+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Factors associated with falls during hospitalization in an older adult population

Factors associated with falls during hospitalization in an older adult population

Research and Theory for Nursing Practice 25(2): 127-148

Falls of hospitalized older adults are of concern for patients, family members, third-party payers, and caregivers. Falls are the most common safety incident among hospitalized patients with fall rates from 2.9-13 per 1,000 patient days. Little effectiveness research has been conducted on nursing interventions and other variables associated with falls of older adults during hospitalization. The purpose of this exploratory outcomes effectiveness study was to examine variables associated with falls during hospitalization of older adults. An effectiveness research model composed of patient characteristics, clinical conditions, nursing unit characteristics, medical, pharmacy, and nursing interventions was tested using generalized estimating equations (GEE) analysis. The sample consisted of 10,187 hospitalizations of 7,851 patients, aged 60 or older, admitted for acute care services over a 4-year period. Those included in the sample either had received the Nursing Interventions Classification (NIC) intervention of Fall Prevention (defined as "instituting special precautions with patient at risk for injury from falling" [Dochterman & Bulechek, 2004, p. 363]) or were at risk for falling as defined by a fall risk assessment scale. Data were obtained retrospectively from 9 clinical and administrative data repositories from 1 tertiary care hospital. Variables that were positively associated with falls, after controlling for other variables in the model, included several medical and nursing treatments; several types of medications including antidepressants, benzodiazepines, antipsychotic, and psychotropic agents; and several types of nursing treatments including restraints and neurologic monitoring (at low use rates of < 2 times a day). Variables inversely associated with falls included registered nurse (RN) skill mix, pressure ulcer care, pain management, and tube care. The study demonstrates the importance of conducting interdisciplinary effectiveness research that includes nursing care. Most of the variables associated with falls were interventions (medical, pharmacy, and nursing). Dose of nursing treatments and RN skill mix were also associated with falls.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 053193099

Download citation: RISBibTeXText

PMID: 21696092

DOI: 10.1891/1541-6577.25.2.127

Related references

Risk factors for recurrent injurious falls that require hospitalization for older adults with dementia: a population based study. Bmc Neurology 16(1): 188, 2016

Recognising falls risk in older adult mental health patients and acknowledging the difference from the general older adult population. Collegian 23(1): 97, 2016

Prevalence and risk factors for falls in an older community-dwelling population. Journals of Gerontology. Series A Biological Sciences and Medical Sciences 57(11): M722-M726, 2002

Risk factors for nonelective hospitalization in frail and older adult, inner-city outpatients. Gerontologist 44(1): 68-75, 2004

A population-based survey of factors relating to the prevalence of falls in older people. Gerontology 51(5): 340-345, 2005

Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis. Zeitschrift für Gerontologie und Geriatrie 49(3): 232-236, 2016

Methicillin-resistant Staphylococcus aureus: psychological impact of hospitalization and isolation in an older adult population. Journal of Hospital Infection 49(4): 250-254, 2001

Older Adult Inpatient Falls in Acute Care Hospitals: Intrinsic, Extrinsic, and Environmental Factors. Journal of Gerontological Nursing 41(7): 29-43; Quiz 44-5, 2015

Indoor and outdoor falls among older adult trauma patients: A comparison of patient characteristics, associated factors and outcomes. Geriatrics and Gerontology International 17(6): 905-912, 2017

Statement on older adult falls and falls prevention. Bulletin of the American College of Surgeons 99(9): 47-47, 2014

Health and lifestyle risk factors for falls in a large population-based sample of older people in Australia. Journal of Safety Research 45: 7, 2013

Factors associated with falls among older, cognitively impaired people in geriatric care settings: a population-based study. American Journal of Geriatric Psychiatry 13(6): 501-509, 2005

Falls risk assessment outcomes and factors associated with falls for older Indigenous Australians. Australian and new Zealand Journal of Public Health 40(6): 553-558, 2016

Determination of six cephalosporin residues in milk by QuEChERS-ultra high performance liquid chromatography-tandem mass spectrometry. Se Pu 36(4): 345-350, 2018

Antifungal compound honokiol triggers oxidative stress responsive signalling pathway and modulates central carbon metabolism. Mycology 7(3): 124-133, 2016