BACKGROUND: Patient falls are among the most commonly reported adverse hospital events with more than one million occurring annually in the United States; approximately 10% result in serious injury. A retrospective study was conducted to determine predictors and outcomes of fall injuries among a cohort of adult hospitalized patients. METHODS: Data were obtained regarding patients who sustained an initial fall in hospital during a 26-month period from 16 adult general medical and surgical units in an urban university-affiliated community hospital. Data on intrinsic (individual) factors, extrinsic (environmental) factors, and situational activities were collected via nurse and patient interviews, patient examinations, and audits of incident reports and electronic health records. Fall injuries were classified as none/any for analyses. Unadjusted odds ratios [ORs] and 95% confidence intervals [CIs] for each of the variables of interest with fall injury were generated using logistic regressions. RESULTS: The 784 patients had a median age of 63.5 years (range, 20 to > 90 years), 390 (50%) were women, and 526 (67%) were black. Some 228 (29%) fallers sustained injury; patients who were white (OR: 2.23; 95% CI: 1.62, 3.08), or were administered a selective serotonin reuptake inhibitor (OR: 1.04; 95% CI: 1.04, 2.67), two antipsychotic agents (OR: 3.26; 95% CI: 1.20, 8.90), an opiate (OR: 1.59; 95%; CI: 1.14, 2.20), or a diuretic non-antihypertensive agent (OR: 1.53; 95% CI: 1.03, 2.26) were more likely to sustain an injury. Home-based wheelchair use was protective of fall injury (OR: 0.20; 95% CI: 0.05, 0.84). Seventy-nine percent of the patients had been designated as "high" fall risk within 24 hours before the fall. CONCLUSIONS: Few variables were able to distinguish patients who sustained injury after a hospital fall, further challenging clinicians' efforts to minimize hospital-related fall injury.
RCT Entities:
BACKGROUND:Patientfalls are among the most commonly reported adverse hospital events with more than one million occurring annually in the United States; approximately 10% result in serious injury. A retrospective study was conducted to determine predictors and outcomes of fall injuries among a cohort of adult hospitalized patients. METHODS: Data were obtained regarding patients who sustained an initial fall in hospital during a 26-month period from 16 adult general medical and surgical units in an urban university-affiliated community hospital. Data on intrinsic (individual) factors, extrinsic (environmental) factors, and situational activities were collected via nurse and patient interviews, patient examinations, and audits of incident reports and electronic health records. Fall injuries were classified as none/any for analyses. Unadjusted odds ratios [ORs] and 95% confidence intervals [CIs] for each of the variables of interest with fall injury were generated using logistic regressions. RESULTS: The 784 patients had a median age of 63.5 years (range, 20 to > 90 years), 390 (50%) were women, and 526 (67%) were black. Some 228 (29%) fallers sustained injury; patients who were white (OR: 2.23; 95% CI: 1.62, 3.08), or were administered a selective serotonin reuptake inhibitor (OR: 1.04; 95% CI: 1.04, 2.67), two antipsychotic agents (OR: 3.26; 95% CI: 1.20, 8.90), an opiate (OR: 1.59; 95%; CI: 1.14, 2.20), or a diuretic non-antihypertensive agent (OR: 1.53; 95% CI: 1.03, 2.26) were more likely to sustain an injury. Home-based wheelchair use was protective of fall injury (OR: 0.20; 95% CI: 0.05, 0.84). Seventy-nine percent of the patients had been designated as "high" fall risk within 24 hours before the fall. CONCLUSIONS: Few variables were able to distinguish patients who sustained injury after a hospital fall, further challenging clinicians' efforts to minimize hospital-related fall injury.
Authors: Catherine A Wong; Angela J Recktenwald; Marilyn L Jones; Brian M Waterman; Mara L Bollini; Wm Claiborne Dunagan Journal: Jt Comm J Qual Patient Saf Date: 2011-02
Authors: Judith Hegeman; Bart van den Bemt; Vivian Weerdesteyn; Bart Nienhuis; Jacques van Limbeek; Jacques Duysens Journal: Clin Neuropharmacol Date: 2011 Nov-Dec Impact factor: 1.592
Authors: L C Mion; J Fogel; S Sandhu; R M Palmer; A F Minnick; T Cranston; F Bethoux; C Merkel; C S Berkman; R Leipzig Journal: Jt Comm J Qual Improv Date: 2001-11
Authors: Eileen B Hitcho; Melissa J Krauss; Stanley Birge; William Claiborne Dunagan; Irene Fischer; Shirley Johnson; Patricia A Nast; Eileen Costantinou; Victoria J Fraser Journal: J Gen Intern Med Date: 2004-07 Impact factor: 5.128
Authors: Anne-Marie Hill; Angela Jacques; A Michelle Chandler; Phyllis A Richey; Lorraine C Mion; Ronald I Shorr Journal: Jt Comm J Qual Patient Saf Date: 2018-09-28
Authors: Jacqueline Francis-Coad; Anne-Marie Hill; Angela Jacques; A Michelle Chandler; Phyllis A Richey; Lorraine C Mion; Ronald I Shorr Journal: J Gerontol A Biol Sci Med Sci Date: 2020-09-25 Impact factor: 6.053
Authors: Maria Carmen Martinez; Viviane Ernesto Iwamoto; Maria do Rosário Dias de Oliveira Latorre; Adriana Moreira Noronha; Ana Paula de Sousa Oliveira; Carlos Eduardo Alves Cardoso; Ifigenia Augusta Braga Marques; Patrícia Vendramim; Paula Cristina Lopes; Thais Helena Saes de Sant'Ana Journal: Rev Lat Am Enfermagem Date: 2016-08-29
Authors: Dawn M Venema; Anne M Skinner; Regina Nailon; Deborah Conley; Robin High; Katherine J Jones Journal: BMC Geriatr Date: 2019-12-11 Impact factor: 3.921