TY - JOUR
PY - 2015//
TI - Incidence and predicting factors of falls of older inpatients
JO - Revista de saude publica
A1 - Abreu, Hellen Cristina de Almeida
A1 - Reiners, Annelita Almeida Oliveira
A1 - Azevedo, Rosemeiry Capriata de Souza
A1 - Silva, Ageo Mário Cândido da
A1 - Abreu, Débora Regina de Oliveira Moura
A1 - Oliveira, Adriana Delmondes de
SP - 13
EP - 20
VL - 49
IS -
N2 - OBJECTIVE To estimate the incidence and predicting factors associated with falls among older inpatients.
METHODS Prospective cohort study conducted in clinical units of three hospitals in Cuiaba, MT, Midwestern Brazil, from March to August 2013. In this study, 221 inpatients aged 60 or over were followed until hospital discharge, death, or fall. The method of incidence density was used to calculate incidence rates. Bivariate analysis was performed by Chi-square test, and multiple analysis was performed by Cox regression.
RESULTS The incidence of falls was 12.6 per 1,000 patients/day. Predicting factors for falls during hospitalization were: low educational level (RR = 2.48; 95%CI 1.17;5.25), polypharmacy (RR = 4.42; 95%CI 1.77;11.05), visual impairment (RR = 2.06; 95%CI 1.01;4.23), gait and balance impairment (RR = 2.95; 95%CI 1.22;7.14), urinary incontinence (RR = 5.67; 95%CI 2.58;12.44) and use of laxatives (RR = 4.21; 95%CI 1.15;15.39) and antipsychotics (RR = 4.10; 95%CI 1.38;12.13).
CONCLUSIONS The incidence of falls of older inpatients is high. Predicting factors found for falls were low education level, polypharmacy, visual impairment, gait and balance impairment, urinary incontinence and use of laxatives and antipsychotics. Measures to prevent falls in hospitals are needed to reduce the incidence of this event.
Language: en
LA - en SN - 0034-8910 UR - http://dx.doi.org/ ID - ref1 ER -