Toileting‐related falls at night in hospitalised patients: The role of nocturia
Objective The purpose of this study was to describe the prevalence and characteristics of toileting‐related falls in hospitalised older people. Methods Retrospective analysis of falls related to night‐time toileting in patients 60 years or over in a tertiary hospital during a one‐year period. Result...
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| Veröffentlicht in: | Australasian journal on ageing 2020-03, Vol.39 (1), p.e70-e76 |
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| container_title | Australasian journal on ageing |
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| creator | Rose, Georgie Decalf, Veerle Everaert, Karel Bower, Wendy F. |
| description | Objective
The purpose of this study was to describe the prevalence and characteristics of toileting‐related falls in hospitalised older people.
Methods
Retrospective analysis of falls related to night‐time toileting in patients 60 years or over in a tertiary hospital during a one‐year period.
Results
Overall 34% of falls were related to toileting with at least 44% of these falls occurring during the night. Toilet‐related falls peaked between 11 pm and 1 am, a period that coincides with maximum supine‐induced diuresis. Almost half of night falls occurred at the bedside. In 80% of night toileting‐related falls, patients were mobilising without the recommended level of assistance. Half of all patients had no strategies for toileting documented in their care plan.
Conclusion
Findings support screening for nocturia in older inpatients and implementation of strategies to reduce both the need for toileting at night and risk factors for falling. |
| doi_str_mv | 10.1111/ajag.12696 |
| format | Article |
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The purpose of this study was to describe the prevalence and characteristics of toileting‐related falls in hospitalised older people.
Methods
Retrospective analysis of falls related to night‐time toileting in patients 60 years or over in a tertiary hospital during a one‐year period.
Results
Overall 34% of falls were related to toileting with at least 44% of these falls occurring during the night. Toilet‐related falls peaked between 11 pm and 1 am, a period that coincides with maximum supine‐induced diuresis. Almost half of night falls occurred at the bedside. In 80% of night toileting‐related falls, patients were mobilising without the recommended level of assistance. Half of all patients had no strategies for toileting documented in their care plan.
Conclusion
Findings support screening for nocturia in older inpatients and implementation of strategies to reduce both the need for toileting at night and risk factors for falling.</description><identifier>ISSN: 1440-6381</identifier><identifier>EISSN: 1741-6612</identifier><identifier>DOI: 10.1111/ajag.12696</identifier><identifier>PMID: 31321899</identifier><language>eng</language><publisher>Australia</publisher><subject>Accidental Falls - statistics & numerical data ; Aged ; Aged, 80 and over ; Bathroom Equipment ; falls ; Female ; health services for the aged ; Hospitalization ; hospitals ; Humans ; Male ; nocturia ; Nocturia - complications ; Retrospective Studies ; Risk Factors ; toileting</subject><ispartof>Australasian journal on ageing, 2020-03, Vol.39 (1), p.e70-e76</ispartof><rights>2019 AJA Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3656-c542ea5d5a237f5af4aa935db32a94e0a10f33f0ed716220cb0b129a0ec2d5123</citedby><cites>FETCH-LOGICAL-c3656-c542ea5d5a237f5af4aa935db32a94e0a10f33f0ed716220cb0b129a0ec2d5123</cites><orcidid>0000-0003-2029-4731</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajag.12696$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajag.12696$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31321899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rose, Georgie</creatorcontrib><creatorcontrib>Decalf, Veerle</creatorcontrib><creatorcontrib>Everaert, Karel</creatorcontrib><creatorcontrib>Bower, Wendy F.</creatorcontrib><title>Toileting‐related falls at night in hospitalised patients: The role of nocturia</title><title>Australasian journal on ageing</title><addtitle>Australas J Ageing</addtitle><description>Objective
The purpose of this study was to describe the prevalence and characteristics of toileting‐related falls in hospitalised older people.
Methods
Retrospective analysis of falls related to night‐time toileting in patients 60 years or over in a tertiary hospital during a one‐year period.
Results
Overall 34% of falls were related to toileting with at least 44% of these falls occurring during the night. Toilet‐related falls peaked between 11 pm and 1 am, a period that coincides with maximum supine‐induced diuresis. Almost half of night falls occurred at the bedside. In 80% of night toileting‐related falls, patients were mobilising without the recommended level of assistance. Half of all patients had no strategies for toileting documented in their care plan.
