Journal article
In-Hospital Fall and Fracture Risk With Conditions in the Elixhauser Comorbidity Index: An Analysis of State Inpatient Data
Journal of patient safety, Vol.17(8), pp.E1779-E1784
03/11/2020
DOI: 10.1097/PTS.0000000000000637
PMID: 32168270
Abstract
In-hospital falls (IHFs) are a significant burden to the healthcare industry and patients seeking inpatient care. Many falls lead to injuries that could be considered a hospital-acquired condition (HAC). We demonstrated how administrative data can be used to quantify how many IHFs occur and identify what conditions increase the risk for these falls.
Iowa State Inpatient Database records from 2008 to 2014 for adults older than 50 years were used to quantify IHFs, falls resulting in an HAC (HAC IHFs), and fractures during in-hospital treatment. The medical conditions used in the Elixhauser Comorbidity Index were evaluated for the risk of the separate fall-related outcomes using Poisson regression.
There were 1770 records that had an IHF for an IHF rate of 0.26 per 1000 patient days. Psychoses (rate ratio = 1.95, 95% confidence interval = 1.63-2.34) and alcohol abuse (rate ratio = 1.77, 95% confidence interval = 1.40-2.24) showed the greatest increase in IHF risk. These conditions also increased the risk of HAC IHFs and in-hospital fractures. Fluid and electrolyte disorders, deficiency anemias, and chronic pulmonary disease increased the risk for IHFs/HAC IHFs but did not increase the risk of in-hospital fractures.
Administrative data can be used to track various fall-related outcomes occurring during inpatient treatment. Several conditions of the Elixhauser Comorbidity Index were identified as increasing the risk of fall-related outcomes and should be considered when evaluating a patient's risk of falling.
Details
- Title: Subtitle
- In-Hospital Fall and Fracture Risk With Conditions in the Elixhauser Comorbidity Index: An Analysis of State Inpatient Data
- Creators
- Jonathan Davis - University of Iowa, Occupational and Environmental HealthCarri Casteel - University of Iowa, Occupational and Environmental HealthCorinne Peek-Asa - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of patient safety, Vol.17(8), pp.E1779-E1784
- DOI
- 10.1097/PTS.0000000000000637
- PMID
- 32168270
- NLM abbreviation
- J Patient Saf
- ISSN
- 1549-8417
- eISSN
- 1549-8425
- Grant note
- R49 CE003095 / NCIPC CDC HHS
- Language
- English
- Date published
- 03/11/2020
- Academic Unit
- Occupational and Environmental Health; Epidemiology; Nursing; Injury Prevention Research Center; Public Policy Center (Archive)
- Record Identifier
- 9984215355102771
Metrics
15 Record Views