Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)
BACKGROUND During the current Coronavirus Disease 2019 (COVID-19) pandemic, falls have been identified as a potential presenting symptom in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection; however, data on factors increasing fall risk in this patient population a...
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| Veröffentlicht in: | Medical science monitor 2022-05, Vol.28, p.e936547-e936547 |
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| creator | Mikos, Marcin Szydło, Błażej Szergyuk, Ivan Oliveira, Maria Helena Santos de Kuboń, Michał Juszczyk, Grzegorz Henry, Brandon Michael |
| description | BACKGROUND During the current Coronavirus Disease 2019 (COVID-19) pandemic, falls have been identified as a potential presenting symptom in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection; however, data on factors increasing fall risk in this patient population are limited. This study aimed to examine the factors that may predispose hospitalized COVID-19 disease patients to falls. MATERIAL AND METHODS In this retrospective observational study, hospitalized COVID-19 disease patients were examined for fall incidence, as well as demographics, comorbidities, and clinical and laboratory data. Patients were stratified according to their fall status and their characteristics were compared using Fisher's exact test or Mann-Whitney U test. A total of 312 hospitalized COVID-19 disease patients were enrolled (median age, 75 years; males, 51.3%), of whom 11 (3.5%) fell. RESULTS There was a greater prevalence of falls among patients who experienced arrhythmias than those that did not (28.6% vs 1.7%; P |
| doi_str_mv | 10.12659/MSM.936547 |
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This study aimed to examine the factors that may predispose hospitalized COVID-19 disease patients to falls. MATERIAL AND METHODS In this retrospective observational study, hospitalized COVID-19 disease patients were examined for fall incidence, as well as demographics, comorbidities, and clinical and laboratory data. Patients were stratified according to their fall status and their characteristics were compared using Fisher's exact test or Mann-Whitney U test. A total of 312 hospitalized COVID-19 disease patients were enrolled (median age, 75 years; males, 51.3%), of whom 11 (3.5%) fell. RESULTS There was a greater prevalence of falls among patients who experienced arrhythmias than those that did not (28.6% vs 1.7%; P<0.001). Additionally, a significantly greater proportion of those that were discharged to the internal ward and to the intensive care unit fell (10.3% and 10.0%, respectively) compared to those that were discharged home (1.6%, P=0.008). Thyroid-stimulating hormone (TSH) was significantly elevated in patients who fell (5.3 vs 0.97 µIU/mL, P=0.013), while alanine aminotransferase (ALT) was significantly lower in those who fell (17.1 vs 33.5 IU/L, P=0.041). CONCLUSIONS Arrhythmias may be an important predisposing factor for falls in COVID-19 disease patients and fall prevention programs should prioritize interventions directed at this vulnerable patient population.</description><identifier>ISSN: 1643-3750</identifier><identifier>ISSN: 1234-1010</identifier><identifier>EISSN: 1643-3750</identifier><identifier>DOI: 10.12659/MSM.936547</identifier><identifier>PMID: 35619331</identifier><language>eng</language><publisher>United States: International Scientific Literature, Inc</publisher><subject>Accidental Falls - prevention & control ; Aged ; Clinical Research ; COVID-19 ; Hospitalization ; Humans ; Male ; Retrospective Studies ; SARS-CoV-2</subject><ispartof>Medical science monitor, 2022-05, Vol.28, p.e936547-e936547</ispartof><rights>Med Sci Monit, 2022 2022</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-cab0c1749c71fb1051dc6ef9ab14c67b3650591340acdde43768cf42d9c12c4c3</citedby><orcidid>0000-0003-1180-7224 ; 0000-0002-0275-6800</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153320/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153320/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35619331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mikos, Marcin</creatorcontrib><creatorcontrib>Szydło, Błażej</creatorcontrib><creatorcontrib>Szergyuk, Ivan</creatorcontrib><creatorcontrib>Oliveira, Maria Helena Santos de</creatorcontrib><creatorcontrib>Kuboń, Michał</creatorcontrib><creatorcontrib>Juszczyk, Grzegorz</creatorcontrib><creatorcontrib>Henry, Brandon Michael</creatorcontrib><title>Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)</title><title>Medical science monitor</title><addtitle>Med Sci Monit</addtitle><description>BACKGROUND During the current Coronavirus Disease 2019 (COVID-19) pandemic, falls have been identified as a potential presenting symptom in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection; however, data on factors increasing fall risk in this patient population are limited. This study aimed to examine the factors that may predispose hospitalized COVID-19 disease patients to falls. MATERIAL AND METHODS In this retrospective observational study, hospitalized COVID-19 disease patients were examined for fall incidence, as well as demographics, comorbidities, and clinical and laboratory data. Patients were stratified according to their fall status and their characteristics were compared using Fisher's exact test or Mann-Whitney U test. A total of 312 hospitalized COVID-19 disease patients were enrolled (median age, 75 years; males, 51.3%), of whom 11 (3.5%) fell. RESULTS There was a greater prevalence of falls among patients who experienced arrhythmias than those that did not (28.6% vs 1.7%; P<0.001). Additionally, a significantly greater proportion of those that were discharged to the internal ward and to the intensive care unit fell (10.3% and 10.0%, respectively) compared to those that were discharged home (1.6%, P=0.008). Thyroid-stimulating hormone (TSH) was significantly elevated in patients who fell (5.3 vs 0.97 µIU/mL, P=0.013), while alanine aminotransferase (ALT) was significantly lower in those who fell (17.1 vs 33.5 IU/L, P=0.041). CONCLUSIONS Arrhythmias may be an important predisposing factor for falls in COVID-19 disease patients and fall prevention programs should prioritize interventions directed at this vulnerable patient population.