Ošetřovatelské perspektivy 2019, 2(2):33-42 | DOI: 10.25142/osp.2019.014

CONSEQUENCES OF PATIENTS FALLS

Jana Horová1,2, Iva Brabcová1, Jitka Krocová1,2
1 Ústav ošetřovatelství, porodní asistence a neodkladné péče, Zdravotně sociální fakulta, Jihočeská univerzita v Českých Budějovicích
2 Katedra ošetřovatelství a porodní asistence, Fakulta zdravotnických studií, Západočeská univerzita v Plzni

Injuries caused by a patient’s fall are serious complications that prolong in-patient treatment. The aim of the paper was to find out the occurrence of injuries caused by falls and related factors in patients at a large inpatient medical facility. We performed a quantitative data analysis on patients’ falls over a five-year period in one of the largest hospitals in the Czech Republic. In most cases, Pearson’s chi-square test was used to test the dependence of variables. If the expected minimum frequency presumption wasn’t met, Fisher’s exact test was used. The significance level was determined to be 5 %. If it wasn’t possible to determine statistically significant differences between variables, a post-test was carried out. The analysis found out which areas correlate with the occurrence of fall injuries. Injury incidence and the type of injury caused by a fall depend on the situation in which the fall occurred, in patients with and without a specified risk of falling (p < 0.001). Patients were most commonly injured in falls that occurred due to tripping or slipping. Self-sustaining patients have a significantly higher rate of falling into unconsciousness after a fall than other patients, but immobile patients have significantly lower rates of injury after falling than other patients (p < 0.05). No statistically significant differences were identified in the areas of ward type, discipline, type of injury and patient risk, mobility, ability to co-operate, use of compensatory aids and the patient’s mental state in the event of a fall.

Keywords: patient, fall, injury, consequences of falls, analysis

Received: January 13, 2020; Revised: January 13, 2020; Accepted: January 21, 2020; Published: April 7, 2020  Show citation

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Horová J, Brabcová I, Krocová J. CONSEQUENCES OF PATIENTS FALLS. Ošetřovatelské perspektivy. 2019;2(2):33-42. doi: 10.25142/osp.2019.014.
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    References

