Risk factors for fall occurrence in hospitalized adult patients

a case-control study

Authors

  • Isis Marques Severo Hospital de Clínicas de Porto Alegre. Serviço de Terapia Intensiva
  • Ricardo de Souza Kuchenbecker Universidade Federal do Rio Grande do Sul. Faculdade de Medicina
  • Débora Feijó Villas Boas Vieira Universidade Federal do Rio Grande do Sul. Escola de Enfermagem
  • Amália de Fátima Lucena Universidade Federal do Rio Grande do Sul. Escola de Enfermagem
  • Miriam de Abreu Almeida Universidade Federal do Rio Grande do Sul. Escola de Enfermagem

DOI:

https://doi.org/10.1590/rlae.v26i0.154232

Keywords:

Accidents by Falls, Risk Factors, Adult, Hospitals, Advanced Practice Nursing, Quantitative Analysis

Abstract

Objective: to identify risk factors for falls in hospitalized adult patients. Methods: a matched case-control study (one control for each case). A quantitative study conducted in clinical and surgical units of a teaching hospital in Southern Brazil. The sample comprised 358 patients. Data were collected over 18 months between 2013-2014. Data analysis was performed with descriptive statistics and conditional logistic regression using Microsoft Excel and SPSS version 18.0. Results: risk factors identified were: disorientation/confusion [OR 4.25 (1.99 to 9.08), p<0.001]; frequent urination [OR 4.50 (1.86 to 10.87), p=0.001]; walking limitation [OR 4.34 (2.05 to 9.14), p<0.001]; absence of caregiver [OR 0.37 (0.22 to 0.63), p<0.001]; postoperative period [OR 0.50 (0.26 to 0.94), p=0.03]; and number of medications administered within 72 hours prior the fall [OR 1.20 (1.04 to 1.39) p=0.01]. Conclusion: risk for falls is multifactorial. However, understanding these factors provides support to clinical decision-making and positively influences patient safety.

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Author Biographies

  • Isis Marques Severo, Hospital de Clínicas de Porto Alegre. Serviço de Terapia Intensiva

    PhD, Enfermeira, Serviço de Terapia Intensiva, Hospital de Clínicas de Porto Alegre

  • Ricardo de Souza Kuchenbecker, Universidade Federal do Rio Grande do Sul. Faculdade de Medicina

    PhD, Professor Adjunto, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul

  • Débora Feijó Villas Boas Vieira, Universidade Federal do Rio Grande do Sul. Escola de Enfermagem

    PhD, Professor Adjunto, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul

  • Amália de Fátima Lucena, Universidade Federal do Rio Grande do Sul. Escola de Enfermagem

    PhD, Professor Adjunto, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul

  • Miriam de Abreu Almeida, Universidade Federal do Rio Grande do Sul. Escola de Enfermagem

    PhD, Professor Adjunto, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul

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Published

2019-02-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Risk factors for fall occurrence in hospitalized adult patients: a case-control study. (2019). Revista Latino-Americana De Enfermagem, 26, e3016. https://doi.org/10.1590/rlae.v26i0.154232