ArticleBMJ open2014
Risk factors of falls in inpatients and their practical use in identifying high-risk persons at admission: Fukushima Medical University Hospital cohort study.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 44 citations in OpenAlex.
- Psychotropic medication and in-hospital falls in older adults: a cohort-based secondary analysis with exploratory stratification among users.Scientific reports · 2025Article
- Risk factors for falls in patients treated with chemotherapy.Journal of pharmaceutical health care and sciences · 2025Article
- Development and Validation of a Dynamic Online Nomogram for Predicting Inpatient Fall Risk: A Cohort Study.Journal of multidisciplinary healthcare · 2025Article
- Housing Characteristics of Areas With More Falls by Older Adults Living in Single-Family Detached Dwellings: A Cohort Study Using Geospatial Analysis.Mayo Clinic proceedings. Digital health · 2024Article
- Risk Factors and Profiles of Falls Among Inpatients in Vietnam: A Multicenter Nested Case-Control Study.Risk management and healthcare policy · 2024Article
- The Administration of Lemborexant at Admission is Not Associated with Inpatient Falls: A Multicenter Retrospective Observational Study.International journal of general medicine · 2024Article
- Validation and Improvement of the Saga Fall Risk Model: A Multicenter Retrospective Observational Study.Clinical interventions in aging · 2024Observational
- Accumulated incidence of falls in people hospitalised with cancer and related factors.Nursing open · 2023Article
- Association between nocturnal falls and hypnotic drug use in older patients at acute care hospitals.European journal of clinical pharmacology · 2023Article
- The U-shaped association between hospitalization time and fall incidence in inpatients using publicly available data: A cross-sectional study in Japan.Nursing open · 2023Article
- Association between Sedentary Time and Falls among Middle-Aged Women in Japan.Healthcare (Basel, Switzerland) · 2022Article
- History of Falls and Bedriddenness Ranks are Useful Predictive Factors for in-Hospital Falls: A Single-Center Retrospective Observational Study Using the Saga Fall Risk Model.International journal of general medicine · 2022Article
- Cost-effectiveness of Morse Fall Scale assessment in fall prevention care in hospitalized patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021Article
- Developing a Scoring Model to Predict the Risk of Injurious Falls in Elderly Patients: A Retrospective Case-Control Study in Multicenter Acute Hospitals.Clinical interventions in aging · 2020Article
- Incidence and risk of falls in patients treated for hematologic malignancies in the Intensive Hematology Unit.Revista latino-americana de enfermagem · 2019Article
- Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital.Einstein (Sao Paulo, Brazil) · 2019Article
- Characteristics of awareness and behavior of medical staff for prevention of falling accidents among inpatients.Fukushima journal of medical science · 2019Article
- Muscle mass and muscle strength are associated with pre- and post-hospitalization falls in older male inpatients: a longitudinal cohort study.BMC geriatrics · 2018Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo clarify the risk factors for falls in hospital settings and to propose the use of such factors to identify high-risk persons at admission.
designProspective cohort study.
settingFukushima Medical University Hospital, Japan, from August 2008 and September 2009.
participants9957 adult consecutive inpatients admitted to our hospital.
methodsInformation was collected at admission from clinical records obtained from a structured questionnaire conducted in face-to-face interviews with subjects by nurses and doctors and fall events were collected from clinical records.
resultsThe proportion of patients who fell during follow-up was 2.5% and the incidence of falls was 3.28 per 100 person-days. There were significant differences in age, history of falling, cognitive dysfunction, planned surgery, wheelchair use, need for help to move, use of a remote caring system, rehabilitation, use of laxative, hypnotic or psychotropic medications and need for help with activities of daily living (ADL) between patients who did and did not fall. Multivariable adjusted ORs for falls showed that age, history of falls and need for help with ADL were common risk factors in both men and women. Using psychotropic medication also increased the risk of falling in men while cognitive dysfunction and use of hypnotic medication increased the risk of falling in women. Planned surgery was associated with a low risk of falls in women.
conclusionsTo prevent falls in inpatients it is important to identify high-risk persons. Age, history of falling and the need for help with ADL are the most important pieces of information to be obtained at admission. Care plans for patients including fall prevention should be clear and considered.
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