Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients

Sardo, Pedro Miguel Garcez; Simões, Cláudia; Alvarelhão, José; Simões, João Filipe Fernandes Lindo; Melo, Elsa

doi:10.1016/j.apnr.2015.11.013

Cited by 28 publications

(28 citation statements)

References 27 publications

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“…The use of the Morse Scale was effective in other studies because its use showed high sensitivity in classification (25) since the great majority of patients who fell had a high risk for falls (23) . One study analyzed the Morse Scale in hospitalized Portuguese adult patients in association with their characteristics, diagnosis and length of stay, evidencing that several risk factors for falls are not evaluated by it; a result that is in agreement with the results of this study (26) . Among the limitations of this study, we can point out that the data were collected in a single moment during participants' hospitalization.…”

Section: Discussionsupporting

confidence: 77%

Factors associated with the risk of falls in hospitalized adult patients

Bittencourt

Graube

Stumm

et al. 2017

Rev. esc. enferm. USP

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OBJECTIVE Analyzing factors related to the risk of falls in hospitalized adult patients. METHOD A cross-sectional, analytical and quantitative study, developed in Clinical and Surgical Hospitalization Units from June to August 2015. Data collection instruments were sociodemographic and clinical forms, and the Morse Scale. Data were obtained with the patients and from medical records. Absolute and relative frequencies were used in the univariate statistical analysis, and chi-square test in the bivariate analysis. RESULTS 612 patients participated in the study. An association (p<0.001) was found between the high risk of falls and clinical neurological hospitalization, surgical trauma (hospitalization) and comorbidities such as diabetes mellitus, systemic arterial hypertension, visual impairment, vertigo and fear of falling. CONCLUSION An association between the risk of falls was found due to hospitalization, comorbidities and intrinsic factors. Regarding extrinsic factors, an association between mats/carpets and risk of falls was found. No association between the risk of falls with other extrinsic factors was found.

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Section: Discussionsupporting

confidence: 77%

Factors associated with the risk of falls in hospitalized adult patients

Bittencourt

Graube

Stumm

et al. 2017

Rev. esc. enferm. USP

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“…Considering that 54% of all patients admitted to the emergency department have moderate‐to‐high risk of falling , MUST‐MUAC has high applicability because it is easy and fast, and involves anthropometric measures that require little manipulation of the patient, such as weight and height.…”

Section: Discussionmentioning

confidence: 99%

Predictive and concurrent validity of the Malnutrition Universal Screening Tool using mid‐upper arm circumference instead of body mass index

Gottschall

Tarnowski

Machado

et al. 2019

J Human Nutrition Diet

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Background Considering the difficulty in obtaining weight and height measurements of patients at hospital admission, the Malnutrition Universal Screening Tool (MUST) proposes the use of mid‐upper arm circumference (MUAC) instead of body mass index (BMI) as an alternative for screening of malnutrition risk. The present study aimed to evaluate the performance of MUST with MUAC in place of BMI to identify nutritional risk and predict prolonged hospitalisation and mortality in hospitalised patients. Methods The prospective cohort study involved ambulant patients aged ≥18 years who were admitted to the emergency department of a public hospital. A questionnaire concerning clinical and socio‐demographic data was applied and anthropometric measurements were performed (weight, height, BMI and MUAC). Nutritional risk screening was performed using the original MUST (BMI) and MUST‐MUAC tools. The outcomes were length of hospital stay and death. Results Seven hundred and fifty‐two patients were included and followed‐up for 13.5 (interquartile range 3.00–19.00) days. The frequency of patients at nutritional risk was higher according to MUST‐MUAC (48.9%) compared to the original MUST (37.1%). MUST‐MUAC showed concurrent validity, demonstrating good agreement with the original MUST (k = 0.690), high sensitivity (95.3%) and accuracy (area under the curve = 0.868; 95% confidence interval = 0.841–0.895) with respect to identifying nutritional risk. The presence of nutritional risk detected by the MUST‐MUAC increased the chance of prolonged hospital stay by 1.9 (95% CI. 1.4–2.7)‐fold and mortality by 3.2 (95% CI. 1.1–9.4)‐fold. Conclusions MUST‐MUAC showed satisfactory concurrent and predictive validity. Considering that MUAC measurement is easier to perform than BMI, the MUST‐MUAC should be used for screening of nutritional risk in hospitalised patients.

