Incidence and predicting factors of falls of older inpatients

Abreu, Hellen Cristina de Almeida; Reiners, Annelita Almeida Oliveira; Azevedo, Rosemeiry Capriata de Souza; Silva, Ageo Mário Cândido da; Abreu, Débora Regina de Oliveira Moura; Oliveira, Adriana Delmondes de

doi:10.1590/s0034-8910.2015049005549

Cited by 67 publications

(70 citation statements)

References 24 publications

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“…It was further stated that each of the known causes should be identified. In hospital, lower urinary tract symptoms of urinary urgency, incontinence, frequency and nocturia are known risk factors for falls among older adults . Nocturia is not routinely identified on hospital admission.…”

Section: Introductionmentioning

confidence: 99%

Toileting‐related falls at night in hospitalised patients: The role of nocturia

et al. 2019

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Objective The purpose of this study was to describe the prevalence and characteristics of toileting‐related falls in hospitalised older people. Methods Retrospective analysis of falls related to night‐time toileting in patients 60 years or over in a tertiary hospital during a one‐year period. Results Overall 34% of falls were related to toileting with at least 44% of these falls occurring during the night. Toilet‐related falls peaked between 11 pm and 1 am, a period that coincides with maximum supine‐induced diuresis. Almost half of night falls occurred at the bedside. In 80% of night toileting‐related falls, patients were mobilising without the recommended level of assistance. Half of all patients had no strategies for toileting documented in their care plan. Conclusion Findings support screening for nocturia in older inpatients and implementation of strategies to reduce both the need for toileting at night and risk factors for falling.

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Section: Introductionmentioning

confidence: 99%

Toileting‐related falls at night in hospitalised patients: The role of nocturia

et al. 2019

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“…There are few data on adult inpatient falls in Brazil, and most of the studies conducted on the issue restricted their focus to elderly patients. In a study carried out in three large general hospitals in a single state in Brazil, the rate of fall among elderly inpatients was 12.6 per 1,000 patients a day (Abreu et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Medication-related inpatient falls: a critical review

Ribeiro

Melo

Maia

et al. 2018

Braz. J. Pharm. Sci.

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Falls are the second leading cause of accidental and unintentional injury deaths worldwide. Inpatient falls in hospital settings are likely to prolong the length of stay of patients in nearly 6.3 days, leading to increased hospitalization costs. The causes of fall incidents in healthcare facilities are multifactorial in nature and certain medications use could be associated with these incidents. This review seeks to critically evaluate the available literature regarding the relationship between inpatient falls and medication use. A comprehensive search was performed on MEDLINE, EMBASE and Lilacs with no time restriction. The search was filtered using English, Spanish or Portuguese languages. Our study evaluated medication use and inpatients falls that effectively happen, considering all ages and populations. An assessment of bias and quality of the studies was carried out using an adapted tool from the literature. The drugs were classified according to the Anatomic Therapeutics Chemical Code. The search strategy retrieved 563 records, among which 23 met the eligibility criteria; ninety three different pharmacological subgroups were associated with fall incidents. Our critical review suggests that the use of central nervous system drugs (including anxiolytics; hypnotics and sedatives; antipsychotics; opioids; antiepileptics and antidepressants) has a greater likelihood of causing inpatient falls. A weak relationship was found between other pharmacological subgroups, such as diuretics, cardiovascular system-related medications, and inpatient fall. Remarkably, several problems of quality were encountered with regard to the eligible studies. Among such quality problems included retrospective design, the grouping of more than one medication in the same statistical analysis, limited external validity, problems related to medication classifications and description of potential confounders.

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“…The PNSP is composed of six goals, among them falls prevention which is defined by WHO as an "event in which the person inadvertently falls to the ground, floor or lower levels, excluding the intentional alteration of the position for resting on furniture, walls or other objects" (1)(2)(3) . Brazilian studies developed in hospital environments where the rate of falls was evaluated found that they ranged from 1.37 to 12.6 per 1,000 patients/day (4)(5) . These rates are related to the characteristics of the hospital institutions, as well as the patients.…”

Section: Introductionmentioning

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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Incidence and predicting factors of falls of older inpatients

Cited by 67 publications

References 24 publications

Toileting‐related falls at night in hospitalised patients: The role of nocturia

Toileting‐related falls at night in hospitalised patients: The role of nocturia

Medication-related inpatient falls: a critical review

Factors associated with the risk of falls in hospitalized adult patients

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