Conclusion
Findings support screening for nocturia in older inpatients and implementation of strategies to reduce both the need for toileting at night and risk factors for falling.</description><subject>Accidental Falls - statistics & numerical data</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bathroom Equipment</subject><subject>falls</subject><subject>Female</subject><subject>health services for the aged</subject><subject>Hospitalization</subject><subject>hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>nocturia</subject><subject>Nocturia - complications</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>toileting</subject><issn>1440-6381</issn><issn>1741-6612</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9Kw0AQhxdRbK1efADZowip-yfZdL2VolUpiFDPYZJM2i1pErMbpDcfwWf0Sdwa9ehc5gfzze_wEXLO2Zj7uYYNrMZcKK0OyJDHIQ-U4uLQ5zBkgZITPiAn1m4YE3wyEcdkILn0UesheV7WpkRnqtXn-0eLJTjMaQFlaSk4WpnV2lFT0XVtG-OgNNafG3AGK2dv6HKNtK1LpHVBqzpzXWvglBz5f4tnP3tEXu5ul7P7YPE0f5hNF0EmVaSCLAoFQpRHIGRcRFCEAFpGeSoF6BAZcFZIWTDMY66EYFnKUi40MMxEHnEhR-Sy723a-rVD65KtsRmWJVRYdzYRwkuIQx1pj171aNbW1rZYJE1rttDuEs6SvcJkrzD5Vujhi5_eLt1i_of-OvMA74E3b273T1UyfZzO-9IvgxV8sA</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Rose, Georgie</creator><creator>Decalf, Veerle</creator><creator>Everaert, Karel</creator><creator>Bower, Wendy F.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2029-4731</orcidid></search><sort><creationdate>202003</creationdate><title>Toileting‐related falls at night in hospitalised patients: The role of nocturia</title><author>Rose, Georgie ; Decalf, Veerle ; Everaert, Karel ; Bower, Wendy F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3656-c542ea5d5a237f5af4aa935db32a94e0a10f33f0ed716220cb0b129a0ec2d5123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accidental Falls - statistics & numerical data</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bathroom Equipment</topic><topic>falls</topic><topic>Female</topic><topic>health services for the aged</topic><topic>Hospitalization</topic><topic>hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>nocturia</topic><topic>Nocturia - complications</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>toileting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rose, Georgie</creatorcontrib><creatorcontrib>Decalf, Veerle</creatorcontrib><creatorcontrib>Everaert, Karel</creatorcontrib><creatorcontrib>Bower, Wendy F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian journal on ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rose, Georgie</au><au>Decalf, Veerle</au><au>Everaert, Karel</au><au>Bower, Wendy F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Toileting‐related falls at night in hospitalised patients: The role of nocturia</atitle><jtitle>Australasian journal on ageing</jtitle><addtitle>Australas J Ageing</addtitle><date>2020-03</date><risdate>2020</risdate><volume>39</volume><issue>1</issue><spage>e70</spage><epage>e76</epage><pages>e70-e76</pages><issn>1440-6381</issn><eissn>1741-6612</eissn><abstract>Objective
The purpose of this study was to describe the prevalence and characteristics of toileting‐related falls in hospitalised older people.
Methods
Retrospective analysis of falls related to night‐time toileting in patients 60 years or over in a tertiary hospital during a one‐year period.
Results
Overall 34% of falls were related to toileting with at least 44% of these falls occurring during the night. Toilet‐related falls peaked between 11 pm and 1 am, a period that coincides with maximum supine‐induced diuresis. Almost half of night falls occurred at the bedside. In 80% of night toileting‐related falls, patients were mobilising without the recommended level of assistance. Half of all patients had no strategies for toileting documented in their care plan.
Conclusion
Findings support screening for nocturia in older inpatients and implementation of strategies to reduce both the need for toileting at night and risk factors for falling.</abstract><cop>Australia</cop><pmid>31321899</pmid><doi>10.1111/ajag.12696</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2029-4731</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1440-6381 |
| ispartof | Australasian journal on ageing, 2020-03, Vol.39 (1), p.e70-e76 |
| issn | 1440-6381 1741-6612 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Accidental Falls - statistics & numerical data Aged Aged, 80 and over Bathroom Equipment falls Female health services for the aged Hospitalization hospitals Humans Male nocturia Nocturia - complications Retrospective Studies Risk Factors toileting |
| title | Toileting‐related falls at night in hospitalised patients: The role of nocturia |
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