Inpatient Fall as Ominous Sign of Clinical Deterioration Fall as Ominous Sign
Abstract
Incidence of fall among hospitalised patients are commonly reported globally. Causes of inpatient falls are generally divided into extrinsic and intrinsic factors. Even though inpatient falls are commonly regarded as accidental with minor implications, we suggest that its incidence should be viewed with caution as it could be a red flag to clinical deterioration. Herewith we presented a clinical case scenario to delineate the importance to recognise fall as an early sign of clinical deterioration not otherwise detected from routine vital signs assessment.
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References
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2. Morgan VR, Mathison JH, Rice JC, Clemmer DI. Hospital falls: A persistent problem. Am J Public Health. 1985; 75(7):775–7. doi: http://ajph.aphapublications.org/
3. Hendrich A, Nyhuis A, Kippenbrock T, Soja ME. Hospital falls: development of a predictive model for clinical practice. Appl Nurs Res. 1995; 8(3):129–39.
4. Hitcho EB, Krauss MJ, Birge S, Dunagan WC, Fischer I, Johnson S, et al. Characteristics and circumstances of falls in a hospital setting. J Gen Intern Med. 2004; 19(7):732–9. doi: http://link.springer.com/10.1111/j.1525-1497.2004.30387.x
5. Churpek MM, Yuen TC, Edelson DP. Predicting clinical deterioration in the hospital: The impact of outcome selection. Resuscitation. 2013; 84(5):564–8.
6. López-Soto PJ, Smolensky MH, Sackett-Lundeen LL, De Giorgi A, Rodríguez-Borrego MA, Manfredini R, et al. Temporal Patterns of In-Hospital Falls of Elderly Patients. Nurs Res. 2016; 65(6):435–45. doi: http://journals.lww.com/00006199-201611000-00003
7. Brekke IJ, Puntervoll LH, Pedersen PB, Kellett J, Brabrand M. The value of vital sign trends in predicting and monitoring clinical deterioration: A systematic review. Patman S, editor. PLoS One. 2019; 14(1):e0210875. doi: https://dx.plos.org/10.1371/journal.pone.0210875
8. Churpek MM, Adhikari R, Edelson DP. The value of vital sign trends for detecting clinical deterioration on the wards. Resuscitation. 2016 M;102:1–5.
9. Vanderpool RR, Naeije R. Hematocrit-corrected pulmonary vascular resistance. Am J Respir Crit Care Med. 2018;198(3):305–9.
10. Chang DW, Tseng CH, Shapiro MF. Rehospitalizations following sepsis: Common and costly. Crit Care Med. 2015;43(10):2085–93.
Authors
Mushaddik, I. L. ., & Khalid, K. . (2021). Inpatient Fall as Ominous Sign of Clinical Deterioration: Fall as Ominous Sign. Journal of Current Medical Research and Opinion, 4(02), 826−829. https://doi.org/10.15520/jcmro.v4i02.395
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