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Analytical study on risk factors relevant to fall events of in inpatients

XIAO Shuang, ZHAO Qing-hua   

  1. Department of Nursing, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Online:2014-12-28 Published:2014-12-30
  • Supported by:

    National Key Clinical Discipline Construction Programs of China, 2010-305;Medical Research Project of Chongqing Health Bureau, 2013-2-001;Nursing Scientific Research Fund of the First Affiliated Hospital of Chongqing Medical University, HLJJ2011-05

Abstract:

Objective To analyze the data and risk factors of fall events of inpatients. Methods The retrospective case-control design was adopted to analyze fall events of inpatients reported in 2013 by the First Affiliated Hospital of Chongqing Medical University. Inpatients with age above 18 were selected and divided into the case group (43 patients with fall events) and control group (86 patients without fall events). The ratio of patients of two groups was 1∶2. For the control group, variables were controlled by two items, i.e. hospital stay and ward. Results The univariate analysis found that relevant influencing factors of fall events of inpatients were mobility (P=0.004 0), Morse score (P=0.047 2), and with or without companions (P<0.000 1). The multivariate logistic regression analysis found that Morse scores between 45 and 100 points (OR=0.476, 95%CI: 0.228-0.991) and without companions (OR=7.165, 95%CI: 2.666-19.260) were risk factors of fall events of inpatients. Conclusion Single factor analysis and multiple-factor analysis found that various factors influenced fall events of inpatients. Limited mobility, Morse scores between 45 and 100 points, and without companions are high risk factors. Clinical nursing should take measures to prevent and reduce fall events of patients.

Key words: falling, inpatient, relative factor, case-control study