ArticleBMC geriatrics2017
Identifying protective and risk factors for injurious falls in patients hospitalized for acute care: a retrospective case-control study.
Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A novel multistep approach to standardize the reported risk factors for in-hospital falls: a proof-of-concept study.Frontiers in public health · 2024Pooled it
- Vibration training reducing falls in community-living older adults: a pilot randomized controlled trial.Aging clinical and experimental research · 2023Trial
- Observational
- From framework to frontline: Embedding enterprise risk management into emergency department fall prevention.Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management · 2025Article
- Recreational older ballet dancers fall less with more effective reactive balance control than non-dancers after a slip during gait.Experimental brain research · 2025Article
- Using CT imaging to identify sarcopenia as a risk factor for severe falls in older adults.BMC geriatrics · 2025Article
- Falls in hospitalized older adults and the use of fall risk-increasing drugs and anticholinergic medications in Colombia: a case‒control study.Frontiers in pharmacology · 2024Article
- Validation of the Saga Fall Injury Risk Model.International journal of medical sciences · 2024Observational
- Age- and sex-dependent alterations in primary somatosensory cortex neuronal calcium network dynamics during locomotion.Aging cell · 2023Article
- Association between fall-related serious injury and activity during fall in an acute care hospital.PloS one · 2023Article
- Falling Short: The Contribution of Central Insulin Receptors to Gait Dysregulation in Brain Aging.Biomedicines · 2022Review
- Falls in oldest-old adults hospitalized in acute geriatric ward.European geriatric medicine · 2022Article
- Validity of a fall risk assessment score sheet for patients hospitalized in general wards.Nagoya journal of medical science · 2022Article
- Fall determinants in hospitalised older patients: a nested case control design - incidence, extrinsic and intrinsic risk in Malaysia.BMC geriatrics · 2022Article
- Nurses' perceptions of fall risk factors and fall prevention strategies in acute care settings in Saudi Arabia.Nursing open · 2022Article
- Correlation between fall risk increasing drugs (FRIDs) and fall events at a rehabilitation hospital.Acta bio-medica : Atenei Parmensis · 2022Article
- Using Healthcare Resources Wisely: A Predictive Support System Regarding the Severity of Patient Falls.Journal of healthcare engineering · 2022Article
- Risk Factors for Fall-Related Serious Injury among Korean Adults: A Cross-Sectional Retrospective Analysis.International journal of environmental research and public health · 2021Article
- Fall predictors beyond fall risk assessment tool items for acute hospitalized older adults: a matched case-control study.Scientific reports · 2021Article
- Syndromic Surveillance Data for Accidental Fall Injury.Online journal of public health informatics · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdmitted patients who fall and injure themselves during an acute hospitalization incur increased costs, morbidity, and mortality, but little research has been conducted on identifying inpatients at high risk to injure themselves in a fall. Falls risk assessment tools have been unsuccessful due to their low positive predictive value when applied broadly to entire hospital populations. We aimed to identify variables associated with the risk of or protection against injurious fall in the inpatient setting. We also aimed to test the variables in the ABCs mnemonic (Age > 85, Bones-orthopedic conditions, anti-Coagulation and recent surgery) for correlation with injurious fall.
methodsWe performed a retrospective case-control study at an academic tertiary care center comparing admitted patients with injurious fall to admitted patients without fall. We collected data on the demographics, medical and fall history, outcomes, and discharge disposition of injured fallers and control patients. We performed multivariate analysis of potential risk factors for injurious fall with logistic regression to calculate adjusted odds ratios.
resultsWe identified 117 injured fallers and 320 controls. There were no differences in age, anti-coagulation use or fragility fractures between cases and controls. In multivariate analysis, recent surgery (OR 0.46, p = 0.003) was protective; joint replacement (OR 5.58, P = 0.002), psychotropic agents (OR 2.23, p = 0.001), the male sex (OR 2.08, p = 0.003) and history of fall (OR 2.08, p = 0.02) were significantly associated with injurious fall.
conclusionIn this study, the variables in the ABCs parameters were among the variables not useful for identifying inpatients at risk of injuring themselves in a fall, while other non-ABCs variables demonstrated a significant association with injurious fall. Recent surgery was a protective factor, and practices around the care of surgical patients could be extrapolated to reduce the in-hospital fall rates.
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