ArticleJoint Commission journal on quality and patient safety2019
In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States.
Article in Joint Commission journal on quality and patient safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Standards for Hospital Falls Prevention and Management: An International Comparative Analysis.Journal of advanced nursing · 2026Pooled it
- Hospital falls clinical practice guidelines: a global analysis and systematic review.Age and ageing · 2024Pooled it
- Development of an immersive fall management program for nursing students: A usability study.PloS one · 2026Article
- Nurse-led fall prevention programs in acute care settings: An integrative review.International journal of nursing studies advances · 2025Review
- Consumer perspectives on implementing falls prevention and management in rehabilitation hospitals: protocol for a qualitative study.BMJ open · 2025Article
- Evaluation of Risk Factors for Fall Incidence Based on Statistical Analysis.International journal of environmental research and public health · 2025Article
- Implementing falls prevention patient education in hospitals - older people's views on barriers and enablers.BMC nursing · 2024Article
- Revealing the tension: The relationship between high fall risk categorization and low patient mobility.Journal of the American Geriatrics Society · 2023Article
- Association between fall-related serious injury and activity during fall in an acute care hospital.PloS one · 2023Article
- Gap between risk factors and prevention strategies? A nationwide survey of fall prevention among medical and surgical patients.Journal of advanced nursing · 2022Article
- Hospital Inpatient Falls across Clinical Departments.International journal of environmental research and public health · 2021Article
- Association Between Characteristics of Injurious Falls and Fall Preventive Interventions in Acute Medical and Surgical Units.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Initiation gait variability is higher in the morning in elderly inpatients.Physical therapy research · 2020Article
- 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
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Authors and funding
6 authors.
Funding
Abstract
backgroundUp to 50% of patient falls in the hospital result in injury. This study was conducted to determine whether injurious falls were associated with increased hospital length of stay (LOS), discharge to a place other than home, and in-hospital mortality.
methodsA secondary data analysis from a prospective case-control study was conducted in 24 medical/surgical units in four hospitals in the United States. Patients who fell and sustained an injury were matched with at least one control patient who was on the same unit, at the same time, for a similar number of days on the unit at the time of the fall. Data were collected by viewing patients' electronic health records, as well as the hospitals' incident reporting systems. Logistic regression and Cox regression analyses were conducted.
resultsThe 1,033 patients (mean age, 63.7 years; 510 males [49.4%]) who sustained an injurious fall were matched with 1,206 controls (mean age, 61.6 years; 486 males [40.3%]). Fallers were significantly more likely than controls to stay longer than 10 days in the hospital (odds ratio [OR], 1.59; 95% confidence interval [CI] = 1.46-1.74) and to be discharged to a place other than home (OR, 1.52; 95% CI = 1.21-1.91).
conclusionCompared to controls, hospital patients who sustained an injurious fall had longer LOS and were more likely discharged to a place other than home. These associations remained when controlling for patient-level confounders, suggesting that the fall altered trajectory was sustained toward these outcomes. Injurious falls were not significantly associated with increased risk of mortality.
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