Marcin Mikos1, Tomasz Banas2, Aleksandra Czerw3,4, Bartłomiej Banas5, Łukasz Strzępek6, Mateusz Curyło7. 1. Department of Bioinformatics and Public Health, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-701 Krakow, Poland. 2. Department of Gynaecology and Oncology, Jagiellonian University Medical College, 31-501 Krakow, Poland. 3. Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland. 4. National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland. 5. Private Surgical Medical Practice, 31-261 Krakow, Poland. 6. Department of General Surgery, Regional Public Hospital in Bochnia, 32-700 Bochnia, Poland. 7. Orthopedic and Posttraumatic Rehabilitation Department, Medical University of Lodz, 90-419 Lodz, Poland.
Abstract
BACKGROUND: Inpatient falls are common hospital adverse events. We aimed to determine inpatient fall rates in an urban public hospital and analyzed their characteristics across clinical departments. METHODS: The study was conducted in a 350-bed urban, multi-specialty public hospital in the 2013-2019 period. Patient data were retrieved from the hospital's standardized falls reporting system. Descriptive statistics and statistical tests: chi2 and ANOVA tests with multiple comparison tests (post-hoc analysis) were used. For fall incidence estimation a joint-point regression was applied. p-value of 0.05 was considered as statistically significant for all the calculations. RESULTS: The highest prevalence of falls was reported in the rehabilitation and internal medicine wards (1.915% and 1.181%, respectively), the lowest in the orthopedic (0.145%) and rheumatology wards (0.213%) (p < 0.001). The vast majority of falls took place in the late evening and during the night (56.711%) and were classified as bed falls (55.858%). The crude incidence rate (cIR) of falls was 6.484 per one thousand hospitalizations. In the 2013-2017 period, an increase in total cIR was observed, reaching the peak value in 2016; it was followed by a slight decline from 2017 to 2019, however, differences in changes were observed between the wards. CONCLUSION: Fall rates and trends as well as circumstances of inpatient falls varied significantly among clinical departments, probably due to differences in patient characteristics.
BACKGROUND: Inpatient falls are common hospital adverse events. We aimed to determine inpatient fall rates in an urban public hospital and analyzed their characteristics across clinical departments. METHODS: The study was conducted in a 350-bed urban, multi-specialty public hospital in the 2013-2019 period. Patient data were retrieved from the hospital's standardized falls reporting system. Descriptive statistics and statistical tests: chi2 and ANOVA tests with multiple comparison tests (post-hoc analysis) were used. For fall incidence estimation a joint-point regression was applied. p-value of 0.05 was considered as statistically significant for all the calculations. RESULTS: The highest prevalence of falls was reported in the rehabilitation and internal medicine wards (1.915% and 1.181%, respectively), the lowest in the orthopedic (0.145%) and rheumatology wards (0.213%) (p < 0.001). The vast majority of falls took place in the late evening and during the night (56.711%) and were classified as bed falls (55.858%). The crude incidence rate (cIR) of falls was 6.484 per one thousand hospitalizations. In the 2013-2017 period, an increase in total cIR was observed, reaching the peak value in 2016; it was followed by a slight decline from 2017 to 2019, however, differences in changes were observed between the wards. CONCLUSION: Fall rates and trends as well as circumstances of inpatient falls varied significantly among clinical departments, probably due to differences in patient characteristics.
Entities:
Keywords:
elderly patients; fall; fall assessment sheet; hospitalization; risk management
Authors: Marcin Mikos; Błażej Szydło; Ivan Szergyuk; Maria Helena Santos de Oliveira; Michał Kuboń; Grzegorz Juszczyk; Brandon Michael Henry Journal: Med Sci Monit Date: 2022-05-27
Authors: Lukasz Magnuszewski; Aleksandra Wojszel; Agnieszka Kasiukiewicz; Zyta Beata Wojszel Journal: Int J Environ Res Public Health Date: 2022-08-30 Impact factor: 4.614