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“…Primerjava podatkov o ogroženosti pacientov za padce na podlagi Morsejine lestvice padcev v slovenski bolnišnici ( = 39,12, s = 24,85) s podatki portugalske splošne bolnišnice na vzorcu 8356 pacientov ( = 30,56, s = 22,12) (Sardo, et al, 2016) je pokazala, da so bili hospitalizirani pacienti v Sloveniji bolj ogroženi. Tudi skupen delež zmerno in visoko ogroženih pacientov v portugalski bolnišnici je bil nižji (54 %).…”

Section: Diskusijaunclassified

“…Podatki o padcih v UKC Ljubljana kažejo, da je v letu 2016 padlo več moških (54,9 %) (Ferš, 2017). Ugotovitve glede starosti kažejo, da se ogroženost pacientov za padce s starostjo povečuje, kar potrjujejo tudi rezultati drugih avtorjev (Babine, et al, 2016;Kiel, 2016;Sardo, et al, 2016). Ugotovitve glede razlik v ogroženosti za padce na podlagi specialnosti oz.…”

Section: Diskusijaunclassified

“…klinike, na kateri so bili pacienti hospitalizirani, kažejo razlike v ogroženosti. Bolj ogroženi so pacienti, zdravljeni na klinikah internističnih strok, kar potrjujejo tudi analize, narejene na osnovi podatkov portugalske bolnišnice (Sardo, et al, 2016). Podatki za posamezne klinike UKC Ljubljane kažejo, da so najbolj ogroženi za padce pacienti, hospitalizirani na Negovalnem oddelku, Interni kliniki in Kirurški kliniki.…”

Section: Diskusijaunclassified

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Ogroženost za padce v terciarni bolnišnici

Gruden¹

2018

Obzor Zdrav Neg

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Uvod: Namen raziskave je bil ugotoviti, kakšna je ogroženost za padce odraslih pacientov v akutni zdravstveni obravnavi ter kakšne so razlike v ogroženosti glede na spol, starost, kraj pacientove obravnave (kliniko) in specialnost stroke ter kategorijo zahtevnosti bolnišnične zdravstvene nege.Metode: Uporabljeno je bilo kvantitativno raziskovanje – presečna opazovalna raziskava. Vzorec (n = 1361) je vključeval odrasle paciente, hospitalizirane v Univerzitetnem kliničnem centru Ljubljana. Podatki so se zbirali na za to posebej razvitem instrumentu, pri čemer je bila ogroženost za padce vrednotena z Morsejino lestvico. Podatki so se zbirali od oktobra do novembra 2015. Poleg osnovne deskriptivne statistike so bili uporabljeni tudi Mann-Whitneyjev test, test ANOVA in Pearsonov korelacijski test.Rezultati: Raziskava je pokazala, da je v akutni zdravstveni obravnavi v slovenski terciarni bolnišnici zmerno do visoko ogroženih za padce 69,1 % (n = 940) pacientov, od tega je 28,0 % (n = 381) visoko ogroženih. Ogroženost pacientov za padce je pozitivno povezana s starostjo (r = 0,462, p < 0,001). Razlikuje se tudi glede na kliniko (F = 29,210, p < 0,001), specialnost stroke (Z = –5,660, p < 0,001) ter kategorijo zahtevnosti zdravstvene nege (F = 125,464, p < 0,001).Diskusija in zaključek: Pomembno bolj ogroženi so starejši, pacienti, razvrščeni v višje kategorije zahtevnosti bolnišnične zdravstvene nege, ter pacienti, zdravljeni v okviru internističnih strok. Rutinsko ocenjevanje ogroženosti, načrtovanje in izvajanje ukrepov za preprečevanje padcev so temelji zmanjševanja padcev.

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Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients

Cited by 28 publications

References 27 publications

Factors associated with the risk of falls in hospitalized adult patients

Factors associated with the risk of falls in hospitalized adult patients

Predictive and concurrent validity of the Malnutrition Universal Screening Tool using mid‐upper arm circumference instead of body mass index

Ogroženost za padce v terciarni bolnišnici

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