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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Abstract 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.
AbstractList 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.
Author Everaert, Karel
Vande Walle, Johan
Weiss, Jeffrey P
Van Laecke, Erik
Bower, Wendy F
Roggeman, Saskia
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  surname: Roggeman
  fullname: Roggeman, Saskia
  email: Saskia.Roggeman@janbaptist.broedersvanliefde.be
  organization: Faculty of Medicine and Health Sciences, Department of Human Structure and Repair, Ghent University, Ghent, Belgium
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  givenname: Jeffrey P
  surname: Weiss
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  organization: Department of Urology, SUNY Downstate College of Medicine, Brooklyn, NY, USA
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  organization: Urology Department, Ghent University Hospital, Ghent, Belgium
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  givenname: Wendy F
  surname: Bower
  fullname: Bower, Wendy F
  organization: Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32269762$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1111_ijcp_14876
crossref_primary_10_3390_healthcare11152194
crossref_primary_10_1016_j_purol_2022_07_003
crossref_primary_10_60099_prijnr_2023_262606
crossref_primary_10_1016_j_rehab_2020_10_006
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Copyright Copyright: © 2020 Roggeman S et al.
Copyright: © 2020 Roggeman S et al. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright: © 2020 Roggeman S et al. 2020
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Keywords in-hospital falls
nocturia
Lower urinary tract symptoms
Language English
License http://creativecommons.org/licenses/by/4.0/: This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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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.
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Snippet 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...
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SubjectTerms Age
Diuretics
Falls
Fractures
Frailty
Geriatrics
Health risks
Hospitals
Older people
Patients
Review
Risk assessment
Studies
Urinary incontinence
Urinary tract
Urine
Urogenital system
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Title The role of lower urinary tract symptoms in fall risk assessment tools in hospitals: a review [version 1; peer review: 2 approved]
URI http://dx.doi.org/10.12688/f1000research.21581.1
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