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  4. Falls on an inpatient rehabilitation spinal injuries unit: the characteristics, circumstances, and consequences

Falls on an inpatient rehabilitation spinal injuries unit: the characteristics, circumstances, and consequences

Spinal Cord, 2023 · DOI: https://doi.org/10.1038/s41393-022-00861-3 · Published: October 22, 2022

Spinal Cord InjuryAgingRehabilitation

Simple Explanation

Falls during hospitalization can increase costs and have negative physical and psychological effects on patients. People with spinal cord injuries are at higher risk due to motor and sensory changes, especially during rehabilitation. Research on falls in the SCI population has increased over the past 10 years, but mostly focuses on people living in the community. Understanding the circumstances of falls during SCI rehabilitation can inform targeted prevention programs. This study aimed to describe the nature of falls and fallers in inpatient SCI rehabilitation, and identify factors associated with recurrent falls and consequential falls.

Study Duration
5 years
Participants
566 persons admitted to the SIU
Evidence Level
Level 3, Retrospective audit

Key Findings

  • 1
    Nearly one quarter of spinal injuries unit inpatients experienced a fall, and almost a third of those experienced recurrent falls.
  • 2
    Older age and female gender were significant risk factors for falls with consequences.
  • 3
    Falls occurring on Sundays were more likely to have consequences, while falls during transfers were less likely to be consequential.

Research Summary

This study aimed to describe the nature of falls and fallers in inpatient SCI rehabilitation, and identify factors associated with recurrent falls and consequential falls. The study found that 23% of inpatients experienced a fall during their admission, with 41% experiencing recurrent falls. 59% experienced negative consequences. Older age and female gender were significantly associated with consequential falls. Falls on Sundays were more likely to have consequences.

Practical Implications

Fall Prevention Throughout Admission

Fall prevention strategies should be implemented throughout the entire inpatient admission period.

Community Access Education

Inpatients need education on fall risks and prevention methods prior to community access during their admission.

Risk Awareness

Inform patients of the risks associated with unwitnessed activities to reduce consequential falls.

Study Limitations

  • 1
    Retrospective nature relying on accurate reporting.
  • 2
    No comparison group to identify predictor variables.
  • 3
    Potential recurrence bias due to multiple falls by some participants.

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