Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital

Einstein
Adriane Kênia Moreira SilvaAdriano Max Moreira Reis

Abstract

To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate and multivariate analyses were performed. Of the 125 fall reports in the study, 38 (30.4%) were in 2014, 26 (20.8%) in 2015, and 61 (48.8%) in 2016. Half of the patients (63; 50.4%) were classified as high fall risk and 74 (59.2%) had two or more risk factors for the event. The most frequently used drug classes were opioids (25%), anxiolytics (19.7%), beta-blockers (9.9%), angiotensin II antagonists (7%) and vascular-selective calcium channel blockers (7%). After the adjusted analysis, the factors associated with falls were amputation (odds ratio: 14.17), female sex (odds ratio: 2.98) and severe pain (odds ratio: 5.47). Medications are an important contributor to in-hospital falls, and the Medication Fall Risk Score can help identify patients at a hig...Continue Reading

References

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Sep 26, 2012·Joint Commission Journal on Quality and Patient Safety·Lorraine C MionRonald I Shorr
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Jan 11, 2016·International Journal of Clinical Pharmacy·Sabrina De WinterIsabel Spriet
Dec 23, 2016·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Cyrus Yazdani, Scott Hall
Apr 4, 2017·Clinics in Geriatric Medicine·Michelle A Fritsch, Penny S Shelton
Jun 13, 2017·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Stina EkAnna-Karin Welmer
Sep 17, 2017·Postgraduate Medical Journal·Mónica Beunza-SolaSerafín García-Mata

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Citations

Jan 17, 2020·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Spencer L JamesChristopher J L Murray

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Methods Mentioned

BETA
amputation

Software Mentioned

Excel
Statistical Package for Social Science ( SPSS )

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