ArticleJournal of clinical nursing2023
Risk stratification for early and late falls in acute care settings.
Article in Journal of clinical nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Article
- Moderate and severe falls: predictive model based on six years of reports in southern Brazil.Revista da Escola de Enfermagem da U S P · 2026Article
- Cognitive biases and contextual factors explaining variability in nurses' fall risk judgements: a multi-centre cross-sectional study.International journal of nursing studies advances · 2025Article
- A Large Language Model-Based Approach for Coding Information from Free-Text Reported in Fall Risk Surveillance Systems: New Opportunities for In-Hospital Risk Management.Journal of clinical medicine · 2025Article
- Targeted optimum care approach for osteoporotic fragility fractures: tailored strategy based on risk stratification to reduce incidents of falls-an initiative by the Egyptian Academy of bone health based on the FLS national register.Archives of osteoporosis · 2023Observational
- Risk stratification for early and late falls in acute care settings.Journal of clinical nursing · 2023Article
- Falls as the result of interplay between nurses, patient and the environment: Using text-mining to uncover how and why falls happen.International journal of nursing sciences · 2023Article
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Authors and funding
4 authors.
Funding
Abstract
BACKGROUND AND
aimsFalling generally injures patients, lengthens hospital stays and leads to the wastage of financial and medical resources. Although falls can occur at any stage after hospital admission, there are no studies that characterise falls with length of hospital stay in acute care settings. This study aims to clarify risk stratification of early and late falls in acute care settings.
methodsA retrospective cohort study was conducted for participants who were admitted to a teaching hospital in Japan. Patients' falls were divided into two groups based on the median of the fall date (day 10). Considering a 70/30 split, the logistic regression model was used to extract independent predictors for early and late falls for nine risk variables based on exploratory analysis among 26 items selected from the modified Japanese Nursing Association Fall Risk Assessment Tool, and risk models were validated. This study was conducted according to the STROBE guideline.
resultsOf the 10,975 patients admitted, 87 and 90 with early and late falls, respectively, were identified. The five significant risk factors extracted for early falls were fall history, muscle weakness, impaired understanding, use of psychotropics and the personality trait of 'doing everything on one's own'; risk factors identified for late falls were being older than 65 years, impaired extremities and unstable gait, in addition to muscle weakness. Using these variables for early and late falls in the validation cohort, the concordance indices of the risk models were both over 0.80.
conclusionsBy separately extracting risk factors for early and late falls in an acute care hospital setting, this study shed light on the characteristics of the respective types of falls. RELEVANT TO CLINICAL PRACTICE: As the risk factors of falls vary according to the length of hospitalisation, specific preventive care can be implemented to avoid fall incidents.
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