Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario
Background: Detecting patients at risk of falls during hospital stay is of utmost importance to implement preventive measures. Aim: To determine the frequency of patients with a high risk of falls admitted to a medical-surgical ward. To assess the preventive measures implemented. Materials and Methods: Review of medical records of 376 patients aged 20 to 97 years (28% older than 70 years) admitted to a clinical hospital in a period of four months. Results: Eleven percent of patients had a history of falls, 50% had a sensory deficit, 68% had unstable gait, 8% had a neurological risk condition, 8% had drowsiness or disorientation, 4% had psychomotor agitation or delirium, 86 % used high risk medications, 73% used 2 or more high risk drugs and 72% were using devices that decrease mobility. One hundred forty-one patients (38%) had a high risk of falling. The mean age of the latter was 77 years, 89% had a sensory deficit, 96% had unstable gait, 4% had psychomotor agitation or delirium and 98% used high risk drugs. Less than 1% had a medical prescription of a caregiver, physical restraints or antipsychotics, however, 21% of patients had a caregiver. Conclusions: The percentage of patients with a high risk of falling is important. The main risk factors were sensory deficit, unstable gait and the use of high risk medications. The low frequency of preventive measures prescriptions is striking.
Main Authors: | , , , , , , , |
---|---|
Format: | Digital revista |
Language: | Spanish / Castilian |
Published: |
Sociedad Médica de Santiago
2018
|
Online Access: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700862 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0034-98872018000700862 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0034-988720180007008622018-09-26Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitarioAliaga,BraulioMolina,NataliaNoguera,MatíasEspinoza,PaulaSánchez,SebastiánLara,BárbaraCarrasco,MarcelaEymin,Gonzalo Accidental Falls Delirium, Risk Factors Inpatients Background: Detecting patients at risk of falls during hospital stay is of utmost importance to implement preventive measures. Aim: To determine the frequency of patients with a high risk of falls admitted to a medical-surgical ward. To assess the preventive measures implemented. Materials and Methods: Review of medical records of 376 patients aged 20 to 97 years (28% older than 70 years) admitted to a clinical hospital in a period of four months. Results: Eleven percent of patients had a history of falls, 50% had a sensory deficit, 68% had unstable gait, 8% had a neurological risk condition, 8% had drowsiness or disorientation, 4% had psychomotor agitation or delirium, 86 % used high risk medications, 73% used 2 or more high risk drugs and 72% were using devices that decrease mobility. One hundred forty-one patients (38%) had a high risk of falling. The mean age of the latter was 77 years, 89% had a sensory deficit, 96% had unstable gait, 4% had psychomotor agitation or delirium and 98% used high risk drugs. Less than 1% had a medical prescription of a caregiver, physical restraints or antipsychotics, however, 21% of patients had a caregiver. Conclusions: The percentage of patients with a high risk of falling is important. The main risk factors were sensory deficit, unstable gait and the use of high risk medications. The low frequency of preventive measures prescriptions is striking.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.7 20182018-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700862es10.4067/s0034-98872018000700862 |
institution |
SCIELO |
collection |
OJS |
country |
Chile |
countrycode |
CL |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-cl |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
Spanish / Castilian |
format |
Digital |
author |
Aliaga,Braulio Molina,Natalia Noguera,Matías Espinoza,Paula Sánchez,Sebastián Lara,Bárbara Carrasco,Marcela Eymin,Gonzalo |
spellingShingle |
Aliaga,Braulio Molina,Natalia Noguera,Matías Espinoza,Paula Sánchez,Sebastián Lara,Bárbara Carrasco,Marcela Eymin,Gonzalo Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario |
author_facet |
Aliaga,Braulio Molina,Natalia Noguera,Matías Espinoza,Paula Sánchez,Sebastián Lara,Bárbara Carrasco,Marcela Eymin,Gonzalo |
author_sort |
Aliaga,Braulio |
title |
Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario |
title_short |
Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario |
title_full |
Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario |
title_fullStr |
Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario |
title_full_unstemmed |
Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario |
title_sort |
prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario |
description |
Background: Detecting patients at risk of falls during hospital stay is of utmost importance to implement preventive measures. Aim: To determine the frequency of patients with a high risk of falls admitted to a medical-surgical ward. To assess the preventive measures implemented. Materials and Methods: Review of medical records of 376 patients aged 20 to 97 years (28% older than 70 years) admitted to a clinical hospital in a period of four months. Results: Eleven percent of patients had a history of falls, 50% had a sensory deficit, 68% had unstable gait, 8% had a neurological risk condition, 8% had drowsiness or disorientation, 4% had psychomotor agitation or delirium, 86 % used high risk medications, 73% used 2 or more high risk drugs and 72% were using devices that decrease mobility. One hundred forty-one patients (38%) had a high risk of falling. The mean age of the latter was 77 years, 89% had a sensory deficit, 96% had unstable gait, 4% had psychomotor agitation or delirium and 98% used high risk drugs. Less than 1% had a medical prescription of a caregiver, physical restraints or antipsychotics, however, 21% of patients had a caregiver. Conclusions: The percentage of patients with a high risk of falling is important. The main risk factors were sensory deficit, unstable gait and the use of high risk medications. The low frequency of preventive measures prescriptions is striking. |
publisher |
Sociedad Médica de Santiago |
publishDate |
2018 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700862 |
work_keys_str_mv |
AT aliagabraulio prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario AT molinanatalia prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario AT nogueramatias prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario AT espinozapaula prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario AT sanchezsebastian prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario AT larabarbara prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario AT carrascomarcela prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario AT eymingonzalo prevalenciadepacientesconaltoriesgodecaidasenunserviciomedicoquirurgicodeunhospitaluniversitario |
_version_ |
1755988589998505984 |