Risk factors of falls in elderly population in acute care hospitals and nursing homes in North Italy: A retrospective study
ABSTRACT A retrospective comparative study was conducted in Italy to determine whether the risk of accidental falls is the same in acute care hospitals as in nursing homes. Accidental falls were significantly related to women older than 80 years and to a hospital stay 10 days or longer, with an increased risk related to stroke, arterial hypertension, and a Norton Scale score greater than 15. Prevention strategies need to be based on the context and specific intrinsic and extrinsic factors influencing the risk of falls in elderly patients.
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ABSTRACT: Objective: To analyze the frequency, consequences and associated factors of accidental falls in the elderly. Methods: A literature search was made in the Medline, Cochrane and EMBASE databases for original papers on accidental falls in the elderly, their frequency, consequences, risk factors and prevention. The search centered on studies published in English and Spanish between two months of 2008, using the following keywords: accidental falls and people over 65 years of age, crossed with frequency, consequence, risk factors and prevention. Results: According to the Spanish National Statistics Institute, the frequency of falls was 51-67%, while in the na- tional and international studies the figures were 26-35% and 33-41%, respectively. The most frequent consequen- ces were luxations or contusions (60-70%). The main intrinsic risk factors were found to be advanced age, previous falls and multiple disease processes, while the extrinsic risk factors were drugs and incorrect use of walking aids. Conclusion: Accidental falls in elderly people constitute a relevant health problem with important physical as well as psychological consequences.
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ABSTRACT: The purpose of this descriptive study was to assess whether the Humpty Dumpty Falls Scale (HDFS) identifies hospitalized pediatric patients at high risk for falls. The study was a matched case-control design. A chart review of 153 pediatric cases who fell and 153 controls who did not fall were pair-matched by age, gender, and diagnosis. High-risk patients fell almost twice as often as low-risk patients (odds ratio 1.87, confidence interval = 1.01, 3.53, p = .03). A Falls Prevention Pediatric Program with the HDFS tool addresses the Joint Commission Patient Safety Goals, but further research is needed to examine HDFS sensitivity-specificity.Journal for Specialists in Pediatric Nursing 02/2009; 14(1):22-32. DOI:10.1111/j.1744-6155.2008.00166.x · 1.05 Impact Factor
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ABSTRACT: In implementing an evidence-based falls prevention strategy in acute care, planners are frequently pressed to meet organizational targets while allowing staff flexibility to match interventions with patient population needs and clinical realities. We describe the process of how one hospital creatively used evidence, systems change, staff engagement, expert consultation, policy and protocols, staff and patient education, marketing, and celebration to design and implement a falls prevention strategy on 60 clinical units that reduced annual fall rates by 20%.Journal of nursing care quality 07/2010; 25(3):198-207. DOI:10.1097/NCQ.0b013e3181d5c176 · 1.09 Impact Factor