Hospital Inpatient Falls across Clinical Departments.

Accidental Falls Hospitalization Hospitals, Urban Humans Incidence Inpatients Risk Factors
elderly patients fall fall assessment sheet hospitalization risk management

Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
02 08 2021
Historique:
received: 13 06 2021
revised: 26 07 2021
accepted: 28 07 2021
entrez: 7 8 2021
pubmed: 8 8 2021
medline: 13 8 2021
Statut: epublish

Résumé

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. 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. 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%) ( Fall rates and trends as well as circumstances of inpatient falls varied significantly among clinical departments, probably due to differences in patient characteristics.

Sections du résumé

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.
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%) (
CONCLUSION
Fall rates and trends as well as circumstances of inpatient falls varied significantly among clinical departments, probably due to differences in patient characteristics.

Identifiants

DOI: 10.3390/ijerph18158167 PMID: 34360462 PMC: PMC8346045
pubmed: 34360462
pii: ijerph18158167
doi: 10.3390/ijerph18158167
pmc: PMC8346045
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

J Clin Epidemiol. 2001 Dec;54(12):1258-66
pubmed: 11750195
Can J Nurs Res. 1998 Spring;30(1):97-111
pubmed: 9726185
Gerontologist. 1987 Aug;27(4):516-22
pubmed: 3623149
BMJ. 2007 Jan 13;334(7584):79
pubmed: 17175566
BMC Health Serv Res. 2006 Jun 07;6:69
pubmed: 16759386
Online J Issues Nurs. 2013 May 31;18(2):5
pubmed: 23758423
Jt Comm J Qual Patient Saf. 2019 Feb;45(2):91-97
pubmed: 30269964
Age Ageing. 2004 Jan;33(1):58-65
pubmed: 14695865
Lancet. 1995 Jun 17;345(8964):1549-51
pubmed: 7791442
J Am Geriatr Soc. 2012 Jun;60(6):1115-21
pubmed: 22642658
Glob J Health Sci. 2015 Jun 25;8(3):17-25
pubmed: 26493421
Am J Phys Med Rehabil. 2019 Aug;98(8):699-705
pubmed: 31318751
Qual Saf Health Care. 2008 Dec;17(6):424-30
pubmed: 19064657
Stroke. 1997 Feb;28(2):297-301
pubmed: 9040678
Gerontologist. 2018 Mar 19;58(2):331-340
pubmed: 28011591
Br J Clin Pract. 1994 Mar-Apr;48(2):63-6
pubmed: 8024991
J Neurol Phys Ther. 2010 Jun;34(2):64-9
pubmed: 20588090
J Am Geriatr Soc. 2010 Jul;58(7):1347-52
pubmed: 20487077
QRB Qual Rev Bull. 1988 Dec;14(12):369-71
pubmed: 3146043
Acad Emerg Med. 1998 Nov;5(11):1064-70
pubmed: 9835467
Aust Clin Rev. 1993;13(3):141-9
pubmed: 8250776
Pomeranian J Life Sci. 2016;62(2):26-30
pubmed: 29537220
Int J Palliat Nurs. 2002 Nov;8(11):548-56
pubmed: 12514465
Clin Med (Lond). 2017 Jul;17(4):360-362
pubmed: 28765417
Biometrics. 2006 Sep;62(3):847-54
pubmed: 16984328
Jt Comm J Qual Patient Saf. 2014 Aug;40(8):358-64
pubmed: 25208441
J Nurs Care Qual. 2000 Apr;14(3):43-53
pubmed: 10826234
Pol Arch Intern Med. 2017 Aug 9;127(7-8):564-566
pubmed: 28817548

Auteurs

Marcin Mikos (M)

Department of Bioinformatics and Public Health, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-701 Krakow, Poland.

Tomasz Banas (T)

Department of Gynaecology and Oncology, Jagiellonian University Medical College, 31-501 Krakow, Poland.
ORCID: 0000-0002-6656-2490

Aleksandra Czerw (A)

Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland.
National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland.
ORCID: 0000-0002-6189-6678

Bartłomiej Banas (B)

Private Surgical Medical Practice, 31-261 Krakow, Poland.

Łukasz Strzępek (Ł)

Department of General Surgery, Regional Public Hospital in Bochnia, 32-700 Bochnia, Poland.

Mateusz Curyło (M)

Orthopedic and Posttraumatic Rehabilitation Department, Medical University of Lodz, 90-419 Lodz, Poland.

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Classifications MeSH

questionsmedicales.fr › Environnement et santé publique › Santé publique › Accidents › Chutes accidentelles › Hospital Inpatient Falls across Clinical Departments.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Hospitalisation › Hospital Inpatient Falls across Clinical Departments.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Hôpitaux › Hôpitaux urbains › Hospital Inpatient Falls across Clinical Departments.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Hospital Inpatient Falls across Clinical Departments.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Incidence › Hospital Inpatient Falls across Clinical Departments.
questionsmedicales.fr › Personnes › Patients › Patients hospitalisés › Hospital Inpatient Falls across Clinical Departments.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Hospital Inpatient Falls across Clinical Departments.