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Area of Science:

  • Medical research
  • Patient safety
  • Injury epidemiology

Background:

  • Inpatient falls pose significant challenges to healthcare.
  • Characterizing injuries and identifying risk factors after inpatient falls is essential.

Purpose of the Study:

  • To characterize injuries resulting from inpatient falls.
  • To evaluate potential risk factors associated with these injuries.

Main Methods:

  • Retrospective study of adult inpatients experiencing falls from 2018-2023.
  • Injury severity assigned using Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS).
  • Primary outcome: significant injury (SI) defined as ISS ≥2. Matched case-control analysis.

Main Results:

  • 53 (2%) of 2617 inpatient falls resulted in significant injury (SI).
  • SI associated with older age (median 73 vs. 65 years) but not witnessed falls.
  • Signs of injury and new complaints post-fall were linked to SI.

Conclusions:

  • Significant injuries from inpatient falls are infrequent but associated with increased resource utilization and mortality.
  • Careful patient history and physical examination are vital for detecting significant injuries.
  • Presence of physical signs of injury and new patient complaints warrant heightened suspicion for significant injury.