Review of perioperative falls

Kronzer, Vanessa L.; Wildes, Tanya M.; Stark, Susan; Avidan, Michael S.

doi:10.1093/bja/aew377

Cited by 18 publications

(20 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the aids are not used correctly or if the patient has an unsteady gait or weak muscles, then fall accidents are likely to take place. 19,20 The physical functions of inpatients are associated with fall incident rates. Results obtained by Lawson et al 21 indicated that recurrent falls were not significantly correlated with the use of medication.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Cross-sectional Study on the Risk Factors of Recurrent Falls Among Inpatients

Chang

Jen

Huang

2021

Journal of Nursing Care Quality

View full text Add to dashboard Cite

Background: Recurrent falls are more likely to cause injuries and disabilities than single falls. Purpose: This study investigated the incidence and risk factors of recurrent falls among inpatients. Methods: We analyzed inpatient fall data from the anomaly event notification database and electronic medical records of a hospital. We collected data regarding 1059 inpatients who had fallen during their hospital stay. Among these inpatients, 390 (36.83%) had fallen within the previous year. Results: Inpatients in the orthopedics and neurology wards were at a higher risk of recurrent falls than those in surgical wards; inpatients who were physically dependent were at a higher risk of recurrent falls than those who were physically independent; inpatients with poor vision were at a lower risk of recurrent falls than those without this issue; and inpatients who were using antidepressants were at a higher risk of recurrent falls than those who were not using antidepressants. Conclusion:The risk of recurrent falls is highly correlated with ward type, physical independence, selfperceived good vision, and use of antidepressants.

show abstract

Section: Discussionmentioning

confidence: 99%

A Retrospective Cross-sectional Study on the Risk Factors of Recurrent Falls Among Inpatients

Chang

Jen

Huang

2021

Journal of Nursing Care Quality

View full text Add to dashboard Cite

show abstract

“…As noted by our review article, 3 postoperative falls are important yet have received relatively little attention. The review also concluded that many postoperative falls most likely occur beyond the hospitalisation period, and prospective design is most likely superior to retrospective design.…”

Section: Introductionmentioning

confidence: 97%

“…In preparation for this study, a systemised review of the literature was performed on preoperative and postoperative falls. 3 This review showed that a limited number of studies on postoperative falls have been conducted, and the few that have been performed mostly study orthopaedic and elderly populations. While one study characterised postoperative falls in all surgery types, it was limited by its retrospective design, inpatient time period and exclusively male population.…”

Section: Introductionmentioning

confidence: 99%

Ability of preoperative falls to predict postsurgical outcomes in non-selected patients undergoing elective surgery at an academic medical centre: protocol for a prospective cohort study

et al. 2016

View full text Add to dashboard Cite

IntroductionFalls are increasingly recognised for their ability to herald impending health decline. Despite the likely susceptibility of postsurgical patients to falls, a detailed description of postoperative falls in an unselected surgical population has never been performed. One study suggests that preoperative falls may forecast postoperative complications. However, a larger study with non-selected surgical patients and patient-centred outcomes is needed to provide the generalisability and justification necessary to implement preoperative falls assessment into routine clinical practice. The aims of this study are therefore twofold. First, we aim to describe the main features of postoperative falls in a population of unselected surgical patients. Second, we aim to test the hypothesis that a history of falls in the 6 months prior to surgery predicts postoperative falls, poor quality of life, functional dependence, complications and readmission.Methods and analysisTo achieve these goals, we study adult patients who underwent elective surgery at our academic medical centre and were recruited to participate in a prospective, survey-based cohort study called Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) (NCT02032030). Patients who reported falling in the 6 months prior to surgery will be considered ‘exposed.’ The primary outcome of interest is postoperative falls within 30 days of surgery. Secondary outcomes include postoperative functional dependence, quality of life (both physical and mental), in-hospital complications and readmission. Regression models will permit controlling for important confounders.Ethics and disseminationThe home institution's Institutional Review Board approved this study (IRB ID number 201505035). The authors will publish the findings, regardless of the results.

