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Published on: February 8, 2019
Risk factors for falls in hospitalized older people
Gideany Maiara Caetano1, Samuel Francisco Gonçalves de Oliveira2, Fábia Maria de Lima3
1University of São Paulo, School of Nursing, Graduate Program in Nursing in Adult Health, São Paulo/SP, Brazil, Av. Dr. Enéas de Carvalho Aguiar, 419 - Cerqueira Cesar, São Paulo, SP, CEP 05403-000, Brasil.
Hospitalized older adults face a high risk of falls, linked to increased heart rate, reduced function, sarcopenia, and comorbidities. Early interventions like physical therapy are crucial for prevention.
Area of Science:
- Gerontology
- Clinical Medicine
- Nursing Research
Background:
- Identifying fall risk factors in hospitalized older patients is crucial for patient safety.
- Nurses play a key role in implementing fall prevention strategies.
- Understanding these factors improves care for the aged in hospital settings.
Purpose of the Study:
- To determine the association between fall risk and demographic, health, and clinical factors in hospitalized older adults.
- To identify key predictors of falls in this vulnerable population.
- To inform targeted interventions for fall prevention in hospitals.
Main Methods:
- Quantitative, cross-sectional, and analytical study of 146 older patients.
- Utilized multiple validated instruments including the Morse Scale and Charlson Comorbidity Index.
- Logistic linear regression analysis identified significant associations (p < 0.05).
Main Results:
- High prevalence of fall risk (68.5% high risk).
- Significant associations found between increased fall risk and elevated heart rate, decreased functional capacity, risk of sarcopenia, and number of medical diagnoses.
- Cognitive impairment was present in 43.8% of patients.
Conclusions:
- Hospitalized older adults exhibit a high prevalence of fall risk.
- Key associated factors include elevated heart rate, reduced functional capacity, sarcopenia risk, and multiple comorbidities.
- Targeted preventive strategies focusing on these factors are essential.
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