Abstract 85: One Size Does Not Fit Fall: Does a Successful Inpatient Fall Reduction Program Benefit Stroke Patients?
Background: A fall reduction program on an inpatient neurology unit was initiated in 2012 and successfully reduced falls by 51%, but the total percentage of falls among stroke patients increased. In 2011 the percentage of stroke patients who fell was 26%(9/35), in 2012 35%(6/17), and by July 2013 they were up to 50%(6/12).
Purpose: To identify unique fall risk factors for stroke patients.
Methods: All falls data from 1/2011-7/2013 was retrieved and within this sample two groups were compared, stroke falls versus non-stroke falls. Significance, p<0.05.
Results: Within this 36 month period, 64 patient falls occurred; n=21 (33% stroke falls) and n=43 (67% non-stroke falls). Between the stroke falls versus non stroke falls, there were no differences in age or sex but independent patients prior to admission were more likely to be stroke patients with subsequent hospital falls. None of the stroke patients were discharged home, with 81% requiring a higher level of care.
Conclusions: Stroke patients have unique risk factors that are not fully captured using our current risk assessment tool, which emphasizes prior falls and mental status. This analysis supports assigning higher risk scores to those independent prior to their stroke and in need of higher level of care at discharge.
Author Disclosures: A.M. Richardson: None. K.M. Reinhardt: None. A.M. Leonhardt: None.
- © 2014 by American Heart Association, Inc.