Risk Factors for Falls in Tertiary Hospital Inpatients: A Survival Analysis
- Author:
Young Shin CHO
1
;
Young Ock LEE
;
Young Sun YOUN
Author Information
1. Charge Nurse, Surgical Intensive Care Unit, Kosin University Gospel Hospital, Busan, Korea. skystorysky@naver.com
- Publication Type:Original Article
- Keywords:
Accidental falls;
Tertiary care centers;
Inpatients;
Survival analysis;
Risk factors
- MeSH:
Accidental Falls;
Comorbidity;
Gait Disorders, Neurologic;
Hospitalization;
Humans;
Incidence;
Inpatients;
Joints;
Nursing;
Organization and Administration;
Patient Care;
Proportional Hazards Models;
Risk Assessment;
Risk Factors;
Self-Help Devices;
Survival Analysis;
Survival Rate;
Tertiary Care Centers
- From:
Journal of Korean Critical Care Nursing
2019;12(1):57-70
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to identify the risk factors for falls in tertiary hospital inpatients and to suggest data for developing a nursing intervention program for preventing falls.METHODS: Data were collected between January 1, 2017, to December 31, 2017. Kaplan-Meier estimation was used to measure the survival rate, and the log-rank test was used for the differences between the fall group and the non-fall group. The Cox proportional hazards model was used to identify the risk factors for falls.RESULTS: The incidence rate of falls for the inpatients was 1.2 cases per 1,000 days of hospitalization. The risk factors for falls were more likely to be found among those who were aged ≥81, had not undergone surgery, had poor joint motion, had unsteady gait, needed help or supervision, used assistive devices, had comorbidity, and took at least two drugs.CONCLUSION: For the inpatients, the risk factors for falls included age, surgery, comorbidity, medication that could change mobility, joint motion, and use of patient care equipment. It is necessary to give special attention to inpatients who have any of these risk factors and to develop a falls risk assessment tool.