    1. BIELAKOVÁ, K. a MATĚJOVSKÁ KUBEŠOVÁ, H. Pády u geriatrických pacientů. In: MATĚJOVSKÁ KUBEŠOVÁ, H. et al. Vybrané klinické stavy u seniorů: úskalí diagnostiky a terapie. Praha: Mladá fronta, 2015, s. 188-193. ISBN 978-80-204-3394-7.
    2. BOTÍKOVÁ, A. et al. Riziká pádov u geriatrických pacientov. In: BOTÍKOVÁ, A. a BOROŇOVÁ, J., eds. Sborník příspěvků ke konferenci Nové trendy v ošetrovateľstve II. s tematickým zameraním Gerontologické ošetrovateľstvo Výskum v ošetrovateľstve a v ošetrovateľskej praxi. Trnava: Trnavská univerzita, 2015, s. 68-75. ISBN 978-80-8082-864-6.
    3. BROSEY, L. A. and MARCH, K. S. Effectiveness of Structured Hourly Nurse Rounding on Patient Satisfation and Clinical Outcomes. Journal of Nursing Care Quality [online]. 2015, vol. 30, no. 2, p. 153-159. ISSN 1550-5065. DOI: 10.1097/NCQ.0000000000000086. Go to original source... Go to PubMed...
    4. HAJDUCHOVÁ, H. et al. Retrospective analysis of falls in selected hospitals of the Czech Republic. Neuro Endocrinology Letters. 2016, vol. 37, no. 2, p. 18-24. ISSN 0172-780X.
    5. HENG, H. et al. Educating hospital patients to prevent falls: protocol for a scoping review. BMJ Open [online]. 2019, vol. 9, no. 9. [cit. 17. 11. 2019]. ISSN 2044-6055. DOI: 10.1136/bmjopen-2019-030952. Go to original source... Go to PubMed...
    6. HENSBROEK, P. B. et al. Staircase falls: High-risk groups and injury characteristics in 464 patients. Injury [online]. 2009, vol. 40, no. 8, p. 884-889. [cit. 6. 1. 2020]. ISSN 1879-0267. Available from: https://doi.org/10.1016/j.injury.2009.01.105. Go to original source... Go to PubMed...
    7. HSIAO, H. Fall prevention and protection: principles, guidelines, and practices. Boca Raton: CRC Press, 2017. ISBN 978-1-4822-1714-8.
    8. JAROŠOVÁ, D. et al. Prevence pádů a zranění způsobených pády u starších dospělých: klinický doporučený postup adaptovaný [online]. Ostrava: Ostravská univerzita v Ostravě, Lékařská fakulta, Ústav ošetřovatelství a porodní asistence, 2014. [cit. 12. 12. 2019]. Dostupné z: http://dokumenty.osu.cz/lf/uom/uom-publikace/kdp-pady-plna-verze.pdf.
    9. MAJKUSOVÁ, K. and JAROŠOVÁ, D. Falls risk factors in an acute-care setting: a retrospective study. Central European Journal of Nursing and Midwifery. 2014, vol. 5, no. 2, p. 47-53. ISSN 2336-3517.
    10. MARX, D. Riziko pádů ve zdravotnických zařízeních. Diagnóza v ošetřovatelství. 2005, roč. 1, č. 3, s. 139-140. ISSN 1801-1349.
    11. OLIVER, D. et al. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses. BMJ: British Medical Journal [online]. 2007, vol. 334, no. 7584, p. 82-87. [cit. 12. 12. 2019]. ISSN 1756-1833. Available from: https://doi.org/10.1136/bmj.39049.706493.55. Go to original source... Go to PubMed...
    12. PEARCE, L. Preventing falls in hospital. Nursing management [online]. 2017, vol. 23, no. 10, p. 11. [cit. 9. 11. 2019]. ISSN 2047-8976. DOI: 10.7748/nm.23.10.11.s11. Go to original source... Go to PubMed...
    13. PERELL, K. L. et al. Fall risk assessment measures: an analytic review. Journals of Gerontology [online]. 2001, vol. 56, no. 12, p. 761-766. [cit. 18. 11. 2019]. ISSN 0022-1422. Available from: https://www.ncbi.nlm.nih.gov/pubmed/11723150. Go to original source... Go to PubMed...
    14. Prevence pádů ve zdravotnickém zařízení: cesta k dokonalosti a zvyšování kvality. Praha: Grada, 2007. ISBN 978-80-247-1715-9.
    15. RUBENSTEIN, L. Z. Falls in older people: epidemiology, risk factors and strategies of prevention. Age and Ageing [online]. 2006, vol. 35, suppl. 2, p. 37-41. [cit. 11. 11. 2019]. ISSN 1468-2834. DOI: 10.1093/ageing/afl084. Go to original source... Go to PubMed...
    16. SPIVA, L. et al. Effectiveness of Team Training on Fall Prevention. Journal of Nursing Care Quality [online]. 2014, vol. 29, no. 2, p. 164-173. [cit. 11. 11. 2019]. ISSN 1550-5065. DOI: 10.1097/NCQ.0b013e3182a98247. Go to original source... Go to PubMed...
    17. TRINH, L. T. T. et al. Falls in Hospital Causing Injury. Journal for Healthcare Quality [online]. 2019, vol. 42, no. 1, p. 1-11. [cit. 12. 11. 2019]. ISSN 1945-1474. DOI: 10.1097/JHQ.0000000000000179. Go to original source... Go to PubMed...
    18. TROMP, A. M. et al. Fall-risk screening test: a prospective study on predictors for falls in community-dwelling elderly. Journal of Clinical Epidemiology [online]. 2001, vol. 54, no. 8, p. 837-844. [cit. 11. 11. 2019]. ISSN 1878-5921. Available from: https://www.ncbi.nlm.nih.gov/pubmed/11470394. Go to original source... Go to PubMed...
    19. VLAEYEN, E. et al. Characteristics and effectiveness of fall prevention programs in nursing homes: a systematic review and meta-analysis of randomized controlled trials. Journal of the American Geriatrics Society [online]. 2015, vol. 63, no. 2, p. 211-221. [cit. 11. 11. 2019]. ISSN 1532-5415. DOI: 10.1111/jgs.13254. Go to original source... Go to PubMed...

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