Falls in an acute hospital and their relationship to restraint use.

Journal Article (Journal Article)

BACKGROUND: Patient falls are a common complication of hospitalisation. Use of restraints in patients who are perceived to be at risk for falling may lead to injury and even death. AIMS: To determine the frequency of falls and fall-related injuries and the contribution of restraints in a hospital population. METHODS: We analysed incident reports of falls for a single year from a large teaching hospital. Results The fall rate per 10,000 patient days was 13.2 (95%CI 11.6-14.8). Fall rate increased dramatically with increased age. Eighty-two (30.7%) falls resulted in injury, of which 6 (7.3%) were serious. Injuries occurred in 71/247 (29%) unrestrained falls and in 11/20 (55%) falls in patients who were restrained. Injuries were more severe in falls with restraints in place (p < 0.0001). CONCLUSIONS: Restraint use is associated with increased severity of injury in hospital patients who fall.

Full Text

Duke Authors

Cited Authors

  • Tan, KM; Austin, B; Shaughnassy, M; Higgins, C; McDonald, M; Mulkerrin, EC; O'Keeffe, ST

Published Date

  • July 2005

Published In

Volume / Issue

  • 174 / 3

Start / End Page

  • 28 - 31

PubMed ID

  • 16285335

International Standard Serial Number (ISSN)

  • 0021-1265

Digital Object Identifier (DOI)

  • 10.1007/BF03169144


  • eng

Conference Location

  • Ireland