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A retrospective cohort study of factors associated with severity of falls in hospital patients.
Ghosh, Manonita; O'Connell, Beverly; Afrifa-Yamoah, Ebenezer; Kitchen, Sue; Coventry, Linda.
Afiliación
  • Ghosh M; School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA, 6027, Australia. m.ghosh@ecu.edu.au.
  • O'Connell B; Centre for Nursing Research, Sir Charles Gairdner Osborne Park Health Care Group, North Metropolitan Health Service, Level 1, Harry Perkin's Building, Sir Charles Gairdner Hospital, 6 Verdun Street, Nedlands, WA, 6009, Australia. m.ghosh@ecu.edu.au.
  • Afrifa-Yamoah E; School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA, 6027, Australia.
  • Kitchen S; Centre for Nursing Research, Sir Charles Gairdner Osborne Park Health Care Group, North Metropolitan Health Service, Level 1, Harry Perkin's Building, Sir Charles Gairdner Hospital, 6 Verdun Street, Nedlands, WA, 6009, Australia.
  • Coventry L; Centre for Research in Aged Care, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA, 6027, Australia.
Sci Rep ; 12(1): 12266, 2022 07 18.
Article en En | MEDLINE | ID: mdl-35851400
ABSTRACT
Severity of falls in hospital patients are threat to patient safety which can result in a financial burden on the patient's family and health care services. Both patient specific and environmental and organisational factors are associated with severity of falls in hospital. It is important to continuously analyse the factors associated with severity of fall which can inform the implementation of any fall preventive strategies. This study aims to identify factors associated with the severity of falls in hospitalised adult patients in Western Australia. This study involved a retrospective cohort analysis of inpatient falls records extracted from the hospital's Clinical Incident Database from May 2014 to April 2019. Severity of falls were classified as three Severity Assessment Code (SAC) SAC 1 was "high" causing serious harm or death; SAC 2 was "medium" causing moderate or minor harm; and SAC 3 was "low" indicating no harm. Univariable and multivariable generalised ordinal logistic regression models were used to quantify the magnitude of effects of the potential risk factors on severity of falls at 5% level of significance and reported the crude odds and adjusted odds ratio of falling at a higher severity level. There were 3705 complete reported cases of falls with the average age of the patients was 68.5 ± 17.0 years, with 40.2% identified as female. The risk of falling at a higher level of severity increased by patient age over 50 years. Females were 15.1% more likely to fall at higher severity level compared to females. Fall incidents occurred during toileting and showering activities and incidents in a communal area were 14.5% and 26% more likely to occur at a higher severity respectively. Similarly, depression (167%), influence of alcohol or illicit drugs (more than 300%), use of medications (86%) and fragile skin (75%) significantly increased the odds of falling at higher level of severity. Identification of underlying risk factors associated with fall severity provides information which can guide nurses and clinicians to design and implement effective interventional strategies that mitigate the risk of serious fall injuries. The results suggest that fall prevention strategies should target patients with these risk factors to avoid severity of falls.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Accidentes por Caídas / Pacientes Internos Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Australia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Accidentes por Caídas / Pacientes Internos Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Australia