Accidents from falls among hospitalized patients in Emergency Units: a multicenter study.

IF 1.2 Q3 NURSING
Revista Brasileira De Enfermagem Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI:10.1590/0034-7167-2024-0320
Bárbara Cristina Dias Giaquinto, Cristiana Mattos Camargos Oliveira, Camila Cardoso de Araújo Costa, Karina Gonçalves Dias de Barros, Bruna Figueiredo Manzo, Allana Dos Reis Corrêa
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引用次数: 0

Abstract

Objectives: to analyze the occurrence of falls among patients hospitalized in emergency units.

Methods: a cross-sectional study conducted from October 2020 to January 2021 in the emergency units of four hospitals in the city of Belo Horizonte. Sociodemographic, clinical, event-related, and post-fall data were collected and analyzed using descriptive statistics and binary logistic regression.

Results: among the 89 medical records analyzed, falls were more frequent among elderly male patients, presenting with psychomotor agitation/mental confusion, occurring in the afternoon period and while on stretchers. Logistic regression revealed that patients who developed complications following the fall were associated with a higher degree of harm requiring intervention (moderate, severe, or death). Overall parameters of (OR: 19.64; p = 0.007), while only female sex related to (OR: 0.16; p = 0.037).

Conclusions: in emergency settings, patients who experienced complications due to falls tended to evolve with a degree of harm that demanded more interventions and led to irreversible outcomes. Female sex was associated with the occurrence of harm not requiring intervention.

急诊住院病人跌倒事故:一项多中心研究
目的:分析急诊住院患者跌倒的发生情况。方法:于2020年10月至2021年1月在贝洛奥里藏特市四家医院的急诊科进行横断面研究。收集社会人口学、临床、事件相关和跌倒后的数据,并使用描述性统计和二元逻辑回归进行分析。结果:89份医疗记录中,老年男性患者摔倒较多,表现为精神运动性躁动/精神错乱,发生在下午和担架上。Logistic回归显示,在跌倒后出现并发症的患者与需要干预的较高程度的伤害(中度、重度或死亡)相关。总体参数为(OR: 19.64; p = 0.007),而仅与女性相关(OR: 0.16; p = 0.037)。结论:在紧急情况下,因跌倒而出现并发症的患者往往演变成一定程度的伤害,需要更多的干预,并导致不可逆转的结果。女性与不需要干预的伤害发生有关。
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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
477
审稿时长
21 weeks
期刊介绍: The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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