Risk factors of falls of hospitalized patients

Česká verzia

Authors: J. Vácová ^1,2; I. Brabcová ²; V. Dvořáková ¹; L. Cetlová ¹
Authors place of work: Vysoká škola polytechnická Jihlava, Katedra zdravotnických studií, Vedoucí katedry: PhDr. Vlasta Dvořáková, PhD. ¹; Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, Ústav ošetřovatelství, porodní asistence a neodkladné péče, Ředitelka: prof. PhDr. Valérie Tóthová, Ph. D. ²
Published in the journal: Prakt. Lék. 2019; 99(4): 139-146
Category: Of different specialties

Summary

The aim of the review article is to summarize the most frequently specified causes of falls in hospitalized patients in studies published in 2012–2018. Analyzed research studies were searched using keywords: patient fall; falls injuries; risk factors; fragile senior; risk assessment. The search was carried out in scientific databases focused on medicine and nursing Cinahl and Medline, in the database of the National Medical Library Medvic and Bibliographia Medica Čechoslovaca.

Keywords:

patient fall – fall injuries – fragile older adult – risk assessment

Zdroje

1. Joint Commission Resources. Reducing the Risk of Patient Harm Resulting from Falls. Toolkit for implementing National Patient Safety Goal 9. Illinois, Oakbrook Terrace: Joint Commission of Accreditation of Health Care Organization 2008.

2. Marx D. Riziko pádů ve zdravotnických zařízeních. Diagnóza v ošetřovatelství 2005; 1(3): 140–173.

3. Ahmed N, Mandel R., Frain MK. Frailty: an emerging geriatric syndrome. Am J Med 2007; 120(9): 748–753.

4. Bennet A, Gnjidic D, Gillet M, et al. Prevalence and impact of fall-risk-increasing drugs, polypharmacy, and drug-drug interactions in robust versus frail hospitalised falls patiens: a prospective cohort study. Drugs Aging 2014; 1(3): 225–232.

5. Binder S. Injuries among older adulds: the challenge of optimizing safety and minimizing unintendent consequences. Inj Prev 2002; 8(4): IV2–4.

6. Nadkarni J, Iyengar KP, Dussa C, et al. Orthopaedic injuries following falls by hospital in-patients. Gerontology 2005; 51: 329–333.

7. Wong CA, Rectenwadl AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. J Comm J Qual Patient Saf 2011; 37(2): 81–87.

8. Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin N Am 2011; 90: 807–824.

9. Svobodová D, Jurásková D. Sledování pádů u hospitalizovaných pacientů v České republice. Jihlavské zdravotnické dny 2011; 642–652.

10. Spojená akreditační komise. Akreditační standardy pro nemocnice. Praha: Tigris 2013.

11. Ministerstvo zdravotnictví České republiky. Resortní bezpečnostní cíle [online] 2012 [cit. 2019-06-16]. Dostupné z: http://www.mzcr.cz/kvalitaabezpeci/obsah/resortni-bezpecnostni cile_1837_15.html

12. Česká asociace sester. Pády 2008 [online] [cit. 2019-06-16] Dostupné z: http://www.cnna.cz/pady

13. Brabcová I, Bártlová ?. Management v ošetřovatelské praxi. Praha: NLN 2015.

14. Registered Nurses Association of Ontario. Toolkit: Implementation of best practice guidelines 2012 [online] [cit. 2019-06-16]. Dostupné z: http://rnao.ca/bpg/resources/toolkit-implementation-best-practice-guidelines-second-edition

15. Jarošová D, Majkusová K, Zeleníková R, a kol. Prevence pádů a zranění způsobených pády u starších dospělých. Klinický postup adaptovaný 2014 [online] [cit. 2019-06-16]. Dostupné z: http://dokumenty.osu.cz/lf/uom/uom-publikace/kdp-pady-plna-verze.pdf

16. Jarošová D, Majkusová K, Kozárová R, Zeleníková R. Klinické doporučené postupy v ošetřovatelství. Praha: Grada Publishing 2014.

