Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital
ABSTRACT Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study po...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000100212&lng=en&tlng=en |
| _version_ | 1819211301004509184 |
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| author | Adriane Kênia Moreira Silva Dayane Carlos Mota da Costa Adriano Max Moreira Reis |
| author_facet | Adriane Kênia Moreira Silva Dayane Carlos Mota da Costa Adriano Max Moreira Reis |
| author_sort | Adriane Kênia Moreira Silva |
| collection | DOAJ |
| description | ABSTRACT Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate and multivariate analyses were performed. Results Of the 125 fall reports in the study, 38 (30.4%) were in 2014, 26 (20.8%) in 2015, and 61 (48.8%) in 2016. Half of the patients (63; 50.4%) were classified as high fall risk and 74 (59.2%) had two or more risk factors for the event. The most frequently used drug classes were opioids (25%), anxiolytics (19.7%), beta-blockers (9.9%), angiotensin II antagonists (7%) and vascular-selective calcium channel blockers (7%). After the adjusted analysis, the factors associated with falls were amputation (odds ratio: 14.17), female sex (odds ratio: 2.98) and severe pain (odds ratio: 5.47). Conclusion Medications are an important contributor to in-hospital falls, and the Medication Fall Risk Score can help identify patients at a high risk for falls. |
| first_indexed | 2024-12-23T06:24:53Z |
| format | Article |
| id | doaj.art-b8132bd8c03647538c318ab11157e473 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-12-23T06:24:53Z |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-b8132bd8c03647538c318ab11157e4732022-12-21T17:57:06ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638517110.31744/einstein_journal/2019ao4432S1679-45082019000100212Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospitalAdriane Kênia Moreira SilvaDayane Carlos Mota da CostaAdriano Max Moreira ReisABSTRACT Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate and multivariate analyses were performed. Results Of the 125 fall reports in the study, 38 (30.4%) were in 2014, 26 (20.8%) in 2015, and 61 (48.8%) in 2016. Half of the patients (63; 50.4%) were classified as high fall risk and 74 (59.2%) had two or more risk factors for the event. The most frequently used drug classes were opioids (25%), anxiolytics (19.7%), beta-blockers (9.9%), angiotensin II antagonists (7%) and vascular-selective calcium channel blockers (7%). After the adjusted analysis, the factors associated with falls were amputation (odds ratio: 14.17), female sex (odds ratio: 2.98) and severe pain (odds ratio: 5.47). Conclusion Medications are an important contributor to in-hospital falls, and the Medication Fall Risk Score can help identify patients at a high risk for falls.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000100212&lng=en&tlng=enQuedaTratamento farmacológicoNear missSegurança do pacienteFatores de riscoPreparações farmacêuticas |
| spellingShingle | Adriane Kênia Moreira Silva Dayane Carlos Mota da Costa Adriano Max Moreira Reis Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital Einstein (São Paulo) Queda Tratamento farmacológico Near miss Segurança do paciente Fatores de risco Preparações farmacêuticas |
| title | Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital |
| title_full | Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital |
| title_fullStr | Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital |
| title_full_unstemmed | Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital |
| title_short | Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital |
| title_sort | risk factors associated with in hospital falls reported to the patient safety commitee of a teaching hospital |
| topic | Queda Tratamento farmacológico Near miss Segurança do paciente Fatores de risco Preparações farmacêuticas |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000100212&lng=en&tlng=en |
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