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 Me...

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Autores principales:	Aliaga,Braulio, Molina,Natalia, Noguera,Matías, Espinoza,Paula, Sánchez,Sebastián, Lara,Bárbara, Carrasco,Marcela, Eymin,Gonzalo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Accidental Falls Delirium, Risk Factors Inpatients
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700862
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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 Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Accidental Falls Delirium, Risk Factors Inpatients
spellingShingle	Accidental Falls Delirium, Risk Factors Inpatients 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
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.
author	Aliaga,Braulio Molina,Natalia Noguera,Matías Espinoza,Paula Sánchez,Sebastián Lara,Bárbara Carrasco,Marcela Eymin,Gonzalo
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
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700862
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Prevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario

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