Predictors of fracture from falls reported in hospital and residential care facilities: A cross-sectional study

Chari, Satyan, McRae, Prue, Varghese, Paul, Ferrar, Kaye and Haines, Terry P. (2013) Predictors of fracture from falls reported in hospital and residential care facilities: A cross-sectional study. BMJ Open, 3 8: . doi:10.1136/bmjopen-2013-002948

Author Chari, Satyan
McRae, Prue
Varghese, Paul
Ferrar, Kaye
Haines, Terry P.
Title Predictors of fracture from falls reported in hospital and residential care facilities: A cross-sectional study
Journal name BMJ Open   Check publisher's open access policy
ISSN 2044-6055
Publication date 2013
Year available 2013
Sub-type Article (original research)
DOI 10.1136/bmjopen-2013-002948
Open Access Status DOI
Volume 3
Issue 8
Total pages 8
Place of publication London, United Kingdom
Publisher B M J Group
Collection year 2014
Language eng
Subject 2700 Medicine
Formatted abstract
 Objectives Fall-related fractures are associated with substantial human and economic costs. An improved understanding of the predictors of fall-related fractures in healthcare settings would be useful in developing future interventions. The objective of this study was to identify such predictors by exploring associations between fall-related factors and fracture outcomes through logistic regression analysis of routinely collected fall incident data.

Design Retrospective cross-sectional study.

Setting 197 public healthcare facilities in Queensland, Australia.

Participants We included data from incident reports completed after falls among admitted adult hospital patients (n=24 218 falls, 229 fractures) and aged-care residents (n=8980 falls, 74 fractures) between January 2007 and November 2009.

Primary and secondary outcomes The outcomes of interest were fall-related predictors of fracture.

Results Hospital patients who reported to have been screened for their risk of falling at admission were less likely to fracture after a fall (OR: 0.60, 95% CI 0.41 to 0.89) than those who had not been screened. Further, falls from standing (OR: 2.08, 95% CI 1.22 to 3.55) and falls while walking (OR: 1.86, 95% CI 1.32 to 2.62) were associated with higher fracture odds than falls during other activities. In line with these results, falls while reaching in standing (OR: 3.51, 95% CI 1.44 to 8.56) and falls while walking (OR: 2.11, 95% CI 1.24 to 3.58) were also predictive of fracture in the adjusted residential care model.

Conclusions Our findings indicate that screening of hospital patients for their risk of falling may contribute towards the prevention of fall-related injury. Falls from upright postures appear to be more likely to result in fractures than other falls in healthcare settings. Further prospective research is warranted.
Keyword Falls
Hospital patients
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
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