The role of lower urinary tract symptoms in fall risk assessment tools in hospitals: a review [version 1; peer review: 2 approved]

A large number of falls in hospitals occur on the way to the toilet. Accordingly, a literature search was conducted in Web of Science, PubMed, Embase, and the Cochrane Library to identify fall risk screening and assessment metrics published between 1980 and 2019 and to study the inclusion of lower u...

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Published inF1000 research Vol. 9; p. 236
Main Authors Roggeman, Saskia, Weiss, Jeffrey P, Van Laecke, Erik, Vande Walle, Johan, Everaert, Karel, Bower, Wendy F
Format Journal Article
LanguageEnglish
Published England Faculty of 1000 Ltd 2020
F1000 Research Limited
F1000 Research Ltd
Subjects
Age
Diuretics
Falls
Fractures
Frailty
Geriatrics
Health risks
Hospitals
Older people
Patients
Review
Risk assessment
Studies
Urinary incontinence
Urinary tract
Urine
Urogenital system
in-hospital falls
nocturia
Lower urinary tract symptoms
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Summary:A large number of falls in hospitals occur on the way to the toilet. Accordingly, a literature search was conducted in Web of Science, PubMed, Embase, and the Cochrane Library to identify fall risk screening and assessment metrics published between 1980 and 2019 and to study the inclusion of lower urinary tract symptoms (LUTS) and their related parameters in these screening tools. In addition, the literature was searched to explore the relationship between toilet-related falls and LUTS. In total, 23 fall risk scales were selected, from which 11 were applicable for in-hospital patients. In nine of the 11 scales for in-hospital patients, a LUTS or LUTS-related parameter was included. In the 12 risk assessment tools for community-dwelling older people, there were no LUTS included. Frequency, urinary incontinence, and nocturia were mostly reported in the literature as a potential fall risk parameter. It is recommended to create greater awareness of nocturia and other LUTS among caregivers of hospitalized patients to prevent falls.
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Competing interests: Wendy F. Bower reports grants from the Australian Bladder Foundation and Ferring. Karel Everaert is a consultant and speaker for Ferring and received grants for the institution from Astellas, Ferring, and Medtronic. Saskia Roggeman, Jeffrey P. Weiss, Erik Van Laecke, and Johan Vande Walle declare that they have no competing interests.
ISSN:2046-1402
2046-1402
DOI:10.12688/f1000research.21581.1