Falls in patients at a university hospital in Colombia, 2021

Caídas en los pacientes de un hospital universitario de Colombia, 2021

Main Article Content

Eliana Correa Díaz Fundación Universitaria del Areandina
María Luisa Garzón Calpa Fundación Universitaria del Areandina
Diomedes Tabima García Universidad Tecnológica de Pereira
Jhonatan González Santamaría Hospital Universitario San Jorge – Pereira
Abstract

Objective: Characterize the falls in patients at a university hospital in Pereira, Colombia, during the year 2021.Materials and methods: A secondary analysis of information is carried out from the database and the records of adverse events reported in the medical records of the patients of a university hospital in the city of Pereira. Results: During the year of the study, 62,014 users were admitted to the hospital, of whom 133 suffered hospital falls in the different hospital services (mean age 52.1±14.93 years), with more frequent falls in the male sex (61.70%). Two patients presented serious injury leading to subsequent limitation of mobility, representing 1.50% of the sample. Among the main risk factors were being over 50 years of age and the lack of family accompaniment during the patients' stay in hospital. Conclusion: The 0.21% presented falls with a mean age of 52.1±14.93 years, 48.9% of the patients are older than 65 years, Most of the patients 66.90% had mild damage, according to the severity of the fall and 1.5% severe damage (trauma and fractures). The highest proportion of falls occurred in the male gender, in the subsidized regime and in the emergency department; there were no significant cases of falls related to impaired mobility. The international goals for patient safety will continue to be promoted in the hospital.

Keywords

Downloads

Download data is not yet available.

Article Details

Author Biographies View

Eliana Correa Díaz, Fundación Universitaria del Areandina

Fisioterapeuta. Especialista en fisioterapia en cuidado crítico.

María Luisa Garzón Calpa, Fundación Universitaria del Areandina

Fisioterapeuta. Máster en electroterapia. Especialista en Gerencia en Instituciones de Salud. Maestría educación y entornos virtuales del aprendizaje (en curso).

Diomedes Tabima García, Universidad Tecnológica de Pereira

Médico cirujano. Especialista en administración de servicios de salud. Especialización en docencia universitaria. Maestría en educación.

Jhonatan González Santamaría, Hospital Universitario San Jorge – Pereira

Profesional en Ciencias del Deporte y la Recreación. Especialista en Política pública. Especialista en Nutrición y Suplementación Deportiva. Magister en Educación y Desarrollo Humano. Doctor(c) Ciencias de la Nutrición. Doctor en Ciencias de la Educación.
References

Cáceres Santana, E., Bermúdez Moreno, C., Ramírez Suarez, J., Bahamonde Román, C., & Murie-Fernández, M. (2022). Incidence of falls in long-stay hospitals: risk factors and strategies for prevention. Neurología (English Edition), 37(3), 165–170. https://doi.org/10.1016/J.NRLENG.2019.03.018 DOI: https://doi.org/10.1016/j.nrleng.2019.03.018

Cólex, M. L. T., Ceferino, M. del C. S., Villarreal, G. C., & Santana, H. M. (2012). Revista mexicana de enfermería cardiológica. In Revista Mexicana de Enfermería Cardiológica (Vol. 20, Issue 1). [publisher not identified]. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=36260#.YkO573PxiTk.mendeley Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=36260#.YkO573PxiTk.mendeley

Fikadu, A., Sultan, M., Michael, M., & Workina, A. (2021). Pattern and Outcomes of Fall Injuries and Associated Factors in Emergency Department at Addis Ababa Burn, Emergency and Trauma Hospital. Open Access Emergency Medicine, Volume 13, 381–389. https://doi.org/10.2147/OAEM.S315546 DOI: https://doi.org/10.2147/OAEM.S315546

Ghosh, M., O’Connell, B., Afrifa-Yamoah, E., Kitchen, S., & Coventry, L. (2022). A retrospective cohort study of factors associated with severity of falls in hospital patients. Scientific Reports, 12(1), 12266. https://doi.org/10.1038/s41598-022-16403-z DOI: https://doi.org/10.1038/s41598-022-16403-z

Gutiérrez-Valencia, M., Leache, L., & Saiz, L. C. (2022). Revisión de la validez de las escalas de valoración del riesgo de caídas en pacientes hospitalizados. Revista Española de Geriatría y Gerontología, 57(3), 186–194. https://doi.org/10.1016/j.regg.2022.03.005 DOI: https://doi.org/10.1016/j.regg.2022.03.005

Ha, V.-A. T., Nguyen, T. N., Nguyen, T. X., Nguyen, H. T. T., Nguyen, T. T. H., Nguyen, A. T., Pham, T., & Vu, H. T. T. (2021). Prevalence and Factors Associated with Falls among Older Outpatients. International Journal of Environmental Research and Public Health, 18(8), 4041. https://doi.org/10.3390/ijerph18084041 DOI: https://doi.org/10.3390/ijerph18084041

