Falls on integrated medical wards
Authors: Vassallo, M., Amersey, R.A., Sharma, J.C. and Allen, S.C.
Journal: Gerontology
Volume: 46
Issue: 3
Pages: 158-162
ISSN: 0304-324X
DOI: 10.1159/000022152
Abstract:Background: An effective approach to fall prevention should involve an assessment of environmental as well as patient-related characteristics. Objective: To study the effect of age and ward design on fall characteristics among medical inpatients. Methods: In a prospective open observational study over 1 year, we studied falls on three medical wards. Wards A and B are nuclear designed, and C is longitudinal. Results:We recorded 199 falls involving 167 falters. Fifty-four (27.1%) involved patients under 65 years. Most falls were intrinsic (60.8%) and involved elderly male patients (male/female ratio 97/48 vs. 24/30; p = 0.009). We identified no age differences in relation to location, activity, preceding fall, classification, time, consequences, and intervention required. On ward C, most falls occurred in the bed areas (bays and cubicles), but on wards A and B a higher proportion occurred in bathroom, corridor, and dayroom (C vs. A/B 87.9 vs. 73.7/62.0%; p = 0.04/p = 0.004). On ward C, activities of daily living around the bed significantly preceded falls (C vs. A/B 44.6 vs. 25.9/24.1%; p = 0.03/p = 0.01). Most falls were unwitnessed (C vs. A/B 10 vs. 21/ 20; p = 0.002/p = 0.0009). Conclusions: Intrinsic falls are the commonest; however, differences exist in fall demographics between wards, and this must be recognized to enhance the effectiveness of fall prevention programmes. Copyright (C) 2000 S. Karger AG, Basel.
Source: Scopus
Falls on integrated medical wards.
Authors: Vassallo, M., Amersey, R.A., Sharma, J.C. and Allen, S.C.
Journal: Gerontology
Volume: 46
Issue: 3
Pages: 158-162
ISSN: 0304-324X
DOI: 10.1159/000022152
Abstract:BACKGROUND: An effective approach to fall prevention should involve an assessment of environmental as well as patient-related characteristics. OBJECTIVE: To study the effect of age and ward design on fall characteristics among medical inpatients. METHODS: In a prospective open observational study over 1 year, we studied falls on three medical wards. Wards A and B are nuclear designed, and C is longitudinal. RESULTS: We recorded 199 falls involving 167 fallers. Fifty-four (27.1%) involved patients under 65 years. Most falls were intrinsic (60.8%) and involved elderly male patients (male/female ratio 97/48 vs. 24/30; p = 0.009). We identified no age differences in relation to location, activity, preceding fall, classification, time, consequences, and intervention required. On ward C, most falls occurred in the bed areas (bays and cubicles), but on wards A and B a higher proportion occurred in bathroom, corridor, and dayroom (C vs. A/B 87.9 vs. 73.7/62.0%; p = 0.04/p = 0.004). On ward C, activities of daily living around the bed significantly preceded falls (C vs. A/B 44.6 vs. 25.9/24.1%; p = 0.03/p = 0.01). Most falls were unwitnessed (C vs. A/B 10 vs. 21/20; p = 0.002/p = 0.0009). CONCLUSIONS: Intrinsic falls are the commonest; however, differences exist in fall demographics between wards, and this must be recognized to enhance the effectiveness of fall prevention programmes.
Source: PubMed
Falls on integrated medical wards
Authors: Vassallo, M., Amersey, R.A., Sharma, J.C. and Allen, S.C.
Journal: GERONTOLOGY
Volume: 46
Issue: 3
Pages: 158-162
ISSN: 0304-324X
DOI: 10.1159/000022152
Source: Web of Science (Lite)
Falls on Integrated Medical Wards
Authors: Vassallo, M., Amersey, R.A., Sharma, J.C. and Allen, S.C.
Journal: Gerontology
Volume: 46
Pages: 158-162
ISSN: 0304-324X
DOI: 10.1159/000022152
Abstract:Background: An effective approach to fall prevention should involve an assessment of environmental as well as patient-related characteristics. Objective: To study the effect of age and ward design on fall characteristics among medical inpatients. Methods: In a prospective open observational study over 1 year, we studied falls on three medical wards. Wards A and B are nuclear designed, and C is longitudinal. Results: We recorded 199 falls involving 167 fallers. Fifty-four (27.1%) involved patients under 65 years. Most falls were intrinsic (60.8%) and involved elderly male patients (male/female ratio 97/48 vs. 24/30; p = 0.009). We identified no age differences in relation to location, activity, preceding fall, classification, time, consequences, and intervention required.
On ward C, most falls occurred in the bed areas (bays and cubicles), but on wards A and B a higher proportion occurred in bathroom, corridor, and dayroom (C vs. A/B 87.9 vs. 73.7/62.0%; p = 0.04/p = 0.004). On ward C, activities of daily living around the bed significantly preceded falls (C vs. A/B 44.6 vs. 25.9/24.1%; p = 0.03/p = 0.01). Most falls were unwitnessed (C vs. A/B 10 vs. 21/ 20; p = 0.002/p = 0.0009). Conclusions: Intrinsic falls are the commonest; however, differences exist in fall demographics between wards, and this must be recognized to enhance the effectiveness of fall prevention programmes.
http://content.karger.com/ProdukteDB/produkte.asp?doi=10.1159/000022152
Source: Manual
Preferred by: Stephen Allen
Falls on integrated medical wards.
Authors: Vassallo, M., Amersey, R.A., Sharma, J.C. and Allen, S.C.
Journal: Gerontology
Volume: 46
Issue: 3
Pages: 158-162
eISSN: 1423-0003
ISSN: 0304-324X
DOI: 10.1159/000022152
Abstract:Background
An effective approach to fall prevention should involve an assessment of environmental as well as patient-related characteristics.Objective
To study the effect of age and ward design on fall characteristics among medical inpatients.Methods
In a prospective open observational study over 1 year, we studied falls on three medical wards. Wards A and B are nuclear designed, and C is longitudinal.Results
We recorded 199 falls involving 167 fallers. Fifty-four (27.1%) involved patients under 65 years. Most falls were intrinsic (60.8%) and involved elderly male patients (male/female ratio 97/48 vs. 24/30; p = 0.009). We identified no age differences in relation to location, activity, preceding fall, classification, time, consequences, and intervention required. On ward C, most falls occurred in the bed areas (bays and cubicles), but on wards A and B a higher proportion occurred in bathroom, corridor, and dayroom (C vs. A/B 87.9 vs. 73.7/62.0%; p = 0.04/p = 0.004). On ward C, activities of daily living around the bed significantly preceded falls (C vs. A/B 44.6 vs. 25.9/24.1%; p = 0.03/p = 0.01). Most falls were unwitnessed (C vs. A/B 10 vs. 21/20; p = 0.002/p = 0.0009).Conclusions
Intrinsic falls are the commonest; however, differences exist in fall demographics between wards, and this must be recognized to enhance the effectiveness of fall prevention programmes.Source: Europe PubMed Central