Patient and system factors associated with unassisted and injurious falls in hospitals: an observational study

Unassisted falls are more likely to result in injury than assisted falls. However, little is known about risk factors for falling unassisted. Furthermore, rural hospitals, which care for a high proportion of older adults, are underrepresented in research on hospital falls. This study identified risk...

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Bibliographic Details
Published in:BMC geriatrics 2019-12, Vol.19 (1), p.348-348, Article 348
Main Authors: Venema, Dawn M, Skinner, Anne M, Nailon, Regina, Conley, Deborah, High, Robin, Jones, Katherine J
Format: Article
Language:English
Subjects:
Accidental falls
Accidents
Cognitive ability
Collaboration
Falls
Gait
Geriatrics
Gerontology
Hospital patients
Hospitals
Medical research
Novels
Observational studies
Patient safety
Patients
Prognosis
Prospective payment systems (Medical care)
Risk factors
Rural health care
Statistical analysis
Workforce planning
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Summary:Unassisted falls are more likely to result in injury than assisted falls. However, little is known about risk factors for falling unassisted. Furthermore, rural hospitals, which care for a high proportion of older adults, are underrepresented in research on hospital falls. This study identified risk factors for unassisted and injurious falls in rural hospitals. Seventeen hospitals reported 353 falls over 2 years. We categorized falls by type (assisted vs. unassisted) and outcome (injurious vs. non-injurious). We used multivariate logistic regression to determine factors that predicted fall type and outcome. With all other factors being equal, the odds of falling unassisted were 2.55 times greater for a patient aged ≥65 than
ISSN:1471-2318
1471-2318
DOI:10.1186/s12877-019-1368-8