Revista Gaúcha de Enfermagem (May 2020)

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

  • Andréia Martins Specht,
  • Gabriele Peres de Sousa,
  • Mariur Gomes Beghetto

DOI
https://doi.org/10.1590/1983-1447.2020.20190167
Journal volume & issue
Vol. 41, no. spe

Abstract

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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.

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