Functional Performances on Admission Predict In-Hospital Falls, Injurious Falls, and Fractures in Older Patients: A Prospective Study

Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research
Mélany HarsAndrea Trombetti

Abstract

Falls are common among older inpatients and remain a great challenge for hospitals. Despite the relevance of physical impairments to falls, the prognostic value of performance-based functional measures for in-hospital falls and injurious falls remains unknown. This study aimed to determine the predictive ability and accuracy of various functional tests administered at or close to admission in a geriatric hospital to identify in-hospital fallers and injurious fallers. In this prospective study, conducted in a geriatric hospital in Geneva, Switzerland, 807 inpatients (mean age 85.0 years) were subjected to a battery of functional tests administered by physiotherapists within 3 days (interquartile range 1 to 6) of admission, including Short Physical Performance Battery (SPPB), simplified Tinetti, and Timed Up and Go tests. Patients were prospectively followed up for falls and injurious falls until discharge using mandatory standardized incident report forms and electronic patients' records. During a median length of hospital stay of 23 days (interquartile range 14 to 36), 329 falls occurred in 189 (23.4%) patients, including 161 injurious falls of which 24 were serious. In-hospital fallers displayed significantly poorer functional...Continue Reading

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Citations

Dec 6, 2018·Aging Clinical and Experimental Research·Fulvio LauretaniMarcello Maggio
May 27, 2020·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A K StuckK Lippuner
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Oct 17, 2020·Aging Clinical and Experimental Research·Cecilia Ferrer SolerAndrea Trombetti
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Nov 17, 2020·Journal of the American Medical Directors Association·Sarah A WelchJonathan F Bean
Jul 11, 2021·Journal of Clinical Nursing·Marta Aranda-GallardoJose Carlos Canca-Sanchez

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