ArticleCureus2025
Assessment of Fall Risk and Adverse Events Among General Ward Inpatients at a Regional General Hospital in Japan.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Costs Attributable to Falls Based on Diagnosis-Related Groups (DRGs) Analysis of Hospitalised Patients: A Case-Control Study.Nursing reports (Pavia, Italy) · 2025Article
- Effectiveness of an Early Intervention in Mild Hyponatremia to Prevent Accidental Falls in Hospitalized Older Adults-A Crossover Ecological Clinical Trial.Healthcare (Basel, Switzerland) · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFalls among hospitalized patients pose a significant concern for patient safety, influencing quality of life, mortality, and healthcare costs. This study aimed to assess the incidence of falls and related adverse events among general ward inpatients at a regional general hospital in Japan and identify associated risk factors.
methodsThe study involved 14650 patients aged 15 years or older, admitted between April 2016 and March 2023. Fall risk was evaluated using a 16-item assessment score sheet that considered factors such as age, history of falls, cognitive function, and physical condition. Patients were categorized into risk levels I, II, and III. Adverse events (level 3b or higher) were analyzed, and multivariate analysis was conducted to identify risk factors.
resultsFalls occurred in 373 patients (2.5%) during hospitalization, with a total of 475 falls and a fall rate of 1.99 per 1000 patient-days. Recurrent falls were noted in 67 patients. Higher fall risk was found in those aged 65 or older. Adverse events, including head injuries or fractures, affected 11 patients, mainly those aged 80 or older, with five undergoing surgery for hip fractures. Seven significant risk factors for falls were identified, including age ≥70 (odds ratio: 3.26), prior fall history (odds ratio: 1.58), and unstable gait (odds ratio: 2.07). The main risk factor for severe adverse events was needing assistance with mobility or excretion (odds ratio: 30.64).
conclusionsThis study identified the risk factors for falls and for adverse events in inpatients and demonstrated the need to pay special attention to patients who require assistance with mobility or excretion. These results suggest the importance of individualized interventions for fall prevention.
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