medications administered within 72 hr prior to the fall. This scale showed acceptable predictive accuracy. Conclusions: The newly developed SAK Fall Scale includes five intrinsic and two extrinsic variables and differs from other predictive scales for falls. The findings of this study are broad and the scale, which is easy to apply, can be used worldwide by nurses in health services. In advanced practice, the testing of a new model for fall risk contributes to preventive interventions and thus has an impact on patient safety. K E Y W O R D S adult, advanced practice, falls, nurses, patient safety, risk management *Member of the Study Group on Adult and Elderly Care -GEPECADI -CNPq.• The study gives data for a new prediction model that should be used to predict fall risk.• The findings should be used to support the care and safety of hospitalized clinical and surgical patients. 564 | SEVERO ET AL.

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Section: Discussionsupporting

confidence: 93%

A predictive model for fall risk in hospitalized adults: A case–control study

Severo

Kuchenbecker

Vieira

et al. 2018

Journal of Advanced Nursing

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“…Thus, the classification of falls risk favors the planning of interventions with the purpose of preventing this adverse event (22) . Another study which used the Morse Scale to analyze risk factors for falls in the first 48 hours of hospitalization and associate them with the occurrence of falls, also found a statistical association between visual impairment and occurrence of falls, since 88.6% of those who (previously) fell had this impairment (23) . It is important to emphasize that this risk factor is little emphasized in existing studies related to the risk of falls.…”

Section: Discussionmentioning

confidence: 95%

“…The use of the Morse Scale was effective in other studies because its use showed high sensitivity in classification (25) since the great majority of patients who fell had a high risk for falls (23) . One study analyzed the Morse Scale in hospitalized Portuguese adult patients in association with their characteristics, diagnosis and length of stay, evidencing that several risk factors for falls are not evaluated by it; a result that is in agreement with the results of this study (26) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the risk of falls in hospitalized adult patients

Bittencourt

Graube

Stumm

et al. 2017

Rev. esc. enferm. USP

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OBJECTIVE Analyzing factors related to the risk of falls in hospitalized adult patients. METHOD A cross-sectional, analytical and quantitative study, developed in Clinical and Surgical Hospitalization Units from June to August 2015. Data collection instruments were sociodemographic and clinical forms, and the Morse Scale. Data were obtained with the patients and from medical records. Absolute and relative frequencies were used in the univariate statistical analysis, and chi-square test in the bivariate analysis. RESULTS 612 patients participated in the study. An association (p<0.001) was found between the high risk of falls and clinical neurological hospitalization, surgical trauma (hospitalization) and comorbidities such as diabetes mellitus, systemic arterial hypertension, visual impairment, vertigo and fear of falling. CONCLUSION An association between the risk of falls was found due to hospitalization, comorbidities and intrinsic factors. Regarding extrinsic factors, an association between mats/carpets and risk of falls was found. No association between the risk of falls with other extrinsic factors was found.

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“…Based on the results, some strategies can be cited that can be included in the care plan: use specific instruments to predict the risk of falls, one of which is the MFS: train the team on the appropriate way to assess the patient and implement the strategies; advise patients/companions on the risk factors that can entail falls; and identify high-risk patients, using a signal at the headrest or a specific wristband, among other strategies 7 - 8 , 22 .…”

Section: Discussionmentioning

confidence: 99%

Risk assessment and incidence of falls in adult hospitalized patients

Pasa

Magnago

Urbanetto

et al. 2017

Rev. Latino-Am. Enfermagem

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Objectives: assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment.Method: cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls.Results: the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000).Conclusion: the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.

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Analysis of fall risk factors in adults within the first 48 hours of hospitalization

Cited by 20 publications

References 12 publications

A predictive model for fall risk in hospitalized adults: A case–control study

A predictive model for fall risk in hospitalized adults: A case–control study

Factors associated with the risk of falls in hospitalized adult patients

Risk assessment and incidence of falls in adult hospitalized patients

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