show abstract

“…Approximately 1% to 4% of patients fall while in the hospital after undergoing a surgical procedure. 1,2 After discharge, patients experience falls at rates up to 3 times higher than other community-dwelling adults. 2 These falls have serious consequences.…”

Section: Introductionmentioning

confidence: 99%

Association of a Perioperative Multicomponent Fall Prevention Intervention With Falls and Quality of Life After Elective Inpatient Surgical Procedures

et al. 2022

View full text Add to dashboard Cite

IMPORTANCE Falls after elective inpatient surgical procedures are common and have physical, emotional, and financial consequences. Close interactions between patients and health care teams before and after surgical procedures may offer opportunities to address modifiable risk factors associated with falls.OBJECTIVE To assess whether a multicomponent intervention that incorporates education, home medication review, and home safety assessment is associated with reductions in the incidence of falls after elective inpatient surgical procedures. DESIGN, SETTING, AND PARTICIPANTSThis prospective propensity score-matched cohort study was a prespecified secondary analysis of data from the Electroencephalography Guidance of Anesthesia to Alleviate Geriatric Syndromes (ENGAGES) randomized clinical trial, which was conducted at a single academic medical center between January 16, 2015, and May 7, 2018. Patients in the intervention group of the present study were enrolled in either arm of the ENGAGES clinical trial. Patients in the control group were selected from the Systematic Assessment and Targeted Improvement of Services Following Yearly Surgical Outcomes Surveys prospective observational cohort study, which created a registry of patient-reported postoperative outcomes at the same single center. The propensity score-matched cohort in the present study included 1396 patients (698 pairs) selected from a pool of 2013 eligible patients. All patients underwent elective surgical procedures with general anesthesia and had a hospital stay of 2 or more days. Data were analyzed from January 2, 2020, to January 11, 2022. INTERVENTIONS The multicomponent safety intervention (offered to all patients in the ENGAGES clinical trial) included patient education on fall prevention techniques, home medication review by a geriatric psychiatrist (with communication of recommended changes to the surgeon), a selfadministered home safety assessment, and targeted occupational therapy home visits with home hazard removal (offered to patients with a preoperative history of falls). MAIN OUTCOMES AND MEASURESThe primary outcome was patient-reported falls within 1 year after an elective inpatient surgical procedure. The secondary outcome was quality of life 1 year after an elective surgical procedure, which was measured using the physical and mental composite summary scores on the Veterans RAND 12-item health survey (score range, 0-100 points, with 0 indicating lowest quality of life and 100 indicating highest quality of life). RESULTS Among 1396 patients, the median age was 69 years (IQR, 64-75 years), and 739 patients (52.9%) were male. With regard to race, 5 patients (0.4%) were Asian, 97 (6.9%) were Black or African American, 2 (0.1%) were Native Hawaiian or Pacific Islander, 1237 (88.6%) were White, 3 (0.2%) were of other race, and 52 (3.7%) were of unknown race; with regard to ethnicity, 12 patients (continued) Key Points Question Is an intervention that incorporates patient education, home medication review, and hazard identification in the ho...

show abstract

Review of perioperative falls

Abstract: PROSPERO registration number CRD42015029971.

Cited by 18 publications

References 86 publications

A Retrospective Cross-sectional Study on the Risk Factors of Recurrent Falls Among Inpatients

A Retrospective Cross-sectional Study on the Risk Factors of Recurrent Falls Among Inpatients

Ability of preoperative falls to predict postsurgical outcomes in non-selected patients undergoing elective surgery at an academic medical centre: protocol for a prospective cohort study

Association of a Perioperative Multicomponent Fall Prevention Intervention With Falls and Quality of Life After Elective Inpatient Surgical Procedures

Contact Info

Product

Resources

About