Eun-Kyung Kim; Jae Chang Lee; Mi-Ran Eom

doi:10.4040/jkan.2008.38.5.676

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 38(5); 2008 > Article

Original Article
Falls Risk Factors of Inpatients: Eun-Kyung Kim, Jae Chang Lee, Mi-Ran Eom; Journal of Korean Academy of Nursing 2008;38(5):676-684.
DOI: https://doi.org/10.4040/jkan.2008.38.5.676
Published online: October 30, 2008

¹Professor, College of Nursing, Eulji University, Daejeon, Korea.

²Professor, Department of Industrial & Advertising Psychology, Daejeon University, Daejeon, Korea.

Address reprint requests to: Eom, Mi-Ran. College of Nursing, Eulji University, 143-5 Youngdu 2-dong, Jung-gu, Daejeon 301-746, Korea. Tel: 82-42-259-1712, Fax: 82-42-259-1709, miran@eulji.ac.kr

• Received: July 28, 2008 • Accepted: September 30, 2008

12 Views
0 Download
20 Scopus

prev next

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to identify the risk factors for falls and to suggest data for developing a program for preventing falls.
Methods
This was a case-control study in five university hospitals and a general hospital. In total, 216 patients over the age of 18 yr admitted from January 1 to December 31, 2007 participated. One hundred eight patients with experience of falling were matched by gender, age level, diagnosis, and length of stay with 108 patents with no experience of falling admitted on the same unit. A quality assurance coordinator nurse in each hospital examined 35 fall risk factors developed by researchers.
Results
In acute hospitals, history of falls, orientation ability, dizziness or vertigo, general weakness, urination problems, transfer/mobility difficulty, walking dependency, impatience, benzodiazepines, diuretics, and vasodilators showed significance on adjusted-odds ratios for fall. Logistic regression analysis was performed to elucidate the factors that influence falls. The probability of falls was increased by dizziness/vertigo, general weakness, and impatience/agitation.
Conclusion
This finding can be used as a useful resource in developing nursing intervention programs to predict and prevent the falls of inpatients.
Keywords: Accidental fall; Risk factor; Inpatients

This study was supported by 2006 Eulji Research Grant.

