Risk Factors for In-Hospital Complications of Fall-Related Fractures among Older Chinese: A Retrospective Study

Pi, Hongying; Yuan, Guandou; Wang, Jing; Hu, Mengmeng; Nie, Dan; Peng, Pei-Pei

doi:10.1155/2016/8612143

Cited by 27 publications

(22 citation statements)

References 32 publications

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“…There have been many geriatric and orthopedic studies showing that elderly persons are at risk of fractures due to falls. 12,29 This finding corresponds to that seen with maxillofacial fractures in the present study. 9,12 Falls in elderly persons have been reported to be associated with several chronic diseases, some acute diseases, any pain of the body, and medication use, such as cardiovascular or psychotropic drugs.…”

Section: Discussionsupporting

confidence: 91%

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Effects of loss of consciousness on maxillofacial fractures in simple falls

Hino

Yamada

Araki

et al. 2018

Dental Traumatology

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Background/Aims Loss of consciousness while falling is reported to increase the risk of more severe injury. However, few studies of maxillofacial injuries have been reported. The aim of this study was to investigate the effects of loss of consciousness on maxillofacial fractures in falls on a level surface (simple falls). Material and Methods Patients with maxillofacial fractures caused by simple falls were subdivided into two categories: patients who fell without loss of consciousness and patients who fell with loss of consciousness, according to the Guidelines for the Diagnosis and Management of Syncope (version 2009). The severity of the injuries was compared between these two groups. Results In 413 patients with maxillofacial fractures, 58 cases were falls without loss of consciousness, and 44 cases were falls with loss of consciousness. In falls with loss of consciousness, 54.5% were reflex syncope, followed by syncope due to orthostatic hypotension (15.9%), epilepsy (15.9%), and cardiac syncope (9.1%). The average number of fracture lines in the mandible was significantly lower in falls without loss of consciousness (1.53 ± 0.7) than in falls with loss of consciousness (2.00 ± 1.00) (P = 0.045). The average Facial Injury Severity Scale score was lower in falls without loss of consciousness (2.24 ± 1.20) than in falls with loss of consciousness (2.68 ± 1.39). Fractures of other parts of the body were significantly more common in falls without loss of consciousness (22.2%) than in falls with loss of consciousness (9.1%) (P = 0.0135). Conclusions Patients with loss of consciousness and maxillofacial fractures due to simple falls showed a tendency to sustain more severe maxillofacial injuries than those without loss of consciousness.

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Section: Discussionsupporting

confidence: 91%

“…There have been many geriatric and orthopedic studies showing that elderly persons are at risk of fractures due to falls . This finding corresponds to that seen with maxillofacial fractures in the present study .…”

Section: Discussionsupporting

confidence: 91%

Effects of loss of consciousness on maxillofacial fractures in simple falls

Hino

Yamada

Araki

et al. 2018

Dental Traumatology

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“…Thus, adequate staffing of NAs is as important as RN staffing to prevent patient falls. Although ADL dependency was a risk factor for falls (Lawlor, Patel, & Ebrahim, ; Pi et al, ; Rubenstein, ; Vassallo et al, ), nursing needs was not a factor affecting falls in this study. Previous studies have suggested that a patient’s medical condition was related to falls (Lawlor et al, ; Severo et al, ).…”

Section: Discussionmentioning

confidence: 52%

“…Several studies have reported that the higher the percentage of the elderly, the higher the incidence of falls (Hitcho et al, ; Rubenstein, Powers, & MacLean, ). Fall‐related injuries, like fractures, are a severe health problem themselves; however, they might be responsible for other severe health complications, such as infections or pressure ulcers (Pi et al, ; Sibley, Voth, Munce, Straus, & Jaglal, ). Thus, a serious injury from a fall is a serious threat to patient safety and adds a burden to patients, as well as hospitals.…”

Section: Introductionmentioning

confidence: 99%

Multilevel factors influencing falls of patients in hospital: The impact of nurse staffing

Kim

Park

et al. 2019

J Nurs Manag

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Aim The objective of this study was to investigate both individual and organizational factors influencing the falls of patients in hospitals. Background Falls and fall‐related injuries, which cause health problems and increase the economic burden to patients, are a critical issue for patient safety. Methods This study retrospectively reviewed patient data and analysed factors influencing patient falls using a mixed‐effect model. Results The total number of patients in the study was 60,049, and the characteristics of the patients showed statistically significant differences according to the type of hospital where the fall occurred. The average rate of falls was 0.92 per 1,000 days. The rate of falls in general hospitals was the highest among all hospitals. Age, mobility impairment and hours per patient day for care delivered by registered nurses were factors influencing patients’ falls. Conclusion Since the number of patient falls in an acute‐care setting might increase in the future because of the growing elderly population, we should consider these risk factors for falls and construct preventative programs accordingly. Implications for nursing management An adequate level of nursing staff is an essential factor in the number of patient falls.

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“…Furthermore, it is worth noting that environmental aspects and human resources are identified as risk factors for fall 8 - 9 .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

Mata

Azevedo

Policarpo

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures.Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05.Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall.Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.

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Risk Factors for In-Hospital Complications of Fall-Related Fractures among Older Chinese: A Retrospective Study

Cited by 27 publications

References 32 publications

Effects of loss of consciousness on maxillofacial fractures in simple falls

Effects of loss of consciousness on maxillofacial fractures in simple falls

Multilevel factors influencing falls of patients in hospital: The impact of nurse staffing

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

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