Risk factors for falling in a psychogeriatric unit
Objective To identify risk factors associated with falls in a psychogeriatric inpatient population. Design Retrospective cohort study. Setting A psychogeriatric inpatient unit in a Brown University affiliated psychiatric hospital. Participants A total of 1834 men and women who represented all admiss...
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| Veröffentlicht in: | International journal of geriatric psychiatry 2001-08, Vol.16 (8), p.762-767 |
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| container_title | International journal of geriatric psychiatry |
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| creator | de Carle, A. John Kohn, Robert |
| description | Objective
To identify risk factors associated with falls in a psychogeriatric inpatient population.
Design
Retrospective cohort study.
Setting
A psychogeriatric inpatient unit in a Brown University affiliated psychiatric hospital.
Participants
A total of 1834 men and women who represented all admissions to the psychogeriatric inpatient unit between January 1992 and December 1995.
Results
Over the study period a total of 175 falls were recorded, giving a fall rate of 9.5%. Using a logistic regression model, six variables were found to be independently associated with an increased risk of falling: female gender, electroconvulsive therapy (ECT), mood stabilizers, cardiac arrhythmias, Parkinson's syndrome and dementias. Falls and ECT were associated with longer hospital stay, when adjusted for confounders including ECT.
Conclusions
These findings support previous results and identify ECT as a possible risk factor for falling in a hospital setting. Copyright © 2001 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/gps.407 |
| format | Article |
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To identify risk factors associated with falls in a psychogeriatric inpatient population.
Design
Retrospective cohort study.
Setting
A psychogeriatric inpatient unit in a Brown University affiliated psychiatric hospital.
Participants
A total of 1834 men and women who represented all admissions to the psychogeriatric inpatient unit between January 1992 and December 1995.
Results
Over the study period a total of 175 falls were recorded, giving a fall rate of 9.5%. Using a logistic regression model, six variables were found to be independently associated with an increased risk of falling: female gender, electroconvulsive therapy (ECT), mood stabilizers, cardiac arrhythmias, Parkinson's syndrome and dementias. Falls and ECT were associated with longer hospital stay, when adjusted for confounders including ECT.
Conclusions
These findings support previous results and identify ECT as a possible risk factor for falling in a hospital setting. Copyright © 2001 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.407</identifier><identifier>PMID: 11536342</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject><![CDATA[Accidental Falls - prevention & control ; Accidental Falls - statistics & numerical data ; Aged ; Aged, 80 and over ; Arrhythmias, Cardiac - complications ; Biological and medical sciences ; Confounding Factors (Epidemiology) ; Dementia - complications ; electroconvulsive therapy ; Electroconvulsive Therapy - adverse effects ; falls ; Female ; Geriatric Assessment ; Geriatric Psychiatry ; Geriatrics ; Hospital Units - statistics & numerical data ; Hospitals, Psychiatric - statistics & numerical data ; Hospitals, University ; Humans ; Inpatients - statistics & numerical data ; Length of Stay - statistics & numerical data ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Parkinson Disease - complications ; psychogeriatrics ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Retrospective Studies ; Rhode Island - epidemiology ; Risk Assessment ; Risk Factors ; Risk Management ; Sex Distribution]]></subject><ispartof>International journal of geriatric psychiatry, 2001-08, Vol.16 (8), p.762-767</ispartof><rights>Copyright © 2001 John Wiley & Sons, Ltd.</rights><rights>2002 INIST-CNRS</rights><rights>Copyright 2001 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3937-7ec77f2d98a2db29bad68300300526dbd050c007a5d48608645bf9c2aa734a723</citedby><cites>FETCH-LOGICAL-c3937-7ec77f2d98a2db29bad68300300526dbd050c007a5d48608645bf9c2aa734a723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fgps.407$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fgps.407$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14115777$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11536342$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Carle, A. John</creatorcontrib><creatorcontrib>Kohn, Robert</creatorcontrib><title>Risk factors for falling in a psychogeriatric unit</title><title>International journal of geriatric psychiatry</title><addtitle>Int. J. Geriat. Psychiatry</addtitle><description>Objective
To identify risk factors associated with falls in a psychogeriatric inpatient population.
Design
Retrospective cohort study.
Setting
A psychogeriatric inpatient unit in a Brown University affiliated psychiatric hospital.
Participants
A total of 1834 men and women who represented all admissions to the psychogeriatric inpatient unit between January 1992 and December 1995.
Results
Over the study period a total of 175 falls were recorded, giving a fall rate of 9.5%. Using a logistic regression model, six variables were found to be independently associated with an increased risk of falling: female gender, electroconvulsive therapy (ECT), mood stabilizers, cardiac arrhythmias, Parkinson's syndrome and dementias. Falls and ECT were associated with longer hospital stay, when adjusted for confounders including ECT.
Conclusions
These findings support previous results and identify ECT as a possible risk factor for falling in a hospital setting. Copyright © 2001 John Wiley & Sons, Ltd.</description><subject>Accidental Falls - prevention & control</subject><subject>Accidental Falls - statistics & numerical data</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arrhythmias, Cardiac - complications</subject><subject>Biological and medical sciences</subject><subject>Confounding Factors (Epidemiology)</subject><subject>Dementia - complications</subject><subject>electroconvulsive therapy</subject><subject>Electroconvulsive Therapy - adverse effects</subject><subject>falls</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Geriatric Psychiatry</subject><subject>Geriatrics</subject><subject>Hospital Units - statistics & numerical data</subject><subject>Hospitals, Psychiatric - statistics & numerical data</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Inpatients - statistics & numerical data</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Parkinson Disease - complications</subject><subject>psychogeriatrics</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Retrospective Studies</subject><subject>Rhode Island - epidemiology</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Risk Management</subject><subject>Sex Distribution</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0F1LwzAUBuAgis4p_gPpjXohnSdJm6SXsukUhoofCN6ENE1ntGtn0qH792Z06JUIB3IgD--BF6EDDAMMQM6mcz9IgG-gHoYsizFmbBP1QIg0ZoTCDtr1_g0g_GGxjXYwTimjCekhcm_9e1Qq3TbOR2Xjwl5Vtp5Gto5UNPdL_dpMjbOqdVZHi9q2e2grGG_2128fPV1ePA6v4snt-Hp4Pok1zSiPudGcl6TIhCJFTrJcFUxQgDApYUVeQAoagKu0SAQDwZI0LzNNlOI0UZzQPjrucueu-VgY38qZ9dpUlapNs_CSY5wQwPxfSDAGkVEI8KSD2jXeO1PKubMz5ZYSg1z1KEOPMvQY5OE6cpHPTPHr1sUFcLQGymtVlU7V2vpflwTJ-SrotHOftjLLv-7J8d1DdzbutPWt-frRyr1LxilP5fPNWGbpaDR6eLmXgn4DRAaVRw</recordid><startdate>200108</startdate><enddate>200108</enddate><creator>de Carle, A. John</creator><creator>Kohn, Robert</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</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>7TK</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200108</creationdate><title>Risk factors for falling in a psychogeriatric unit</title><author>de Carle, A. John ; Kohn, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3937-7ec77f2d98a2db29bad68300300526dbd050c007a5d48608645bf9c2aa734a723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Accidental Falls - statistics & numerical data</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arrhythmias, Cardiac - complications</topic><topic>Biological and medical sciences</topic><topic>Confounding Factors (Epidemiology)</topic><topic>Dementia - complications</topic><topic>electroconvulsive therapy</topic><topic>Electroconvulsive Therapy - adverse effects</topic><topic>falls</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Geriatric Psychiatry</topic><topic>Geriatrics</topic><topic>Hospital Units - statistics & numerical data</topic><topic>Hospitals, Psychiatric - statistics & numerical data</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Inpatients - statistics & numerical data</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Parkinson Disease - complications</topic><topic>psychogeriatrics</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Retrospective Studies</topic><topic>Rhode Island - epidemiology</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Risk Management</topic><topic>Sex Distribution</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Carle, A. John</creatorcontrib><creatorcontrib>Kohn, Robert</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Carle, A. John</au><au>Kohn, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for falling in a psychogeriatric unit</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int. J. Geriat. Psychiatry</addtitle><date>2001-08</date><risdate>2001</risdate><volume>16</volume><issue>8</issue><spage>762</spage><epage>767</epage><pages>762-767</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><abstract>Objective
To identify risk factors associated with falls in a psychogeriatric inpatient population.
Design
Retrospective cohort study.
Setting
A psychogeriatric inpatient unit in a Brown University affiliated psychiatric hospital.
Participants
A total of 1834 men and women who represented all admissions to the psychogeriatric inpatient unit between January 1992 and December 1995.
Results
Over the study period a total of 175 falls were recorded, giving a fall rate of 9.5%. Using a logistic regression model, six variables were found to be independently associated with an increased risk of falling: female gender, electroconvulsive therapy (ECT), mood stabilizers, cardiac arrhythmias, Parkinson's syndrome and dementias. Falls and ECT were associated with longer hospital stay, when adjusted for confounders including ECT.
Conclusions
These findings support previous results and identify ECT as a possible risk factor for falling in a hospital setting. Copyright © 2001 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>11536342</pmid><doi>10.1002/gps.407</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Aged Aged, 80 and over Arrhythmias, Cardiac - complications Biological and medical sciences Confounding Factors (Epidemiology) Dementia - complications electroconvulsive therapy Electroconvulsive Therapy - adverse effects falls Female Geriatric Assessment Geriatric Psychiatry Geriatrics Hospital Units - statistics & numerical data Hospitals, Psychiatric - statistics & numerical data Hospitals, University Humans Inpatients - statistics & numerical data Length of Stay - statistics & numerical data Logistic Models Male Medical sciences Middle Aged Parkinson Disease - complications psychogeriatrics Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Retrospective Studies Rhode Island - epidemiology Risk Assessment Risk Factors Risk Management Sex Distribution |
| title | Risk factors for falling in a psychogeriatric unit |
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