17. Becker N, Tweedale C, Ellis CJ. Adverse events with medical devices may go unreported. BMJ 2002; 325(7369): 905.

18. Zeleníková R, Kozáková R, Jarošová D. Intervence v prevenci pádů seniorů v institucích: přehledová studie. Prakt. Lék. 2015; 95(1): 20–30.

19. Horová J, Brabcová I, Krocová J. Účinnost intervenčních programů prevence pádů hospitalizovaných osob. Kontakt 2017; 19(2): 105–115.

20. Cox J, Thomas-Hawkins CH, Pajarillo E, et al. Factors associated with falls in hospitalized adult patients. Appl Nurs Res 2015; 28: 78–82.

21. Ferreira Neto CJB, Rocha AS, Schmidt L, et al. Risk assesment of patient falls while talking medications ordered in a teaching hospital. Rev Bras Enferm 2015; 68(2): 278–283.

22. Kuhlenschmidt ML, Reeber CH, Wallace CH, et al. Tailoring education to perceived fall risk in hospitalized patients whit cancer. Clin J Oncol Nurs 2016; 20(1): 84–89.

23. Gringauz I, Shemesh Y, Dagan A, et al. Risk of falling among hospitalized patients whit high modified Morse scores could be further Stratified. BMC Health Serv Res 2017; 17: 721.

24. Cedraz RO, Gallach CH, Perez JEF, et al. Risks management in the hospital environment: incidence and risk factors associated with falls and presure injures in a clinical unit. Esc. Anna Nery 2018; 22(1): 1–7.

25. Hubbard RE, Peel NM, Mayukh S, et al. Fraily status at admission to hospital predicts multiple adverse outcomes. Age Ageing 2017; 46: 801–806.

26. Sarges NA, Santos MIPO, Chaves EC. Evaluation of the safety of hospitalized older adults as for the risk of falls. Rev Bras Enferm 2017; 70(4): 860–867.

27. Aranda-Gallardo M, Luna-Rodriguez ME, Vauquez-Blanco M, et al. Diagnostic validity of the STRATIFY and Downton instruments for evaluating the risk of falls by hospitalized acute-care patients: a multicentre longitudinal study. BMC Health Serv Res 2017; 17: 277.

28. Choi Y, Staley B, Henriksen C, et al. A dynamic risk model for inpatient falls. Am J Health Syst Pharm 2018; 75(17): 1293–1303.

29. Oliveira DU, Ercole FF, Melo LS, et al. Evaluation of falls in hospitalized ederly. J Nurs UFPE, Recife 2017; 11(11): 4589–4597.

30. Santos Oliveira J, Dinitz MMP, Medeiros Falcao RM, et al. Extrinsic factors for the risk of falls in hospitalized ederly. J Nurs UFPE, Recife 2018; 12(7): 1835–1840.

31. Medeiros Falcao RM, Melo Buriti Vasconcello J, Santos Olivera J. Evaluation of the risk of falls in hospitalized ederly people. J Nurs UFPE, Recife 2018; 12(3): 812–815.

32. Ambrose AF, Cruz L, Paul G. Falls and fractures: A systematic approach to screening and prevention. Maturitas 2015; 82(1): 85–93.

33. Oliver DH, Haines F, Terry P. Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med 2010; 26(4): 645–692.

34. Giné-Garriba M, Guerra M, Mari-Dell’Olmo M, et al. Sensitivity of a modified version of the „Timed get up and go“ test to predict fall risk in the ederly; a pilot study. Arch Gerontol Geriatr 2009; 49(1): 60–66.

35. Pospíchal J, Jedlinská M. Přítomnost vybraných rizikových faktorů pádu u hospitalizovaných geriatrických pacientů. Prakt. Lék. 2013; 93(1): 23–25.