Hospital Inpatient Falls across Clinical Departments

Mikoś, Marcin; Banaś, Tomasz; Czerw, Aleksandra; Banas, Bartłomiej; Strzępek, Łukasz; Curyło, Mateusz

doi:10.3390/ijerph18158167

Cited by 16 publications

(18 citation statements)

References 28 publications

(39 reference statements)

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“…Additionally, people who fall often experience depression/anxiety (28%), mobility issues (70%), decreased independence (41%), reduced quality of life, and in severe cases the falls are fatal [ 10 , 12 , 58 ]. Globally, the incidence of falls is estimated at 2.2 per 1000 patients in a year [ 59 ], while in Poland, the annual fall incidence rate was 6.48 per 1000 patients during the 2013–2019 period [ 13 ]. Every year, approximately 37.3 million falls are severe enough to require immediate medical attention [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…Additional intrinsic risk factors which could play a role include age, gender, comorbid conditions (particularly cardiovascular disease), and medication use [ 9 – 11 ], in part explaining the increased tendency for falls in elderly patients [ 12 ]. Furthermore, slippery flooring, hospital equipment failures, staff shortages, and insufficient training and teamwork are extrinsic factors which may be implicated in some cases as well [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

et al. 2022

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Background During the current Coronavirus Disease 2019 (COVID-19) pandemic, falls have been identified as a potential presenting symptom in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection; however, data on factors increasing fall risk in this patient population are limited. This study aimed to examine the factors that may predispose hospitalized COVID-19 disease patients to falls. Material/Methods In this retrospective observational study, hospitalized COVID-19 disease patients were examined for fall incidence, as well as demographics, comorbidities, and clinical and laboratory data. Patients were stratified according to their fall status and their characteristics were compared using Fisher’s exact test or Mann-Whitney U test. A total of 312 hospitalized COVID-19 disease patients were enrolled (median age, 75 years; males, 51.3%), of whom 11 (3.5%) fell. Results There was a greater prevalence of falls among patients who experienced arrhythmias than those that did not (28.6% vs 1.7%; P <0.001). Additionally, a significantly greater proportion of those that were discharged to the internal ward and to the intensive care unit fell (10.3% and 10.0%, respectively) compared to those that were discharged home (1.6%, P =0.008). Thyroid-stimulating hormone (TSH) was significantly elevated in patients who fell (5.3 vs 0.97 μIU/mL, P =0.013), while alanine aminotransferase (ALT) was significantly lower in those who fell (17.1 vs 33.5 IU/L, P =0.041). Conclusions Arrhythmias may be an important predisposing factor for falls in COVID-19 disease patients and fall prevention programs should prioritize interventions directed at this vulnerable patient population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

et al. 2022

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“…Although falls occur in all wards of Polish hospitals [ 9 ], there are only a few publications on this topic. However, limited evidence demonstrates their correlates and the effectiveness of generally used preventive interventions, which mainly concern geriatric wards [ 5 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Falls at the Geriatric Hospital Ward in the Context of Risk Factors of Falling Detected in a Comprehensive Geriatric Assessment

Magnuszewski

Wojszel

Kasiukiewicz

et al. 2022

IJERPH

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It is only by knowing the most common causes of falls in the hospital that appropriate and targeted fall prevention measures can be implemented. This study aimed to assess the frequency of falls in a hospital geriatrics ward and the circumstances in which they occurred and evaluate the parameters of the comprehensive geriatric assessment (CGA) correlating with falls. We considered medical, functional, and nutritional factors associated with falls and built multivariable logistic regression analysis models. A total of 416 (median age 82 (IQR 77–86) years, 77.4% women) hospitalizations in the geriatrics ward were analyzed within 8 months. We compared the results of a CGA (including health, psycho-physical abilities, nutritional status, risk of falls, frailty syndrome, etc.) in patients who fell and did not fall. Fourteen falls (3.3% of patients) were registered; the rate was 4.4 falls per 1000 patient days. They most often occurred in the patient’s room while changing position. Falls happened more frequently among people who were more disabled, had multimorbidity, were taking more medications (certain classes of drugs in particular), had Parkinson’s disease and diabetes, reported falls in the last year, and were diagnosed with orthostatic hypotension. Logistic regression determined the significant independent association between in-hospital falls and a history of falls in the previous 12 months, orthostatic hypotension, Parkinson’s disease, and taking statins, benzodiazepines, and insulin. Analysis of the registered falls that occurred in the hospital ward allowed for an analysis of the circumstances in which they occurred and helped to identify people at high risk of falling in a hospital, which can guide appropriate intervention and act as an indicator of good hospital care.

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“…Regarding the prevalence of inpatient falls, the existing literature focused mainly on falls in elderly ( 23 – 29 ) and patients in general hospitals ( 5 , 11 , 30 – 34 ). Fall ratio's (expressed as falls per 1,000 patient days) between 1.70 and 3.56 were found, with a lower incidence on surgical than non-surgical wards ( 30 – 33 , 35 ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and characteristics of registered falls in a Belgian University Psychiatric Hospital

Smet

Carpels²,

Creten³

et al. 2022

Front. Public Health

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ObjectivesFalls in elderly patients treated in general hospitals have already been the focus of several studies. Research within psychiatric settings, however, remains limited, despite the fact that this population has a number of characteristics that could increase the fall risk. The aim of this retrospective study was to estimate the prevalence of falling in patients with a psychiatric hospital setting.MethodsA retrospective descriptive chart review of falls registered in the period July 1, 2013 until June 30, 2019 in a Belgian University Psychiatric Hospital was conducted. Data were collected from the “patient related incident report and management system” (PiMS) of the hospital. All registered falls of all hospitalized patients were included in the study.ResultsDuring the 6-year study period an incidence of 4.4 falls per 1,000 patient days was found. Only 0.5% of the falls resulted in severe injury and none of these falls were fatal. Eighty percent of falls involved a patient over the age of 65. Only 25.0% of the elderly patients suffered physical consequences, while injuries were present in 31.4% of adults and 68.2% of young patients. The two most common causes of a fall were the health status (63.3%) and the behavior (55.1%) of the patient.ConclusionThe estimated prevalence of falls in our study was generally in line with the rates found in literature on falls in psychiatric settings. Falls in psychiatric settings occur both in younger and older patients, suggesting that all age categories deserve sufficient attention in fall prevention policies. However, more research is necessary to improve fall prevention policies.

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Hospital Inpatient Falls across Clinical Departments

Cited by 16 publications

References 28 publications

Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

Falls at the Geriatric Hospital Ward in the Context of Risk Factors of Falling Detected in a Comprehensive Geriatric Assessment

Prevalence and characteristics of registered falls in a Belgian University Psychiatric Hospital

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