ncidencia, factores relacionados y consecuencias de las caídas en un hospital de tercer nivel

Hospital falls are an adverse health-care event. Furthermore, the number of falls is a quality indicator. Knowing incidence, circumstances and consequences would help us to prevent future falls. Aim: To quantify falls that occurred in patients admitted to the Albacete University Hospital (CHUA), to identify its circumstances and consequences, and to analyze the factors related to falls that cause injuries. Methodology: Longitudinal observational prospective study. Sample: Patients who suffered a fall during hospitalization in CHUA (2014-2016). Variables: sex, age, hospitalization days; fall risk as-sessment in the moment of the hospitalization(J.H. Downton index); number of falls, circumstances and consequences; prevention plan. Data collection: Montesinos® score card and Best Practice Spotlight Organization® program indicators. Results: 270 patients, 287 falls were evaluated. The frequency of falls/year was 0.51, 0.59 and 0.58 per 1000 inpatient days. 67.6% male suffered falls. Mean age: 70.41 (SD=14.14) CI95% [68,7-72,2]. 29.3% patients who fell were under 65 years-old. The highest percentage of falls happened in night shift, in bedroom and bathroom, patients were accompanied. Circumstances: slip (32%) and dizziness (12.7%). Fall risk assessment on admission was evaluated in 79.4%, 32.5% were classified as “high risk”. 23.6% had a fall prevention plan. Consequences: 54.2% of hospitalized patients who fell suffered injuries, most of them minor injuries. Factors that showed statistically significant relationship for falls with injury: place where fall occurred and care area. Conclusions: The percentage of patients who fell was very low. However, it is important to continue working on fall prevention, especially in men, patients under 65 years-old and on decreasing fall injuries Las caídas hospitalarias son un efecto adverso de la asistencia sanitaria y un indicador de calidad asistencial. Conocer su inci-dencia, circunstancias y consecuencias ayudaría a prevenirlas. Objetivo. Cuantificar las caídas que se producen en pacientes ingresados en el Complejo Hospitalario Universitario de Albacete (CHUA), identificar sus circunstancias y consecuencias, y analizar los factores relacionados con las caídas que producen lesiones. Metodología. Estudio observacional longitudinal pros-pectivo. Muestra: pacientes ingresados en el CHUA que sufrieron caídas (2014-2016). Variables: sexo, edad, estancia hospi-talaria; valoración del riesgo de caídas al ingreso (escala J.H. D