¿Cuál es la incidencia de caídas real en un hospital?

Viana, Tomás Sebastián; Martín, M. Rosa García; Crespo, Fernando Javier Núñez; Rodríguez, Eva Ma.; Merino, Gema Martín; Ruiz, José Miguel González; Lorenzo, Isabel Lema; Quintas, Carmen Gloria Nogueira

doi:10.1016/j.enfcli.2011.02.011

Cited by 15 publications

(6 citation statements)

References 2 publications

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“…This analysis revealed a frequency of falls of 0.64%. These figures are in line with those described in previous studies of falls in Spanish hospitals, which have reported rates between 0.40% [6] and 1.8% [8]; these values are well below those found in other countries, where rates of 12.2% [2], 14.9% [3] and 5.4% [4] have been reported. However, the comparison of fall rates between different hospitals is not a valid method for assessing the performance of organizations in this respect, due to possible differences in the patient population, in data collection methods, in the severity of illness of the patients being treated and in the procedures applied [23].…”

Section: Discussionsupporting

confidence: 92%

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Circumstances and causes of falls by patients at a Spanish acute care hospital

Aranda-Gallardo

Morales-Asencio

Canca-Sánchez

et al. 2014

Evaluation Clinical Practice

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Section: Discussionsupporting

confidence: 92%

“…Thus, studies have reported rates of 12.2% [2] and of 14.9% [3] in a hospital in Switzerland, and of 5.4% [4] in an Australian hospital. In Spain, rates of 0.47% [5], 0.40% [6], 1.3% [7] and 1.8% [8] have been reported.…”

Section: Introductionmentioning

confidence: 99%

Circumstances and causes of falls by patients at a Spanish acute care hospital

Aranda-Gallardo

Morales-Asencio

Canca-Sánchez

et al. 2014

Evaluation Clinical Practice

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“…The rate of falls obtained (2.35%) is similar to that described in previous studies in Spanish hospitals [8]. The greatest number of falls ( n = 9) occurred during the first 72 h of hospital stay.…”

Section: Discussionsupporting

confidence: 86%

“…Fall rates vary according to health practices, the patients’ environment and the measurement method used, and so statistics for the incidence of falls in hospitals worldwide present great variability: 14.9% of a hospital in Switzerland [5], 8.7% in an acute-care hospital in Australia [6], or 1.6% in a Japanese hospital [7]. In Spain in recent years have reported rates of falls in hospitals ranging between 1.8% [8] or 0.6% in a recent study [9]. The aetiology of this event has been the subject of various epidemiological studies.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic validity of the STRATIFY and Downton instruments for evaluating the risk of falls by hospitalised acute-care patients: a multicentre longitudinal study

Aranda-Gallardo

Luna-Rodríguez

Vazquez-Blanco

et al. 2017

BMC Health Serv Res

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BackgroundFalls are major adverse events in hospitals. The appropriateness of using risk assessment instruments for falls in hospitals has recently been questioned, although the research performed in this respect presents some methodological shortcomings. The purpose of the present study is to evaluate the accuracy of the Downton and STRATIFY instruments to determine the risk of falls and to predict their incidence in acute care hospitals in the public health system in Andalusia (Spain).MethodsA longitudinal, multicentre prospective study was made of a cohort of patients recruited between May 2014 and March 2016. The risk of falls was assessed using each of the above instruments during the first 24 h after hospital admittance, with later re-evaluations every 72 h until discharge. Descriptive statistics were obtained, bivariate and multivariate analysis were performed. The diagnostic validity of the process was assessed by calculations of sensitivity, specificity, positive and negative predictive values and ratios of positive and negative likelihood. ROC curve analysis was performed for both instruments.ResultsFor this study, 1247 patients were recruited, of whom 977 completed all the follow-up assessments. Twenty-three of these patients (2.35%) suffered 24 falls. ROC curve analysis showed that the optimal cut-off point for each assessment instrument was below that described by the authors: AUC STRATIFY = 0.69 (95% CI: 0.57–0.8); AUC Downton = 0.6 (95% CI: 0.48–0.72). With a cut-off point of 1, the sensitivity of STRATIFY was 47.6% and its specificity, 85%. With a cut-off point of 2, Downton presented a sensitivity of 66.7% and a specificity of 55.3%.ConclusionsThe Downton and STRATIFY falls risk assessment instruments presented little utility as means of detecting the risk of falls among a sample of adult patients admitted to acute care hospitals. Fall prevention in hospitals should be based on the study of individual risk factors.

