Predictors of falls and hospitalization outcomes in elderly patients admitted to an acute geriatric unit

Corsinovi, Laura; Bo, Mario; Aimonino, N.; Marinello, Renata; Gariglio, Federico; Marchetto, Cristina; Gastaldi, Laura; Fissore, Laura; Zanocchi, Mauro; Molaschi, M

doi:10.1016/j.archger.2008.06.004

Cited by 75 publications

(81 citation statements)

References 28 publications

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“…18 Sensitivity of the original scale was 78% and specificity was 83%. This scale placed patients into categories of high risk (!45), medium risk (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44), and low risk ( 20). The meta-analysis by Harrington et al stated that the MFS had significantly higher sensitivity, but lower specificity than that of STRATIFY.…”

Section: Risk Stratificationmentioning

confidence: 99%

“…9,13,14,19,21,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] One of the most common populations studied and cited as high risk of falls is the older adult (!65). 8,16,17,[27][28][29][30][42][43][44][45][46][47][48] Medications including benzodiazepines, anticonvulsants, antihypertensives, antidepressants, and sleep aids have also been targeted as high-risk medications. 8,[26][27][28][31][32][33][34][35]42,[49][50][51][52]…”

Section: Risk Stratificationmentioning

confidence: 99%

“…8,16,17,[27][28][29][30][42][43][44][45][46][47][48] Medications including benzodiazepines, anticonvulsants, antihypertensives, antidepressants, and sleep aids have also been targeted as high-risk medications. 8,[26][27][28][31][32][33][34][35]42,[49][50][51][52][53][54][55][56] Two additional risk factors that are often mentioned are male sex and poor functioning or inability to independently perform activities of daily living. 13,15,19,24,27,35,56,57 …”

Section: Risk Stratificationmentioning

confidence: 99%

See 2 more Smart Citations

Inpatient Falls

Cumbler

Simpson

Rosenthal

et al. 2013

The Neurohospitalist

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In this 2 part series, analysis of the risk stratification tools that are available, definition for the scope of the problem, and potential solutions through a review of the literature are presented. A systematic review was used to identify articles for risk stratification and interventions. Three risk stratification systems are discussed, St Thomas's Risk Assessment Tool in Falling Elderly Inpatients, Morse Fall Scale, and the Hendrich Fall Risk Model. Of these scoring systems, the Hendrich Fall Risk Model is the easiest to use and score. Predominantly, multifactorial interventions are used to prevent patient falls. Education and rehabilitation are common themes in studies with statistically significant results. The second article presents a guide to implementing a quality improvement project around hospital falls. A 10-step approach to Plan-Do-Study-Act (PDSA) cycles is described. Specific examples of problems and analysis are easily applicable to any institution. Furthermore, the sustainability of interventions and targeting new areas for improvement is discussed. Although specific to falls in the hospitalized patient, the goal is to present a stepwise approach which is broadly applicable to other areas requiring quality improvement.

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Section: Risk Stratificationmentioning

confidence: 99%

Section: Risk Stratificationmentioning

confidence: 99%

Section: Risk Stratificationmentioning

confidence: 99%

See 1 more Smart Citation

Inpatient Falls

Cumbler

Simpson

Rosenthal

et al. 2013

The Neurohospitalist

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show abstract

“…In some cases, symptoms of delirium may last for months or even for years and can therefore also operate during the time after hospitalization. (6) In the clinical setting, delirium is a strong risk factor for falls (7,8) and this may be also the case during the first weeks at home. People with diseases of the nervous system such as dementia or Parkinson's disease are particularly vulnerable to delirium (6) and falls.…”

Section: Journal Of Bone and Mineral Researchmentioning

confidence: 99%

Femoral fracture rates after discharge from the hospital to the community

Rapp

Cameron

Becker

et al. 2012

Journal of Bone and Mineral Research

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Previous studies found that the risk of a femoral fracture in residents newly admitted to nursing homes was highest during the first months after admission and declined thereafter. Many nursing home admissions are preceded by a hospitalization. Therefore, the present study aimed to analyze if a similar risk pattern of fall-related fractures could also be observed in community-dwelling people at home after discharge from the hospital. Routine data of more than 690,000 German people aged 65 years and older with more than 2 million hospital discharges were used to calculate fracture rates in the first 6 months after hospitalization, for people discharged to live in the community. Incidence rates of femoral fractures as a function of time since discharge from hospital were analyzed. Analyses were stratified by sex, age, the need for care, and diagnostic groups. For femoral fractures the incidence was highest during the first months after discharge and declined thereafter. This pattern was observed in women and men, in different age-groups, in different diagnostic groups, and in people with and without the need for care. For example, rates for femoral fractures in women declined from 17.4 to 11.0 per 1000 person years over the first 6 months after admission, and in men over the same time period from 8.2 to 4.5 per 1000 personyears, respectively. We conclude that the first weeks at home after discharge from the hospital are associated with an increased risk for femoral fractures. ß

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“…Approximately half of all elderly people over the age of 65 years experiences a fall every year, thereby causing about $20 billion dollars of healthcare costs in the US alone [1]. At present, diagnoses related to the central nervous, musculoskeletal and cardiovascular systems [2][3], and intake of drugs, especially antihypertensives, diuretics, anti-arrhythmics and antidepressives [4], as well as polypharmacy [5], are considered as risk factors for falls in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for falls and their impact on the severity of fall-related injuries

2015

Healthy Aging Res

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Predictors of falls and hospitalization outcomes in elderly patients admitted to an acute geriatric unit

Cited by 75 publications

References 28 publications

Inpatient Falls

Inpatient Falls

Femoral fracture rates after discharge from the hospital to the community

Risk factors for falls and their impact on the severity of fall-related injuries

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