Factors associated with falls in hospitalized adult patients

Cox, Jill; Thomas‐Hawkins, Charlotte; Pajarillo, Edmund J.Y.; DeGennaro, Susan; Cadmus, Edna; Martinez, Miguel E.

doi:10.1016/j.apnr.2014.12.003

Cited by 36 publications

(36 citation statements)

References 11 publications

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“…Among the risk factors of falls identified in this study, use of an assistive device, a history of falls, a high ECOG score, fatigue, abnormal vital signs, surgery, use of benzodiazepines, use of steroids and use of antipsychotic drugs were consistent with the results of previous studies (Cho et al 2013;Cox et al 2015;Evans et al 2001;O'Connell et al 2005). On the other hand, a high fall scale score on admission, pain and use of opiates were not consistent with previous results.…”

Section: Discussionsupporting

confidence: 91%

“…Authors of a previous study reported that narcotic or sedative use increased the risk of falls (Cox et al. ).…”

Section: Discussionmentioning

confidence: 99%

“…With regard to medications, benzodiazepine, steroids and antipsychotic drugs increased the risk of falls. Authors of a previous study reported that narcotic or sedative use increased the risk of falls (Cox et al 2015).…”

Section: Discussionmentioning

confidence: 99%

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Risk factors of falls among inpatients with cancer

Jun

Lee

Park

2017

International Nursing Review

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Section: Discussionsupporting

confidence: 91%

“…Authors of a previous study reported that narcotic or sedative use increased the risk of falls (Cox et al. ).…”

Section: Discussionmentioning

confidence: 99%

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Risk factors of falls among inpatients with cancer

Jun

Lee

Park

2017

International Nursing Review

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“…In addition to patient-specific risk factors, numerous studies have also investigated the role of structural and staffing factors on fall risk. Structural factors include environmental considerations, such as decreased lighting, inappropriate storage of devices and tubing, wet floors, absence of handle bars and non-skid equipment, which can all contribute to falls (Brandis, 1999;Choi, Lawler, Boenecke, Ponatoski, & Zimring, 2011;Cox, et al, 2015;Dykes et al, 2011;Everhart, et al, 2014;López-Soto et al, 2016;Min & Scott, 2016;Tzeng & Yin, 2008). Staffing and acuity levels may vary internationally, but remain potential causative factors for falls.…”

Section: Backg Rou N Dmentioning

confidence: 99%

Impact of level of nurse experience on falls in medical surgical units

2019

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Aim To describe nurse‐specific and patient risk factors present at the time of a patient fall on medical surgical units within an academic public health care system. Background The incidence of falls can be devastating for hospitalized patients and their families. Few studies have investigated how patient and nurse‐specific factors can decrease the occurrence of falls in hospitals. Method In this retrospective cohort study, data were gathered on all patients who experienced a fall during January 2012 to December 2013. Results Falls were reduced dramatically when the number of nurses on the unit increased to five or six. Patient falls occurred most often when either the least experienced or most experienced nursing staff were providing care. Conclusion Patient falls in hospitals can be influenced not only by patient‐specific factors, but also by nurse staffing and experience level. Implications for nursing management Findings from this study highlight factors which may contribute to hospital‐based falls prevention initiatives and are amenable to nursing management decisions.

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“…These factors include presence/absence of bed side rails, height and stability of any type of seats (including toilet seats) or obstacles such as furniture, power cables, slippery shoes, and an over-equipped patient's environment. 21,22 To assess the patient's fall risk in acute hospital settings, different fall risk assessment scales have been developed for prevention purposes. These scales are based on some of the factors related to the patient's medical condition.…”

Section: Factors Related To the Environmentmentioning

confidence: 99%

Falls Prevention in Hospitals-the Need for a New Approach an Integrative Article

Lipschuetz¹

2017

NCOAJ

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Among adults (65years and over), falls are the leading cause of injuries that cause pain, emotional distress and loss of independence, reduced quality of life, increased number of hospitalization days, morbidity and mortality.1 It is estimated that by 2025, this group of patients will constitute approximately 1.2billion of the world population, eighty percent of whom will live in developed countries. 2 The rate of falls among adult's increases with age, with the prospect of falls in people aged 65 and older at about 35%, increasing to about 42% for those over 75years of age. Fifteen percent (15%) of patients, who fall, have a history of falling twice or more a year. Falls are the second cause of death in the US (75% of them are elderly people) with the death rate in the United States reaching36.8 per 100,000 people.3 Fall rates in hospitals range from about 30% to 50% or a range of 3.3 to 11.5 falls per 1,000 hospitalization days, 4 and they are the most frequently reported adverse events. Fall-related morbidity and mortality rates in hospitals are significant. It is estimated that at least 3-20% of the falls have resulted in injury.5 About 30% of the hospitalized patients who fall suffer injuries due to the fall, of which 4-6% suffer from severe injuries, including fractures, brain hemorrhage, bleeding and mortality risks.6 Fall-related injury rate during hospitalization accounts for up to 533 per 1,000 person-years for all injuries, 20 per 1,000 person-years for hip fractures, 270 per 1,000 person-years for head injuries. 7A 'fall' is defined as "an unplanned descent to the floor with or without injury to the patient". 8 The National Database of Nursing Quality Indicators (NDNQI) is the largest national database of US data relating to quality of nursing care.9 Falls in hospitals is one of the quality indices measured by the NDNQI organization since 2003 as a proportion of all falls per 1,000 hospitalization days. The reported fall rates range from 1.3 to 8.9 falls/ 1,000 hospitalization days. 10,11The lowest rates of falls are reported in Intensive Care Units (1.3 per 1,000 hospitalization days), adult wards (3.92 per 1,000 hospitalization days), and the highest rates are reported in rehabilitation wards (7.3 per hospitalization 1,000 days).12 The main risk factors for falls in hospitalized patients are impaired gait, confusion, urinary incontinence, history of falls and psychotherapeutic medications. 13 Economical costsThe economic burden of falls in general hospitals is significant. Indeed, it was found that falls increased the cost of hospitalization per patients that have fallen to an average of $6,669, and if the injury was caused due to a fall, the extra cost is on average between $12,000 to $23,000.14 In 2013, the gross expenditure from falls in the U.S was AbstractCurrently, around the world, hospitals invest a considerable amount of effort into preventing patients' falls during hospitalization. Despite the intensive emphasis targeted in preventive intervention, reducing the prevalence of this phenome...

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Factors associated with falls in hospitalized adult patients

Cited by 36 publications

References 11 publications

Risk factors of falls among inpatients with cancer

Risk factors of falls among inpatients with cancer

Impact of level of nurse experience on falls in medical surgical units

Falls Prevention in Hospitals-the Need for a New Approach an Integrative Article

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