REFERENCES

1. Aizen E, Shugaev I, Lenger R. Risk factors and characteristics of falls during inpatient rehabilitation of elderly patients. Archives of Gerontology and Geriatrics. 2006;44:1–12.Article PubMed
2. American Nurses Association. Nursing-sensitive indicators. 2008;Retrieved July 21, 2008. from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/NDNQI/NDNQI_/NursingSensitiveIndicators.aspx .
3. Bergland A, Wyller TB. Risk factors for serious fall related injury in elderly women living at home. Injury Prevention. 2004;10:308–313.Article PubMed PMC
4. Chaimowicz F, Ferreira Tde.J, Miguel DF. Use of psychoactive drugs and related falls among older people living in a community in Brazil. Revista de Saúde Pública. 2000;34:631–635.Article
5. Chen JS, March LM, Schwarz J, Zochling J, Makaroff J, Sitoh YY, et al. A multivariate regression model predicted falls in residents living in intermediate hostel care. Journal of Clinical Epidemiology. 2005;58:503–508.Article PubMed
6. Cho JP, Paek KW, Song HJ, Jung YS, Moon HW. Prevalence and associated factors of falls in the elderly community. Korean Journal of Preventive Medicine. 2001;34:47–54.
7. Daal JO, van Lieshout JJ. Falls and medications in the elderly. The Netherlands Journal of Medicine. 2005;63:91–96.PubMed
8. Evans D, Hodgkinson B, Lambert L, Wood J. Falls risk factors in the hospital setting: A systematic review. International Journal of Nursing Practice. 2001;7:38–45.Article PubMed PDF
9. Fehring RJ. Methods to validate nursing diagnosis. Heart & Lung. 1987;16:625–629.
10. Gu MO, Jeon MY, Kim HJ, Eun Y. A review of exercise interventions for fall prevention in the elderly. Journal of Korean Academy of Nursing. 2005;35:1101–1112.Article PubMed PDF
11. Gyldenvand T. Falls: the construction and validation of the risk assessment for fall scale II (RAFS II). 1984;Iowa, USA, University of Iowa. Unpublished master's thesis.
12. Harwood RH. Visual problems and falls. Age and Ageing. 2001;30:S13–S18.
13. Hendrich A, Nyhuis A, Kippenbrock T, Soja ME. Hospital falls: Development of a predictive model for clinical practice. Applied Nursing Research. 1995;8:129–139.Article PubMed
14. Hendrich AL, Bender PS, Nyhuis A. Validation of the Hendrich II fall risk model: A large concurrent case/control study of hospitalized patients. Applied Nursing Research. 2003;16:9–21.Article PubMed
15. Houghton S, Birks V, Whitehead CH, Crotty M. Experience of a falls and injuries risk assessment clinic. Australian Health Review. 2004;28:374–381.PubMed
16. Kim CG. An analysis of fall incidence rate and the related factors of fall in hospitalized patients. 2003;Seoul, Seoul National University. Unpublished master's thesis.
17. Kim EA, Mordiffi SZ, Bee WH, Devi K, Evans D. Evaluation of three fall-risk assessment tools in an acute care setting. Journal of Advanced Nursing. 2007;60:427–435.Article PubMed
18. Kwon IG, Kim KH. A study on the variables forecasting elderly inpatients' fall experience. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2007;16:59–68.
19. Lee HS. A study on fall accident. 1997;Seoul, Seoul National University. Unpublished master's thesis.
20. Morse JM. Preventing patient falls. 1997;Thousand Oaks, CA, Sage.
21. Neyens JC, Dijcks BP, van Haastregt JC, de Witte LP, van den Heuvel WJ, Crebolder HF, et al. The development of a multidisciplinary fall risk evaluation tool for demented nursing home patients in the Netherlands. BMC Public Health. 2006;6:74. PubMed PMC
22. Oliver D, Britton M, Seed P, Martin FC, Hopper AH. Development and evaluation of evidence based assessment tool (STRATIFY) to predict which elderly inpatients will fall: Case-control and cohort studies. British Medical Journal. 1997;315:1049–1053.PubMed PMC
23. Oliver D, Daly F, Martin FC, McMurdo ME. Risk factors and risk assessment tools for falls in hospital inpatients: A systematic review. Age and Ageing. 2004;33:122–130.Article PubMed
24. Ruthazer R, Lipsitz LA. Antidepressants and falls among elderly people in long term care. American Journal of Public Health. 1993;83:746–749.Article PubMed PMC
25. Shin KR, Shin SJ, Kim JS, Kim JY. The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall, and depression of low-income elderly women. Journal of Korean Academy of Nursing. 2005;35:104–112.Article PubMed PDF
26. Sohng KY, Moon JS, Lee KS. Prevalence and associated factors of falls among people with Parkinson's disease. Journal of Korean Academy of Nursing. 2004;34:1081–1091.Article PubMed PDF
27. Song KA, Moon JS, Kang SS, Choi JH. Activities and fear of falling in the community dwelling elderly. Korean Journal of Public Health Nursing. 2001;15:324–333.
28. Song KJ, Han MY, Cheong MY, Lim KS, Kim DK. Clinical research design and biostatistical methods. Korean Journal of Urology. 2005;46:835–841.
29. Tinett ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. New England Journal of Medicine. 1988;319:1701–1707.Article PubMed
30. Vassallo M, Stockdale R, Sharma JC, Briggs R, Allen S. A comparative study of the use of four fall risk assessment tools on acute medical wards. Journal of the American Geriatrics Society. 2005;53:1034–1038.Article PubMed

Table 1

Homogeneity Test between Fallers and Nonfallers (N=216)

LOS=length of stay.

Table 2

Odds Ratios between Fallers and Nonfallers by General Characteristics, Physical Status, and Cognitive and Emotional Condition of Subjects (N=216)

CI=confidence interval.

Table 3

Odds Ratios between Fallers and Nonfallers by Medication (N=216)

CI=confidence interval.

Table 4

Logistic Regression Analysis of Risk Factors Related to Falls (N=216)

CI=confidence interval.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Falls Risk Factors of Inpatients

J Korean Acad Nurs. 2008;38(5):676-684. Published online October 30, 2008

DOI: https://doi.org/10.4040/jkan.2008.38.5.676

XML Download

We recommend

Falls Risk Factors of Inpatients

Table 1

Homogeneity Test between Fallers and Nonfallers (N=216)

LOS=length of stay.

Table 2

Odds Ratios between Fallers and Nonfallers by General Characteristics, Physical Status, and Cognitive and Emotional Condition of Subjects (N=216)

CI=confidence interval.

Table 3

Odds Ratios between Fallers and Nonfallers by Medication (N=216)

CI=confidence interval.

Table 4

Logistic Regression Analysis of Risk Factors Related to Falls (N=216)

CI=confidence interval.

Table 1 Homogeneity Test between Fallers and Nonfallers (N=216)

LOS=length of stay.

Table 2 Odds Ratios between Fallers and Nonfallers by General Characteristics, Physical Status, and Cognitive and Emotional Condition of Subjects (N=216)

CI=confidence interval.

Table 3 Odds Ratios between Fallers and Nonfallers by Medication (N=216)

CI=confidence interval.

Table 4 Logistic Regression Analysis of Risk Factors Related to Falls (N=216)