</description><subject>Accidental Falls - prevention & control</subject><subject>Aged</subject><subject>Clinical Research</subject><subject>COVID-19</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><issn>1643-3750</issn><issn>1234-1010</issn><issn>1643-3750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc1LAzEQxYMoflRP3iVHRbZmNtlscxFKtbZg6cGPkxCy2axGtpua7Cr61xtsLXqagfnx5s08hI6B9CHlmbiY3c36gvKM5VtoHzijCc0zsv2n30MHIbwSkg44yXbRHs04CEphHz2NlW6dD3gYgtNWtabEH7Z9wWNV1wFfdd42z3jiwtK2qrZfqrWuwZXzeOS8a9S79V3EbDAqGJwSEPh0NH-cXiUgzg7RTqXqYI7WtYcextf3o0lyO7-Zjoa3iaYDaBOtCqIhZ0LnUBVAMig1N5VQBTDN8yKeRjIBlBGly9IwmvOBrlhaCg2pZpr20OVKd9kVC1Nq07Re1XLp7UL5T-mUlf8njX2Rz-5dCsgoTUkUOF0LePfWmdDKhQ3a1LVqjOuCTHkeX82ijYier1DtXQjeVJs1QORPHjLmIVd5RPrkr7MN-xsA_QYFWIWZ</recordid><startdate>20220527</startdate><enddate>20220527</enddate><creator>Mikos, Marcin</creator><creator>Szydło, Błażej</creator><creator>Szergyuk, Ivan</creator><creator>Oliveira, Maria Helena Santos de</creator><creator>Kuboń, Michał</creator><creator>Juszczyk, Grzegorz</creator><creator>Henry, Brandon Michael</creator><general>International Scientific Literature, Inc</general><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><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1180-7224</orcidid><orcidid>https://orcid.org/0000-0002-0275-6800</orcidid></search><sort><creationdate>20220527</creationdate><title>Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)</title><author>Mikos, Marcin ; Szydło, Błażej ; Szergyuk, Ivan ; Oliveira, Maria Helena Santos de ; Kuboń, Michał ; Juszczyk, Grzegorz ; Henry, Brandon Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-cab0c1749c71fb1051dc6ef9ab14c67b3650591340acdde43768cf42d9c12c4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Aged</topic><topic>Clinical Research</topic><topic>COVID-19</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><toplevel>online_resources</toplevel><creatorcontrib>Mikos, Marcin</creatorcontrib><creatorcontrib>Szydło, Błażej</creatorcontrib><creatorcontrib>Szergyuk, Ivan</creatorcontrib><creatorcontrib>Oliveira, Maria Helena Santos de</creatorcontrib><creatorcontrib>Kuboń, Michał</creatorcontrib><creatorcontrib>Juszczyk, Grzegorz</creatorcontrib><creatorcontrib>Henry, Brandon Michael</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical science monitor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mikos, Marcin</au><au>Szydło, Błażej</au><au>Szergyuk, Ivan</au><au>Oliveira, Maria Helena Santos de</au><au>Kuboń, Michał</au><au>Juszczyk, Grzegorz</au><au>Henry, Brandon Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)</atitle><jtitle>Medical science monitor</jtitle><addtitle>Med Sci Monit</addtitle><date>2022-05-27</date><risdate>2022</risdate><volume>28</volume><spage>e936547</spage><epage>e936547</epage><pages>e936547-e936547</pages><issn>1643-3750</issn><issn>1234-1010</issn><eissn>1643-3750</eissn><abstract>BACKGROUND During the current Coronavirus Disease 2019 (COVID-19) pandemic, falls have been identified as a potential presenting symptom in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection; however, data on factors increasing fall risk in this patient population are limited. This study aimed to examine the factors that may predispose hospitalized COVID-19 disease patients to falls. MATERIAL AND METHODS In this retrospective observational study, hospitalized COVID-19 disease patients were examined for fall incidence, as well as demographics, comorbidities, and clinical and laboratory data. Patients were stratified according to their fall status and their characteristics were compared using Fisher's exact test or Mann-Whitney U test. A total of 312 hospitalized COVID-19 disease patients were enrolled (median age, 75 years; males, 51.3%), of whom 11 (3.5%) fell. RESULTS There was a greater prevalence of falls among patients who experienced arrhythmias than those that did not (28.6% vs 1.7%; P<0.001). Additionally, a significantly greater proportion of those that were discharged to the internal ward and to the intensive care unit fell (10.3% and 10.0%, respectively) compared to those that were discharged home (1.6%, P=0.008). Thyroid-stimulating hormone (TSH) was significantly elevated in patients who fell (5.3 vs 0.97 µIU/mL, P=0.013), while alanine aminotransferase (ALT) was significantly lower in those who fell (17.1 vs 33.5 IU/L, P=0.041). CONCLUSIONS Arrhythmias may be an important predisposing factor for falls in COVID-19 disease patients and fall prevention programs should prioritize interventions directed at this vulnerable patient population.</abstract><cop>United States</cop><pub>International Scientific Literature, Inc</pub><pmid>35619331</pmid><doi>10.12659/MSM.936547</doi><orcidid>https://orcid.org/0000-0003-1180-7224</orcidid><orcidid>https://orcid.org/0000-0002-0275-6800</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Accidental Falls - prevention & control Aged Clinical Research COVID-19 Hospitalization Humans Male Retrospective Studies SARS-CoV-2 |
| title | Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19) |
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