Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Hoedl, M; Eglseer, D; Bernet, N; Everink, I; Gordon, AL; Lohrmann, C; Osmancevic, S; Saka, B; Schols, JMGA; Thomann, S; Bauer, S.
Which factors influence the prevalence of institution-acquired falls? Results from an international, multi-center, cross-sectional survey.
J Nurs Scholarsh. 2022; 54(4):462-469
Doi: 10.1111/jnu.12758
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Eglseer Doris
- Hödl Manuela
- Co-authors Med Uni Graz
- Bauer Silvia
- Lohrmann Christa
- Osmancevic Selvedina
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- PURPOSE: Falls are a highly prevalent problem in hospitals and nursing homes with serious negative consequences such as injuries, increased care dependency, or even death. The aim of this study was to provide a comprehensive insight into institution-acquired fall (IAF) prevalence and risk factors for IAF in a large sample of hospital patients and nursing home residents among five different countries. DESIGN: This study reports the outcome of a secondary data analysis of cross-sectional data collected in Austria, Switzerland, the Netherlands, Turkey, and the United Kingdom in 2017 and 2018. These data include 58,319 datapoints from hospital patients and nursing home residents. METHODS: Descriptive statistics, statistical tests, logistic regression, and generalized estimating equation (GEE) models were used to analyze the data. FINDINGS: IAF prevalence in hospitals and nursing homes differed significantly between the countries. Turkey (7.7%) had the highest IAF prevalence rate for hospitals, and Switzerland (15.8%) had the highest IAF prevalence rate for nursing homes. In hospitals, our model revealed that IAF prevalence was associated with country, age, care dependency, number of medical diagnoses, surgery in the last two weeks, and fall history factors. In nursing homes, care dependency, diseases of the nervous system, and fall history were identified as significant risk factors for IAF prevalence. CONCLUSIONS: This large-scale study reveals that the most important IAF risk factor is an existing history of falls, independent of the setting. Whether a previous fall has occurred within the last 12 months is a simple question that should be included on every (nursing) assessment at the time of patient or resident admission. Our results guide the development of tailored prevention programs for persons at risk of falling in hospitals and nursing homes.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged - administration & dosage
- Cross-Sectional Studies - administration & dosage
- Geriatric Assessment - administration & dosage
- Homes for the Aged - administration & dosage
- Humans - administration & dosage
- Infant, Newborn - administration & dosage
- Prevalence - administration & dosage
- Risk Factors - administration & dosage
- Find related publications in this database (Keywords)
- accidental falls
- hospital
- institutional fall
- nursing home
- prevalence
- risk factors