Epidemiology of falls among patients in a rehabilitation hospital

Falls in institutional settings have been associated with considerable morbidity. Although risk factors for falls have been described for acute care and geriatric settings, data from the rehabilitation setting are sparse. To provide a descriptive epidemiology, incident reports of falls were reviewed...

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Bibliographic Details
Published inArchives of physical medicine and rehabilitation Vol. 71; no. 1; p. 8
Main Authors Vlahov, D, Myers, A H, al-Ibrahim, M S
Format Journal Article
LanguageEnglish
Published United States 01.01.1990
Subjects
Accidental Falls - statistics & numerical data
Accidents - statistics & numerical data
Adolescent
Aged
Baltimore - epidemiology
Child
Female
Hospitals, Special - statistics & numerical data
Humans
Male
Middle Aged
Prevalence
Rehabilitation Centers - statistics & numerical data
Risk Factors
Baltimore
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Summary:Falls in institutional settings have been associated with considerable morbidity. Although risk factors for falls have been described for acute care and geriatric settings, data from the rehabilitation setting are sparse. To provide a descriptive epidemiology, incident reports of falls were reviewed at a 151-bed rehabilitation facility. Of 567 patients admitted between January 1 and December 31, 1984, 71 (12.5%) experienced at least one fall; most (75%) of the falls occurred in patients using wheelchairs. Risk for falls was associated with increasing age (p less than 0.05), a diagnosis of stroke, or lower extremity amputation (p less than 0.05). Of the 71 fallers, 31% experienced repeat falls which tended to occur more frequently with older age, disorientation, and nonambulatory status at first fall. Nearly 13% sustained injuries, which tended to occur more frequently among disoriented and wheelchair or bedfast patients. These data suggest that groups of patients who are at high risk for falls within the rehabilitation setting can be identified for the purposes of prevention, and targeted for preventive measures.
ISSN:0003-9993