Evaluation of the sustained effect of inpatient falls prevention education and predictors of falls after hospital discharge: Follow-up to a randomized controlled trial

Anne-Marie Hill, Tammy Hoffmann, Steven McPhail, Christopher Beer, Keith D Hill, David Oliver, Sandra G Brauer, Terrence P Haines

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Abstract

BACKGROUND: This study aimed to determine (i) risk factors for postdischarge falls and (ii) the effect of inpatient falls prevention education on rates of falls after discharge.

METHODS: Participants (n = 343) were a prospective cohort nested within a randomized controlled trial (n = 1,206) of falls prevention patient education in hospital compared with usual care. Participants were followed up for 6 months after discharge and falls recorded via a falls diary and monthly telephone calls. Potential falls risk factors were assessed at point of discharge and at 6 months postdischarge using a telephone survey.

RESULTS: There were 276 falls among 138 (40.2%) participants in the 6 months following discharge (4.52/1,000 person days) of which 150 were injurious falls (2.46/1,000 person days). Pairwise comparisons found no significant differences between groups in rates of falls after adjustment for confounding variables. Independent risk factors for all falls outcomes were male gender, history of falls prior to hospital admission, fall during hospital admission, depressed mood at discharge, using a walking aid at discharge, and receiving assistance with activities of daily living at 6 months following discharge. Receiving assistance with activities of daily living significantly reduced the risk of falls and injurious falls for high risk patients.

CONCLUSIONS: Older patients are at increased risk of falls and falls injuries following discharge. Education that effectively reduced inpatient falls appears to have no ongoing protective effect after discharge. Independent risk factors for falls in this population differ from both hospital and general community settings.

Original languageEnglish
Pages (from-to)1001-12
Number of pages12
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume66
Issue number9
DOIs
Publication statusPublished - Sep 2011

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Inpatients
Randomized Controlled Trials
Education
Activities of Daily Living
Telephone
Confounding Factors (Epidemiology)
Patient Education
General Hospitals
Walking
Wounds and Injuries
Population

Cite this

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title = "Evaluation of the sustained effect of inpatient falls prevention education and predictors of falls after hospital discharge: Follow-up to a randomized controlled trial",
abstract = "BACKGROUND: This study aimed to determine (i) risk factors for postdischarge falls and (ii) the effect of inpatient falls prevention education on rates of falls after discharge.METHODS: Participants (n = 343) were a prospective cohort nested within a randomized controlled trial (n = 1,206) of falls prevention patient education in hospital compared with usual care. Participants were followed up for 6 months after discharge and falls recorded via a falls diary and monthly telephone calls. Potential falls risk factors were assessed at point of discharge and at 6 months postdischarge using a telephone survey.RESULTS: There were 276 falls among 138 (40.2{\%}) participants in the 6 months following discharge (4.52/1,000 person days) of which 150 were injurious falls (2.46/1,000 person days). Pairwise comparisons found no significant differences between groups in rates of falls after adjustment for confounding variables. Independent risk factors for all falls outcomes were male gender, history of falls prior to hospital admission, fall during hospital admission, depressed mood at discharge, using a walking aid at discharge, and receiving assistance with activities of daily living at 6 months following discharge. Receiving assistance with activities of daily living significantly reduced the risk of falls and injurious falls for high risk patients.CONCLUSIONS: Older patients are at increased risk of falls and falls injuries following discharge. Education that effectively reduced inpatient falls appears to have no ongoing protective effect after discharge. Independent risk factors for falls in this population differ from both hospital and general community settings.",
author = "Anne-Marie Hill and Tammy Hoffmann and Steven McPhail and Christopher Beer and Hill, {Keith D} and David Oliver and Brauer, {Sandra G} and Haines, {Terrence P}",
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Evaluation of the sustained effect of inpatient falls prevention education and predictors of falls after hospital discharge : Follow-up to a randomized controlled trial. / Hill, Anne-Marie; Hoffmann, Tammy; McPhail, Steven; Beer, Christopher; Hill, Keith D; Oliver, David; Brauer, Sandra G; Haines, Terrence P.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 66, No. 9, 09.2011, p. 1001-12.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Evaluation of the sustained effect of inpatient falls prevention education and predictors of falls after hospital discharge

T2 - Follow-up to a randomized controlled trial

AU - Hill, Anne-Marie

AU - Hoffmann, Tammy

AU - McPhail, Steven

AU - Beer, Christopher

AU - Hill, Keith D

AU - Oliver, David

AU - Brauer, Sandra G

AU - Haines, Terrence P

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N2 - BACKGROUND: This study aimed to determine (i) risk factors for postdischarge falls and (ii) the effect of inpatient falls prevention education on rates of falls after discharge.METHODS: Participants (n = 343) were a prospective cohort nested within a randomized controlled trial (n = 1,206) of falls prevention patient education in hospital compared with usual care. Participants were followed up for 6 months after discharge and falls recorded via a falls diary and monthly telephone calls. Potential falls risk factors were assessed at point of discharge and at 6 months postdischarge using a telephone survey.RESULTS: There were 276 falls among 138 (40.2%) participants in the 6 months following discharge (4.52/1,000 person days) of which 150 were injurious falls (2.46/1,000 person days). Pairwise comparisons found no significant differences between groups in rates of falls after adjustment for confounding variables. Independent risk factors for all falls outcomes were male gender, history of falls prior to hospital admission, fall during hospital admission, depressed mood at discharge, using a walking aid at discharge, and receiving assistance with activities of daily living at 6 months following discharge. Receiving assistance with activities of daily living significantly reduced the risk of falls and injurious falls for high risk patients.CONCLUSIONS: Older patients are at increased risk of falls and falls injuries following discharge. Education that effectively reduced inpatient falls appears to have no ongoing protective effect after discharge. Independent risk factors for falls in this population differ from both hospital and general community settings.

AB - BACKGROUND: This study aimed to determine (i) risk factors for postdischarge falls and (ii) the effect of inpatient falls prevention education on rates of falls after discharge.METHODS: Participants (n = 343) were a prospective cohort nested within a randomized controlled trial (n = 1,206) of falls prevention patient education in hospital compared with usual care. Participants were followed up for 6 months after discharge and falls recorded via a falls diary and monthly telephone calls. Potential falls risk factors were assessed at point of discharge and at 6 months postdischarge using a telephone survey.RESULTS: There were 276 falls among 138 (40.2%) participants in the 6 months following discharge (4.52/1,000 person days) of which 150 were injurious falls (2.46/1,000 person days). Pairwise comparisons found no significant differences between groups in rates of falls after adjustment for confounding variables. Independent risk factors for all falls outcomes were male gender, history of falls prior to hospital admission, fall during hospital admission, depressed mood at discharge, using a walking aid at discharge, and receiving assistance with activities of daily living at 6 months following discharge. Receiving assistance with activities of daily living significantly reduced the risk of falls and injurious falls for high risk patients.CONCLUSIONS: Older patients are at increased risk of falls and falls injuries following discharge. Education that effectively reduced inpatient falls appears to have no ongoing protective effect after discharge. Independent risk factors for falls in this population differ from both hospital and general community settings.

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JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

SN - 1079-5006

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