Relation between hyponatraemia and falls by acute hospitalised patients: A case‐control study
Aims and objectives To investigate the possible association between hyponatremia and falls, in a sample of hospitalised adult patients. Background In‐hospital falls are a problem of major importance, provoking a significant decline in the quality of life of many patients. Recent studies have identif...
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Veröffentlicht in: | Journal of clinical nursing 2022-04, Vol.31 (7-8), p.958-966 |
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creator | Aranda‐Gallardo, Marta Gonzalez‐Lozano, Antonio Oña‐Gil, Jose Ivan Morales‐Asencio, Jose Miguel Mora‐Banderas, Ana Canca‐Sanchez, Jose Carlos |
description | Aims and objectives
To investigate the possible association between hyponatremia and falls, in a sample of hospitalised adult patients.
Background
In‐hospital falls are a problem of major importance, provoking a significant decline in the quality of life of many patients. Recent studies have identified a relationship between such falls and the presence of hyponatremia.
Design
Analytical retrospective observational case‐control study.
Methods
The study population consisted of hospitalised patients who had suffered an in‐hospital fall during the period 2014–2016. For each case, two controls who had not suffered any such fall were recruited. These cases and controls were matched according to gender, age, hospitalisation unit and date of admission. Study data were obtained from the hospital’s record of falls, regarding the patients’ socio‐demographic factors, physical and psychological conditions and blood levels of sodium, potassium, urea and creatinine. The study is reported in accordance with STrengthening the Reporting of OBservational studies in Epidemiology guidelines.
Results
The study sample consisted of 555 patients (185 cases and 370 controls). Hyponatraemia was detected in 57 cases (30.8%). A statistically significant relationship was found between the presence of hyponatraemia and the occurrence of falls: OR = 2.04. Other risk factors for falls were hypercreatinaemia OR 2.49, hyperuraemia OR 1.82, disorientation, need for ambulatory assistance and longer hospital stay.
Conclusions
From the study findings, we conclude that hyponatraemia is a predictor of falls by acute hospitalised patients. Further research is needed on the relationship between hypercreatinaemia, hyperuraemia and falls.
Relevance to clinical practice
The assessment of risk factors for falls, such as hyponatraemia, can alert us to the possibility of this event occurring and facilitate the implementation of preventive measures. This parameter should be included as a significant new factor in assessment instruments designed to assess the risk of falls, thus enhancing the reliability and diagnostic validity of these instruments. |
doi_str_mv | 10.1111/jocn.15952 |
format | Article |
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To investigate the possible association between hyponatremia and falls, in a sample of hospitalised adult patients.
Background
In‐hospital falls are a problem of major importance, provoking a significant decline in the quality of life of many patients. Recent studies have identified a relationship between such falls and the presence of hyponatremia.
Design
Analytical retrospective observational case‐control study.
Methods
The study population consisted of hospitalised patients who had suffered an in‐hospital fall during the period 2014–2016. For each case, two controls who had not suffered any such fall were recruited. These cases and controls were matched according to gender, age, hospitalisation unit and date of admission. Study data were obtained from the hospital’s record of falls, regarding the patients’ socio‐demographic factors, physical and psychological conditions and blood levels of sodium, potassium, urea and creatinine. The study is reported in accordance with STrengthening the Reporting of OBservational studies in Epidemiology guidelines.
Results
The study sample consisted of 555 patients (185 cases and 370 controls). Hyponatraemia was detected in 57 cases (30.8%). A statistically significant relationship was found between the presence of hyponatraemia and the occurrence of falls: OR = 2.04. Other risk factors for falls were hypercreatinaemia OR 2.49, hyperuraemia OR 1.82, disorientation, need for ambulatory assistance and longer hospital stay.
Conclusions
From the study findings, we conclude that hyponatraemia is a predictor of falls by acute hospitalised patients. Further research is needed on the relationship between hypercreatinaemia, hyperuraemia and falls.
