In-hospital falls and fall-related injuries: a protocol for a cost of fall study

被引：9

作者：

Morello, Renata Teresa ^{[1
]}

Barker, Anna Luica ^{[1
]}

Haines, Terry ^{[2
,3
,4
]}

Zavarsek, Silva ^{[4
]}

Watts, Jennifer J.

Hill, Keith ^{[5
]}

Brand, Caroline ^{[1
]}

Sherrington, Catherine ^{[6
]}

Wolfe, Rory ^{[7
]}

Bohensky, Megan ^{[1
]}

Stoelwinder, Johannes ^{[1
]}

机构：

[1] Monash Univ, Ctr Res Excellence Patient Safety, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia

[2] Monash Univ, Physiotherapy Dept, Melbourne, Vic 3004, Australia

[3] Monash Univ, Allied Hlth Res Unit, Southern Hlth, Melbourne, Vic 3004, Australia

[4] Monash Univ, Ctr Hlth Econ, Melbourne, Vic 3004, Australia

[5] Curtin Univ, Sch Physiotherapy, Perth, WA 6845, Australia

[6] Univ Sydney, George Inst Global Hlth, Sydney, NSW 2006, Australia

[7] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia

来源：

INJURY PREVENTION | 2013年 / 19卷 / 05期

基金：

英国医学研究理事会;

关键词：

D O I：

10.1136/injuryprev-2012-040706

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background In-hospital falls are common and pose significant economic burden on the healthcare system. To date, few studies have quantified the additional cost of hospitalisation associated with an in-hospital fall or fall-related injury. The aim of this study is to determine the additional length of stay and hospitalisation costs associated with in-hospital falls and fall-related injuries, from the acute hospital perspective. Methods and design A multisite prospective study will be conducted as part of a larger falls-prevention clinical trialthe 6-PACK project. This study will involve 12 acute medical and surgical wards from six hospitals across Australia. Patient and admission characteristics, outcome and hospitalisation cost data will be prospectively collected on approximately 15000 patients during the 15-month study period. A review of all in-hospital fall events will be conducted using a multimodal method (medical record review and daily verbal report from the nurse unit manager, triangulated with falls recorded in the hospital incident reporting and administrative database), to ensure complete case ascertainment. Hospital clinical costing data will be used to calculate patient-level hospitalisation costs incurred by a patient during their inpatient stay. Additional hospital and hospital resource utilisation costs attributable to in-hospital falls and fall-related injuries will be calculated using linear regression modelling, adjusting for a priori-defined potential confounding factors. Discussion This protocol provides the detailed statement of the planned analysis. The results from this study will be used to support healthcare planning, policy making and allocation of funding relating to falls prevention within acute hospitals.

引用

页码：363 / 363

页数：1

共 55 条

[1] Briggs K., Steel K., Falls in a hospital setting, J Am Geriatr Soc, 55, (2007)
[2] Rigby K., Clark R.B., Runciman W.B., Adverse events in health care: Setting priorities based on economic evaluation, J Qual Clin Pract, 19, pp. 7-12, (1999)
[3] Shaw R., Drever F., Hughes H., Et al., Adverse events and near miss reporting in the NHS, Qual Saf Health Care, 14, pp. 279-283, (2005)
[4] Hitcho E.B., Krauss M.J., Birge S., Et al., Characteristics and circumstances of falls in a hospital setting: A prospective analysis, J Gen Intern Med, 19, pp. 732-739, (2004)
[5] Evans D., Hodgkinson B., Lambert L., Et al., Falls risk factors in the hospital setting: A systematic review, Int J Nurs Pract, 7, pp. 38-45, (2001)
[6] Bates D.W., Pruess K., Souney P., Et al., Serious falls in hospitalized patients: Correlates and resource utilization, Am J Med, 99, pp. 137-143, (1995)
[7] Vassallo M., Sharma J.C., Allen S.C., Characteristics of single fallers and recurrent fallers among hospital in-patients, Gerontology, 48, pp. 147-150, (2002)
[8] Corso P., Finkelstein E., Miller T., Et al., Incidence and lifetime costs of injuries in the United States, Inj Prev, 12, pp. 212-218, (2006)
[9] Nurmi I., Luthje P., Incidence and costs of falls and fall injuries among elderly in institutional care, Scand J Prim Health Care, 20, pp. 118-122, (2002)
[10] Tinetti M.E., Powell L., Fear of falling and low self-efficacy: A case of dependence in elderly persons, J Gerontol, (1993)

← 1 2 3 4 5 6 →