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A predictive model for fall risk in hospitalized adults: A case–control study
- Source :
- Journal of Advanced Nursing. 75:563-572
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Aim To develop and validate a predictive model for falls in hospitalized adult clinical and surgical patients, assessing intrinsic (i.e. patient-related) and extrinsic factors (i.e. care process-related). Background To identify factors predictive of falls and enable appropriate management of fall risk it is necessary to understand patient and environmental factors, along with care delivery processes. Design A matched case-control study. Methods This study was conducted in the medical and surgical wards of a Brazilian teaching hospital. The sample included 536 patients, with data collected in 2013-2014. Data analysis included descriptive statistics and conditional logistic regression. Cases of patients aged 18 years or older who fell while hospitalized were included. One patient who did not fall during hospitalization, matched by sex, ward and admission date, was selected as a control for each included case. Results The SAK Fall Scale (Severo-Almeida-Kuchenbecker) was developed and validated. The scale includes seven variables: disorientation/confusion, frequent urination, walking limitations, lack of caregiver, postoperative status, previous falls and number of medications administered within 72 hr prior to the fall. This scale showed acceptable predictive accuracy. Conclusions The newly developed SAK Fall Scale includes five intrinsic and two extrinsic variables and differs from other predictive scales for falls. The findings of this study are broad and the scale, which is easy to apply, can be used worldwide by nurses in health services. In advanced practice, the testing of a new model for fall risk contributes to preventive interventions and thus has an impact on patient safety.
- Subjects :
- Male
medicine.medical_specialty
Sample (statistics)
Risk Assessment
Frequent urination
03 medical and health sciences
Patient safety
0302 clinical medicine
Risk Factors
Humans
Medicine
030212 general & internal medicine
General Nursing
Risk management
Aged
Aged, 80 and over
Advanced Practice Nursing
030504 nursing
Descriptive statistics
business.industry
Case-control study
Reproducibility of Results
Fall risk
Middle Aged
Logistic Models
Case-Control Studies
Scale (social sciences)
Emergency medicine
Accidental Falls
Female
medicine.symptom
0305 other medical science
business
Brazil
Forecasting
Subjects
Details
- ISSN :
- 13652648 and 03092402
- Volume :
- 75
- Database :
- OpenAIRE
- Journal :
- Journal of Advanced Nursing
- Accession number :
- edsair.doi.dedup.....4d4f1e469c3a4c602bed566e60ee22ce