Caídas de pacientes durante su ingreso en un hospital universitariocircunstancias y lesiones asociadas

  1. María Ángeles Tirado Trujillos
  2. José Ángel Rodríguez Gómez
  3. María Mercedes Novo Muñóz
  4. María José Castillo Méndez
Journal:
ENE Revista de Enfermería

ISSN: 1988-348X

Year of publication: 2024

Volume: 18

Issue: 2

Type: Article

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More publications in: ENE Revista de Enfermería

Abstract

Falls are considered adverse events linked to hospitalization. Its repercussions are very relevant from the point of view of patient safety and its origin is multifactorial. To address this problem effectively, it is essential to know the characteristics of the patient who suffers a fall during their hospitalization, the circumstances under which they occur and their consequences. An analytical observational, cross-sectional and retrospective study was carried out in a tertiary hospital in the province of Santa Cruz de Tenerife in which 1807 falls were analyzed. 1,5% of hospitalized patients suffered a fall during their admission. The mean age of these patients was 68,1 ± 13,8 years and the 61,9% were men. In 68,3% of cases, the patient had already suffered previous falls. Approximately two out of three falls occurred in medical nursing units. No month or day of the week predominates, but more falls occurred during the morning (24,8% from 9 a.m. to 1 p.m.) and night (16,5% from 2 a.m. to 5 a.m.) shifts; in the patient’s immediate environment (91,3%) while he was unaccompanied (87,5%). The most frequent risk factors were motor instability (55,8%), as an intrinsic factor and lack of knowledge of the environment (20,5%) as an extrinsic factor. The most prevalent type of fall was the anticipated physiological fall (54,3%), the most frecuently stated cause was going to the bathroom (51,8%). No immediate injuries occurred in 60,8% and serious or very serious injuries accounted for 4,4% of cases. An adequate identification of the intrinsic risk factors upon admission and the implementation of a preventive program could reduce their frequency and the prevalence of serious injuries.

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Data source: Dialnet