Relevance to clinical practice
The assessment of risk factors for falls, such as hyponatraemia, can alert us to the possibility of this event occurring and facilitate the implementation of preventive measures. This parameter should be included as a significant new factor in assessment instruments designed to assess the risk of falls, thus enhancing the reliability and diagnostic validity of these instruments.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.15952</identifier><identifier>PMID: 34245058</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>accidental falls ; Accidental Falls - prevention & control ; Adult ; Case-Control Studies ; Falls ; Health risks ; hospitalised patients ; Hospitalization ; Humans ; hyponatraemia ; Hyponatremia ; Hyponatremia - diagnosis ; Hyponatremia - epidemiology ; Hyponatremia - etiology ; Inpatient care ; nursing ; Nursing care ; Quality of Life ; Reproducibility of Results ; Retrospective Studies ; Risk Factors</subject><ispartof>Journal of clinical nursing, 2022-04, Vol.31 (7-8), p.958-966</ispartof><rights>2021 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2021 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3932-768cb6b2074ecd6c123891f01cac67b1fc00e3f1593c98edabbd4204045e484d3</citedby><cites>FETCH-LOGICAL-c3932-768cb6b2074ecd6c123891f01cac67b1fc00e3f1593c98edabbd4204045e484d3</cites><orcidid>0000-0001-7911-7487 ; 0000-0003-0399-9561</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%2Fjocn.15952$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.15952$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34245058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aranda‐Gallardo, Marta</creatorcontrib><creatorcontrib>Gonzalez‐Lozano, Antonio</creatorcontrib><creatorcontrib>Oña‐Gil, Jose Ivan</creatorcontrib><creatorcontrib>Morales‐Asencio, Jose Miguel</creatorcontrib><creatorcontrib>Mora‐Banderas, Ana</creatorcontrib><creatorcontrib>Canca‐Sanchez, Jose Carlos</creatorcontrib><title>Relation between hyponatraemia and falls by acute hospitalised patients: A case‐control study</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives
To investigate the possible association between hyponatremia and falls, in a sample of hospitalised adult patients.
Background
In‐hospital falls are a problem of major importance, provoking a significant decline in the quality of life of many patients. Recent studies have identified a relationship between such falls and the presence of hyponatremia.
Design
Analytical retrospective observational case‐control study.
Methods
The study population consisted of hospitalised patients who had suffered an in‐hospital fall during the period 2014–2016. For each case, two controls who had not suffered any such fall were recruited. These cases and controls were matched according to gender, age, hospitalisation unit and date of admission. Study data were obtained from the hospital’s record of falls, regarding the patients’ socio‐demographic factors, physical and psychological conditions and blood levels of sodium, potassium, urea and creatinine. The study is reported in accordance with STrengthening the Reporting of OBservational studies in Epidemiology guidelines.
Results
The study sample consisted of 555 patients (185 cases and 370 controls). Hyponatraemia was detected in 57 cases (30.8%). A statistically significant relationship was found between the presence of hyponatraemia and the occurrence of falls: OR = 2.04. Other risk factors for falls were hypercreatinaemia OR 2.49, hyperuraemia OR 1.82, disorientation, need for ambulatory assistance and longer hospital stay.
Conclusions
From the study findings, we conclude that hyponatraemia is a predictor of falls by acute hospitalised patients. Further research is needed on the relationship between hypercreatinaemia, hyperuraemia and falls.
Relevance to clinical practice
The assessment of risk factors for falls, such as hyponatraemia, can alert us to the possibility of this event occurring and facilitate the implementation of preventive measures. This parameter should be included as a significant new factor in assessment instruments designed to assess the risk of falls, thus enhancing the reliability and diagnostic validity of these instruments.</description><subject>accidental falls</subject><subject>Accidental Falls - prevention & control</subject><subject>Adult</subject><subject>Case-Control Studies</subject><subject>Falls</subject><subject>Health risks</subject><subject>hospitalised patients</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>hyponatraemia</subject><subject>Hyponatremia</subject><subject>Hyponatremia - diagnosis</subject><subject>Hyponatremia - epidemiology</subject><subject>Hyponatremia - etiology</subject><subject>Inpatient care</subject><subject>nursing</subject><subject>Nursing care</subject><subject>Quality of Life</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp9kMtq3DAUhkVJaCbTbvoARZBNCHiiu-3uwpBbGTJQ2rWQ5WPiwSO5lkzwLo-QZ-yTVJOZZtFFzuZsvv_jnB-hL5QsaJrLjbduQWUp2Qc0o1zJjOWEHaEZKRXLKFH5CToNYUMI5Yzxj-iECyYkkcUM6R_Qmdh6hyuITwAOP069dyYOBratwcbVuDFdF3A1YWPHCPjRh76NpmsD1LhPYXAxfMNX2JoAf55frHdx8B0OcaynT-g4xQN8Puw5-nVz_XN5l63Wt_fLq1VmeclZlqvCVqpiJBdga2Up40VJG0KtsSqvaGMJAd6kJ7ktC6hNVdWCEUGEBFGIms_R-d7bD_73CCHqbRssdJ1x4MegmZSEKSWFTOjZf-jGj4NL12mmuCp4IXmRqIs9ZQcfwgCN7od2a4ZJU6J3tetd7fq19gR_PSjHagv1G_qv5wTQPfDUdjC9o9Lf18uHvfQvV6-ONQ</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Aranda‐Gallardo, Marta</creator><creator>Gonzalez‐Lozano, Antonio</creator><creator>Oña‐Gil, Jose