Incidence of falls in a cohort of critical adults: a cause for concerns?

Rev Gaucha Enferm. 2020;41(spe):e20190167. doi: 10.1590/1983-1447.2020.20190167. Epub 2020 May 8.
[Article in Portuguese, English]

Abstract

Objective: To describe the incidence and to report the cases of falls in a cohort of critical adults.

Method: A prospective cohort study, conducted in 2018 at an adult Intensive Care Unit (ICU) in the south of Brazil. The patients were followed up from admission to discharge; observations were made in the morning and afternoon. The clinical and care variables were evaluated. The descriptive analysis was performed followed by the reporting of the cases.

Results: 551 patients were monitored during 6 [3-12.7] days of hospitalization, generating 7,839 observations. There were four cases of falls, with an incidence rate of 5.1/10.000 observations/day - confidence interval of 99% [0.9 to 16] and density of incidence of 7/10.000 observations/day - confidence interval of 99% [1.2 to 22]. No serious harms were observed.

Conclusion: Falls occur less in the ICU, which can be explained by the use of safe care practices.

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Adult
  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Critical Illness
  • Female
  • Humans
  • Incidence
  • Intensive Care Units
  • Male
  • Middle Aged
  • Prospective Studies