Falls in patients hospitalized in a geriatric ward
Katarzyna Mazur 1  
,   Iwona Otremba 2  
,   Joanna Bieniek 1  
,   Jan Szewieczek 3  
 
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1
Klinika Geriatrii Katedry Chorób Wewnętrznych i Metabolicznych, Samodzielny Publiczny Szpital Kliniczny nr 7 Śląskiego Uniwersytetu Medycznego w Katowicach Górnośląskie Centrum Medyczne im. prof. Leszka Gieca
2
Klinika Geriatrii Katedry Chorób Wewnętrznych i Metabolicznych, Samodzielny Publiczny Szpital Kliniczny nr 7 Śląskiego Uniwersytetu Medycznego w Katowicach Górnośląskie Centrum Medyczne im. prof. Leszka Gieca
3
Śląski Uniwersytet Medyczny w Katowicach
CORRESPONDING AUTHOR
Joanna Bieniek   

Klinika Geriatrii Katedry Chorób Wewnętrznych i Metabolicznych, Samodzielny Publiczny Szpital Kliniczny nr 7 Śląskiego Uniwersytetu Medycznego w Katowicach Górnośląskie Centrum Medyczne im. prof. Leszka Gieca, ul. Jana Pawła II 63, 34-326 Pietrzykowice, Polska
 
Ann. Acad. Med. Siles. 2014;68
 
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ABSTRACT
Introduction:
Falls as a major cause of injuries and disability have been a subject of numerous studies in community-dwelling elderly people. However, a few studies analysed falls among inpatients. Aim of the study was to evaluate risk factors of falls in patients of the geriatric ward and an effectiveness of the falls prevention program.

Materials and methods:
The study included 100 consecutive patients admitted to the Geriatric Ward at age of 80.2±7.65 years (mean±SD) (69 women and 31 men). Barthel and IADL scales were used to assess independence and mobility, VAS–to assess a pain level, MMSE–for mental status examination. A balance was assessed using a stabilometric platform, and a risk of falling using Tinetti scale. Body structure was analysed using a method of the bioimpedance. All patients were qualified to an appropriate category of the falls prevention program.

Results:
The most common risk factors for falling were: asthenia –78%, age ≥80 years–61%, leg pain–53%, back pain – 50%, dizziness – 49%, visual impairment –47%, a history of falls–45%, osteoarthritis–44%. Among the respondents, 9% were 1-3 fall risk factors, 27% -4-6, in 44%-7-9, in 20%- ≥ 10 factors. Four patients experienced a fall. All cases were connected with noncompliance of patients with balance disorders. Among those who falled, three subjects presented with normal cognitive function, another one–with delirium. One fall was complicated with a slight facial injury.

Conclusions:
Geriatric ward’s patients constitute a group of a high risk of falls. The main risk factors fall into the geriatric ward to delirium and noncompliance by patients staff recommendations.

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