Haines, T. P., Hill, A.-M., Hill, K. D., Brauer, S. G., Hoffmann, T., Etherton-Beer, C., & Mcphail, S. M. (2013). Cost effectiveness of patient education for the prevention of falls in hospital: economic evaluation from a randomized controlled trial. https://doi.org/10.1186/1741-7015-11-135 Available from: http://www.biomedcentral.com/1741-7015/11/135 DOI: https://doi.org/10.1186/1741-7015-11-135

Hartholt, K. A. (2010). Trends in Fall-Related Hospital Admissions in Older Persons in the Netherlands. Archives of Internal Medicine, 170(10), 905. https://doi.org/10.1001/archinternmed.2010.106 Available from: https://jamanetwork.com/ DOI: https://doi.org/10.1001/archinternmed.2010.106

Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B., Shier, V., Saliba, D., Spector, W. D., & Ganz, D. A. (2013). Hospital Fall Prevention: A Systematic Review of Implementation, Components, Adherence, and Effectiveness. Journal of the American Geriatrics Society, 61(4), 483–494. https://doi.org/10.1111/jgs.12169 DOI: https://doi.org/10.1111/jgs.12169

Hoedl, M., Eglseer, D., Bernet, N., Everink, I., Gordon, A. L., Lohrmann, C., Osmancevic, S., Saka, B., Schols, J. M. G. A., Thomann, S., & Bauer, S. (2022). Which factors influence the prevalence of institution‐acquired falls? Results from an international, multi‐center, cross‐sectional survey. Journal of Nursing Scholarship, 54(4), 462–469. https://doi.org/10.1111/jnu.12758 DOI: https://doi.org/10.1111/jnu.12758

Khawaja, I., Awan, S. A., azam, D. masroor, Babar, M., Khan, Dr. T., & Khalil, M. owais. (2023). Fall Prevalence and Associated Risk Factors in the Hospitalised Adult Population: A Crucial Step Towards Improved Hospital Care. Cureus. https://doi.org/10.7759/cureus.44146 DOI: https://doi.org/10.7759/cureus.44146

Krauss, M. J., Evanoff, B., Hitcho, E., Ngugi, K. E., Dunagan, W. C., Fischer, I., Birge, S., Johnson, S., Costantinou, E., & Fraser, V. J. (2005). A case-control study of patient, medication, and care-related risk factors for inpatient falls. Journal of General Internal Medicine, 20(2), 116–122. https://doi.org/10.1111/j.1525-1497.2005.40171.x DOI: https://doi.org/10.1111/j.1525-1497.2005.40171.x

María, E., & López, V. (2010). prevalence of falls in hospitalized patients in two health institutions in pereira.

Morello, R. T., Soh, S.-E., Behm, K., Egan, A., Ayton, D., Hill, K., Flicker, L., Etherton-Beer, C. D., Arendts, G., Waldron, N., Redfern, J., Haines, T., Lowthian, J., Nyman, S. R., Cameron, P., Fairhall, N., & Barker, A. L. (2019). Multifactorial falls prevention programmes for older adults presenting to the emergency department with a fall: systematic review and meta-analysis. Injury Prevention, 25(6), 557–564. https://doi.org/10.1136/injuryprev-2019-043214 DOI: https://doi.org/10.1136/injuryprev-2019-043214

Najafpour, Z., Godarzi, Z., Arab, M., & Yaseri, M. (2019). Risk Factors for Falls in Hospital In-Patients: A Prospective Nested Case Control Study. In Kerman University of Medical Sciences (Vol. 8). https://doi.org/10.15171/ijhpm.2019.11 DOI: https://doi.org/10.15171/ijhpm.2019.11

Silva Gama, Z. A. da, Gómez Conesa, A., & Sobral Ferreira, M. (2008). Epidemiología de caídas de ancianos en España: una revisión sistemática, 2007. Revista Española de Salud Pública, 82(1). https://doi.org/10.1590/S1135-57272008000100004 DOI: https://doi.org/10.1590/S1135-57272008000100004

Viancha-Galindo, D. M., Quemba-Mesa, M. P., González-Artunduaga, E. A., Pérez-Álvarez, C., & Sánchez-Vanegas, G. (2020). Factores de riesgo asociados a las caídas intrahospitalarias en tres instituciones de Colombia. Revista de La Facultad de Medicina, 68(2). https://doi.org/10.15446/revfacmed.v68n2.70577 DOI: https://doi.org/10.15446/revfacmed.v68n2.70577

Wadhwaniya, S., Alonge, O., Ul Baset, Md., Chowdhury, S., Bhuiyan, A.-A., & Hyder, A. (2017). Epidemiology of Fall Injury in Rural Bangladesh. International Journal of Environmental Research and Public Health, 14(8), 900. https://doi.org/10.3390/ijerph14080900 DOI: https://doi.org/10.3390/ijerph14080900

OJS System - Metabiblioteca |