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Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia
BACKGROUND: Fall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children’s falls during hos...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
King Faisal Specialist Hospital and Research Centre
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074307/ https://www.ncbi.nlm.nih.gov/pubmed/29848941 http://dx.doi.org/10.5144/0256-4947.2018.225 |
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author | AlSowailmi, Banan Abdullah AlAkeely, Maha Heshaam AlJutaily, Hayat Ibrahim Alhasoon, Mohammad Abdulaziz Omair, Amir AlKhalaf, Hamad Abdullah |
author_facet | AlSowailmi, Banan Abdullah AlAkeely, Maha Heshaam AlJutaily, Hayat Ibrahim Alhasoon, Mohammad Abdulaziz Omair, Amir AlKhalaf, Hamad Abdullah |
author_sort | AlSowailmi, Banan Abdullah |
collection | PubMed |
description | BACKGROUND: Fall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children’s falls during hospitalization. OBJECTIVES: Identify the prevalence of fall injuries among hospitalized children and describe the demographic and environmental factors that could predict a higher risk of severe outcomes of fall. DESIGN: Descriptive, cross-sectional prevalence study. SETTING: Specialized children’s hospital. PATIENTS AND METHODS: Data was obtained through the electronic Safety Reporting System (SRS). All reported fall events during hospitalization in children ≤14 years of age for the period from 1 April 2015 to 30 April 2016 were included. Fall events that occurred in the day care unit and the outpatient clinic were excluded. MAIN OUTCOME MEASURES: Prevalence and possible risk factors for fall events. SAMPLE SIZE: 48. RESULTS: The prevalence of falls among the 4860 admitted children was 9.9 (95% CI=7.5, 13.1) per 1000 patients (48/4860). A majority of the falls were among boys (n=26, 54%), in the age group from 1–5 years old (n=22, 46%), in children at high risk of falling (n=35, 73%), with normal mobility status (n=21, 44%), and with no history of previous falls (n=33, 69%). Severe injuries accounted for 25% of falls (n=12). However, falls among the moderate risk category (n=9, 69%) were more often severe than falls among the high risk category of children (n=12, 34%) (P=.03). CONCLUSION: Risk factor identification is required to prevent falls and their severe outcomes. LIMITATIONS: Underreporting and single-centered study. |
format | Online Article Text |
id | pubmed-6074307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | King Faisal Specialist Hospital and Research Centre |
record_format | MEDLINE/PubMed |
spelling | pubmed-60743072018-09-21 Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia AlSowailmi, Banan Abdullah AlAkeely, Maha Heshaam AlJutaily, Hayat Ibrahim Alhasoon, Mohammad Abdulaziz Omair, Amir AlKhalaf, Hamad Abdullah Ann Saudi Med Brief Report BACKGROUND: Fall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children’s falls during hospitalization. OBJECTIVES: Identify the prevalence of fall injuries among hospitalized children and describe the demographic and environmental factors that could predict a higher risk of severe outcomes of fall. DESIGN: Descriptive, cross-sectional prevalence study. SETTING: Specialized children’s hospital. PATIENTS AND METHODS: Data was obtained through the electronic Safety Reporting System (SRS). All reported fall events during hospitalization in children ≤14 years of age for the period from 1 April 2015 to 30 April 2016 were included. Fall events that occurred in the day care unit and the outpatient clinic were excluded. MAIN OUTCOME MEASURES: Prevalence and possible risk factors for fall events. SAMPLE SIZE: 48. RESULTS: The prevalence of falls among the 4860 admitted children was 9.9 (95% CI=7.5, 13.1) per 1000 patients (48/4860). A majority of the falls were among boys (n=26, 54%), in the age group from 1–5 years old (n=22, 46%), in children at high risk of falling (n=35, 73%), with normal mobility status (n=21, 44%), and with no history of previous falls (n=33, 69%). Severe injuries accounted for 25% of falls (n=12). However, falls among the moderate risk category (n=9, 69%) were more often severe than falls among the high risk category of children (n=12, 34%) (P=.03). CONCLUSION: Risk factor identification is required to prevent falls and their severe outcomes. LIMITATIONS: Underreporting and single-centered study. King Faisal Specialist Hospital and Research Centre 2018 2018-05-31 /pmc/articles/PMC6074307/ /pubmed/29848941 http://dx.doi.org/10.5144/0256-4947.2018.225 Text en Copyright © 2018, Annals of Saudi Medicine This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). The details of which can be accessed at http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Brief Report AlSowailmi, Banan Abdullah AlAkeely, Maha Heshaam AlJutaily, Hayat Ibrahim Alhasoon, Mohammad Abdulaziz Omair, Amir AlKhalaf, Hamad Abdullah Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia |
title | Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia |
title_full | Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia |
title_fullStr | Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia |
title_full_unstemmed | Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia |
title_short | Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia |
title_sort | prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in saudi arabia |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074307/ https://www.ncbi.nlm.nih.gov/pubmed/29848941 http://dx.doi.org/10.5144/0256-4947.2018.225 |
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