Ivan</creator><creator>Morales‐Asencio, Jose Miguel</creator><creator>Mora‐Banderas, Ana</creator><creator>Canca‐Sanchez, Jose Carlos</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><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>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7911-7487</orcidid><orcidid>https://orcid.org/0000-0003-0399-9561</orcidid></search><sort><creationdate>202204</creationdate><title>Relation between hyponatraemia and falls by acute hospitalised patients: A case‐control study</title><author>Aranda‐Gallardo, Marta ; Gonzalez‐Lozano, Antonio ; Oña‐Gil, Jose Ivan ; Morales‐Asencio, Jose Miguel ; Mora‐Banderas, Ana ; Canca‐Sanchez, Jose Carlos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-768cb6b2074ecd6c123891f01cac67b1fc00e3f1593c98edabbd4204045e484d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>accidental falls</topic><topic>Accidental Falls - prevention & control</topic><topic>Adult</topic><topic>Case-Control Studies</topic><topic>Falls</topic><topic>Health risks</topic><topic>hospitalised patients</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>hyponatraemia</topic><topic>Hyponatremia</topic><topic>Hyponatremia - diagnosis</topic><topic>Hyponatremia - epidemiology</topic><topic>Hyponatremia - etiology</topic><topic>Inpatient care</topic><topic>nursing</topic><topic>Nursing care</topic><topic>Quality of Life</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aranda‐Gallardo, Marta</creatorcontrib><creatorcontrib>Gonzalez‐Lozano, Antonio</creatorcontrib><creatorcontrib>Oña‐Gil, Jose Ivan</creatorcontrib><creatorcontrib>Morales‐Asencio, Jose Miguel</creatorcontrib><creatorcontrib>Mora‐Banderas, Ana</creatorcontrib><creatorcontrib>Canca‐Sanchez, Jose Carlos</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aranda‐Gallardo, Marta</au><au>Gonzalez‐Lozano, Antonio</au><au>Oña‐Gil, Jose Ivan</au><au>Morales‐Asencio, Jose Miguel</au><au>Mora‐Banderas, Ana</au><au>Canca‐Sanchez, Jose Carlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relation between hyponatraemia and falls by acute hospitalised patients: A case‐control study</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2022-04</date><risdate>2022</risdate><volume>31</volume><issue>7-8</issue><spage>958</spage><epage>966</epage><pages>958-966</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives
To investigate the possible association between hyponatremia and falls, in a sample of hospitalised adult patients.
Background
In‐hospital falls are a problem of major importance, provoking a significant decline in the quality of life of many patients. Recent studies have identified a relationship between such falls and the presence of hyponatremia.
Design
Analytical retrospective observational case‐control study.
Methods
The study population consisted of hospitalised patients who had suffered an in‐hospital fall during the period 2014–2016. For each case, two controls who had not suffered any such fall were recruited. These cases and controls were matched according to gender, age, hospitalisation unit and date of admission. Study data were obtained from the hospital’s record of falls, regarding the patients’ socio‐demographic factors, physical and psychological conditions and blood levels of sodium, potassium, urea and creatinine. The study is reported in accordance with STrengthening the Reporting of OBservational studies in Epidemiology guidelines.
Results
The study sample consisted of 555 patients (185 cases and 370 controls). Hyponatraemia was detected in 57 cases (30.8%). A statistically significant relationship was found between the presence of hyponatraemia and the occurrence of falls: OR = 2.04. Other risk factors for falls were hypercreatinaemia OR 2.49, hyperuraemia OR 1.82, disorientation, need for ambulatory assistance and longer hospital stay.
Conclusions
From the study findings, we conclude that hyponatraemia is a predictor of falls by acute hospitalised patients. Further research is needed on the relationship between hypercreatinaemia, hyperuraemia and falls.
Relevance to clinical practice
The assessment of risk factors for falls, such as hyponatraemia, can alert us to the possibility of this event occurring and facilitate the implementation of preventive measures. This parameter should be included as a significant new factor in assessment instruments designed to assess the risk of falls, thus enhancing the reliability and diagnostic validity of these instruments.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34245058</pmid><doi>10.1111/jocn.15952</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7911-7487</orcidid><orcidid>https://orcid.org/0000-0003-0399-9561</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | accidental falls Accidental Falls - prevention & control Adult Case-Control Studies Falls Health risks hospitalised patients Hospitalization Humans hyponatraemia Hyponatremia Hyponatremia - diagnosis Hyponatremia - epidemiology Hyponatremia - etiology Inpatient care nursing Nursing care Quality of Life Reproducibility of Results Retrospective Studies Risk Factors |
title | Relation between hyponatraemia and falls by acute hospitalised patients: A case‐control study |
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