AMERICAN JOURNAL OF MEDICINE, vol. 99, n° 2, 1995, pages 137-143, 35 réf., ISSN 0002-9343, USA
BATES (D.W.), PRUESS (K.), SOUNEY (P.), PLATT (R.)
Brigham women's hosp Harvard medical school. Dep medicine. Channing lab. Boston MA. USA
To evaluate the correlates of serious falls in hospitalized patients and the resource utilization associated with such falls.
This retrospective case-control study was performed in an urban tertiary care hospital.
Univariate correlates of falls (P<0.05) included severity of underlying disease, Charlson comorbidity score, and Confusion Assessment Method (CAM) score.
In multivariate conditional logistic regression analyses, only the Charlson index (P<0.006) and the CAM score (P<0.03) were independent correlates of a fall.
Exposure to any of a number of drugs did not predict falls, but the power to detect drug effects was limited.
A combination of the Charlson comorbidity and CAM scores identified a population at substantially increased risk of fall, including 50% (31/62) of fallers, versus 16% (10/62) of controls.
In multivariate analyses, falls were also independently correlated with increases in length of stay (P<0.004) and total charges (P<0.008).
Fallers stayed 12 days longer and had charges $4,233 higher than controls, after adjustment for potential clinical and nonclinical confounders.
Falls during hospitalization are commoner in confused patients and those with greater comorbidity.
This profile differs from that of fallers in the community, probably because hospitalized patients are sicker.
Injurious falls are associated with substantially increased resource utilization.
Mots-clés BDSP : Traumatisme, Homme, Hôpital, Complication, Facteur risque
Mots-clés Pascal : Traumatisme, Homme, Hôpital, Iatrogène, Complication, Facteur risque
Mots-clés Pascal anglais : Trauma, Human, Hospital, Iatrogenic, Complication, Risk factor
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0508021
Code Inist : 002B16N. Création : 01/03/1996.