Does acute care for the elderly (ACE) unit decrease the incidence of falls?
| Autor: | Ahmed Abdalla, Mehul Adhaduk, Ghassan Bachuwa, Raad A. Haddad, Carlos F. Ríos-Bedoya, Yanal Alnimer |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Financial costs medicine.medical_specialty Critical Care 03 medical and health sciences 0302 clinical medicine Older patients Acute care Internal medicine Humans Medicine In patient Prospective Studies 030212 general & internal medicine Prospective cohort study Aged business.industry Incidence 030503 health policy & services Incidence (epidemiology) Length of Stay Hospitals Hospitalization Physical therapy Accidental Falls Female 0305 other medical science business Gerontology |
| Zdroj: | Geriatric Nursing. 39:292-295 |
| ISSN: | 0197-4572 |
| DOI: | 10.1016/j.gerinurse.2017.10.011 |
| Popis: | To determine whether acute care for the elderly (ACE) units decrease the incidence of patient falls compared to general medical and surgical (GMS) units, a non-concurrent prospective study included individuals aged 65 and older admitted to ACE or GMS units over a 2-year span was done. There were 7069 admissions corresponded to 28,401 patient-days. A total of 149 falls were reported for an overall incidence rate (IR) of 5.2 falls per 1000 patient-days, 95% CI, 4.4/1000-6.1/1000 patient-days. The falls IR ratio for patients in ACE unit compared to those in non-ACE units after adjusting for age, sex, prescribed psychotropics and hypnotics, and Morse Fall Score was 0.27/1000 patient-days; 95% CI, 0.13-0.54; p < 0.001. So, an estimated 73% reduction in patient falls between ACE unit and non-ACE units. Hospitals may consider investing in ACE units to decrease the risk of falls and the associated medical and financial costs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect