Abstract

ABSTRACTObjective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures.Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05.Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall.Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.

Highlights

  • Falls and their resulting injuries have a significant impact on the physical, mental and social health of patients

  • This study demonstrated that five factors are associated with risk of falls in hospitalized adult patients in the postoperative period, which reinforces the fall as a multifactorial event

  • As for surgical recovery, it is noteworthy that the mean was 175.37 points and none of the participants showed a poor quality of surgical recovery

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Summary

Introduction

Falls and their resulting injuries have a significant impact on the physical, mental and social health of patients. The hospital stay of individuals who fall may be extended for 12.3 more days on average, and the occurrence of such incidents may increase hospital costs by up to 61%(1). About 30% of elderly people fall at least once a year. Falls are not necessarily indicators of a poor health condition, their consequences may predispose individuals to serious consequences[2]. Injuries resulting from falls are the fifth most common cause of death among elderly in the United Kingdom and it is estimated that such an incident will result in more than 200,000 hospitalizations annually, and of these, 78% are in the age group over 75 years[4]

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