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Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital / Fatores de risco associados às quedas intra-hospitalares notificadas ao Núcleo de Segurança do Paciente de um hospital de ensino
Silva, Adriane Kênia Moreira; Costa, Dayane Carlos Mota da; Reis, Adriano Max Moreira.
  • Silva, Adriane Kênia Moreira; Hospital Risoleta Tolentino Neves. Belo Horizonte. BR
  • Costa, Dayane Carlos Mota da; Hospital Risoleta Tolentino Neves. Belo Horizonte. BR
  • Reis, Adriano Max Moreira; Universidade Federal de Minas Gerais. Belo Horizonte. BR
Einstein (Säo Paulo) ; 17(1): eAO4432, 2019. tab
Article in English | LILACS | ID: biblio-984366
ABSTRACT
ABSTRACT Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate and multivariate analyses were performed. Results Of the 125 fall reports in the study, 38 (30.4%) were in 2014, 26 (20.8%) in 2015, and 61 (48.8%) in 2016. Half of the patients (63; 50.4%) were classified as high fall risk and 74 (59.2%) had two or more risk factors for the event. The most frequently used drug classes were opioids (25%), anxiolytics (19.7%), beta-blockers (9.9%), angiotensin II antagonists (7%) and vascular-selective calcium channel blockers (7%). After the adjusted analysis, the factors associated with falls were amputation (odds ratio 14.17), female sex (odds ratio 2.98) and severe pain (odds ratio 5.47). Conclusion Medications are an important contributor to in-hospital falls, and the Medication Fall Risk Score can help identify patients at a high risk for falls.
RESUMO
RESUMO Objetivo Investigar o uso de medicamentos que aumentam o risco de queda entre pacientes que tiveram quedas notificadas ao Núcleo de Segurança do Paciente de um hospital, bem como identificar os fatores associados ao risco elevado de queda. Métodos Trata-se de estudo transversal realizado em hospital de ensino. A população do estudo foi composta pelo universo de notificações de queda enviadas para o Núcleo de Segurança do Paciente. A variável dependente foi alto risco para queda. A mensuração do risco de queda foi realizada de acordo com o Medication Fall Risk Score. Foram realizadas as análises descritiva, univariada e multivariada. Resultados Das 125 notificações de queda incluídas no estudo, 38 (30,4%) foram notificadas em 2014, 26 (20,8%) em 2015 e 61 (48,8%) em 2016. Metade dos pacientes (63; 50,4%) foram classificados na categoria alto risco de queda, e 74 (59,2%) apresentaram dois ou mais fatores de risco para o evento. As classes de medicamentos mais frequentes foram opioides (25%), ansiolíticos (19,7%), betabloqueadores (9,9%), antagonistas de angiotensina II (7%) e bloqueadores de canais de cálcio seletivos com efeitos principais vasculares (7%). Após a análise ajustada, os fatores associados com queda foram amputação (odds ratio 14,17), sexo feminino (odds ratio 2,98) e dor intensa (odds ratio 5,47). Conclusão Os medicamentos são importante fator contribuinte para a queda intra-hospitalar, e o Medication Fall Risk Score contribui para a identificação de pacientes com alto risco de quedas.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Accidental Falls / Patient Safety / Inpatients Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Einstein (Säo Paulo) Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Risoleta Tolentino Neves/BR / Universidade Federal de Minas Gerais/BR

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Full text: Available Index: LILACS (Americas) Main subject: Accidental Falls / Patient Safety / Inpatients Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Einstein (Säo Paulo) Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Risoleta Tolentino Neves/BR / Universidade Federal de Minas Gerais/BR