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“…2014, Vol. 37, Nº 1, enero-abril a la realidad clínica 12,13 , así como con la planificación de los cuidados de los pacientes en UPP 21 , con problemas como el registro en la historia clínica de las caídas 22,23 , o con las alergias a medicamentos 14 por ello no es descartable que esta misma situación en la que el número de úlceras registradas en la HCE es netamente inferior al de UPP que presentan los pacientes, sea algo generalizado en el resto de hospitales. En todo caso con los datos encontrados en este estudio parece que el registro clínico de las UPP no es el método idóneo para la notificación y el conocimiento de las UPP que aparecen en las unidades asistenciales, dada la baja sensibilidad y la concordancia moderada encontrada.…”

Section: Discussionunclassified

La validez de un registro clínico de úlceras por presión

Viana

González-Ruiz

Núñez-Crespo

et al. 2014

Anales Sis San Navarra

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Método. Estudio observacional prospectivo para registrar las UPP, con seguimiento diario por una observadora en las unidades de hospitalización médico-quirúrgicas y revisión del registro clínico de seguimiento de UPP. El seguimiento de los pacientes se realizó entre diciembre de 2008 y marzo de 2009 en el hospital Universitario de Fuenlabrada.Se ha calculado la frecuencia absoluta y relativa de UPP en los pacientes seguidos, la asociación entre variables cualitativas y la validez del registro en la HCE con respecto al patrón de referencia, el estudio observacional.resultados. Se ha completado un seguimiento a 1.001 pacientes encontrando 42 pacientes con UPP frente a los 25 pacientes que tenían registrada UPP en la HCE, siendo estadísticamente significativa la diferencia (p<0,001). El registro de la UPP en la HCE presenta un índice Kappa de 0,584 con una sensibilidad de 47,62% y una especificidad de 99,48% con respecto a la observación directa.conclusión. El número de pacientes que presentan UPP prácticamente se duplica si la recogida de datos es observacional por una enfermera experta frente a lo registrado en la HCE. Method. We use a prospective observational study to record PU, with daily monitoring by an observer in the medical-surgical units of hospitalization, as well as a clinical record review of PU tracking. Patient monitoring was conducted between December 2008 and March 2009 at Fuenlabrada University hospital.We calculated the absolute and relative frequency of PU in the patients followed, as well as the association among qualitative variables and the validity of the registration in the EHR with regard to the reference standard, the observational study.results. Among the 1,001 patients followed-up in this study, 42 of them showed PU (4.2% of the total patients), compared to 25 (2.5%) patients who had registered PU in the Electronic Health Record, which means a statistically significant difference (p<0.001). The record of PU presents a Kappa index of 0.548, with a sensitivity of 47.62 % and a specificity of 99.48 %, with regard to the reference standard, the observational study.conclusion. The number of patients with pressure ulcers almost doubled if the observational data collection is done by an expert nurse compared to what was recorded in the EHR.

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¿Cuál es la incidencia de caídas real en un hospital?

Cited by 15 publications

References 2 publications

Circumstances and causes of falls by patients at a Spanish acute care hospital

Circumstances and causes of falls by patients at a Spanish acute care hospital

Diagnostic validity of the STRATIFY and Downton instruments for evaluating the risk of falls by hospitalised acute-care patients: a multicentre longitudinal study

La validez de un registro clínico de úlceras por presión

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