Navigation Links
Study finds no link between elderly patient activity and hospital falls
Date:10/28/2011

GALVESTON -- In 2008, as part of a larger initiative aimed at reducing preventable hospital errors and lowering costs, Medicare stopped reimbursing for the treatment of injuries related to in-hospital falls.

Geriatricians were quick to point out that this measure could have an unintended negative consequence. In trying to keep elderly patients from falling, they said, it was possible that hospitals might discourage patients from moving about at all. And for the elderly, even a few days of immobility can produce what's called "hospital-associated deconditioning": a loss of muscle mass, aerobic capacity, and sense of balance that reduces a patient's ability to function after he or she is discharged from the hospital.

But while it might seem obvious that elderly patients who move around more would be more likely to fall, a new study from University of Texas Medical Branch at Galveston researchers suggests otherwise. Analyzing the mobility patterns of elderly patients fitted with small electronic devices that counted every step they took, the scientists determined that patients who suffered in-hospital falls actually moved around no more than patients who did not fall.

"We matched 10 patients who had fallen with 25 who had not fallen based on age, gender, reason for admission, illness severity, and mobility status before admission," said UTMB assistant professor Steven Fisher, lead author of a paper on the study now online in Archives of Physical Medicine and Rehabilitation. "All of these people had worn step activity monitors during their stay in the hospital, and when we analyzed the data from these devices we found no statistical difference in the amount of walking between the groups."

According to Fisher, the study's results suggest reducing elderly patients' mobility doesn't just risk hospital deconditioning -- it also may do little toward the prevention of falls.

"Hospital falls are a complex issue, with a number of factors at work," Fisher said. "In our study, for example, we found that cognition was a big factor -- patients suffering from delirium were more likely to fall."

In addition, Fisher pointed to the hospital environment as a potential contributor to falls. All of the falls noted in the study took place at night, and 60 percent of them were related to visits to the bathroom.

It is likely not possible to eliminate older patient falls altogether, Fisher observed. "Evidence is accumulating, however, that even small amounts of activity can be beneficial in this context," he said. "What we see from this study is that getting that benefit doesn't necessarily mean increasing the risk of falling."


'/>"/>
Contact: Jim Kelly
jpkelly@utmb.edu
409-772-8791
University of Texas Medical Branch at Galveston
Source:Eurekalert

Related medicine news :

1. UT study looks at manual wheelchair use, exercise and calorie burning
2. Study finds specific gene linked to cold sore susceptibility
3. Poorer Countries Have Higher Rates of Stroke, Study Finds
4. NYUCN receives $299 thousand from NCSBN to study patient safety in nursing homes
5. Too Much Drinking May Raise Lung Cancer Risk: Study
6. X-Ray Screening Doesnt Prevent Lung Cancer Deaths: Study
7. HPV Vaccine Might Help Prevent Anal Cancers: Study
8. Links to Mental Illness Seen in Fetal Brains: Study
9. Religious, spiritual support benefits men and women facing chronic illness, MU study finds
10. Study identifies genetic basis of human metabolic individuality
11. Study indicates nanoparticles could help pain-relieving osteoarthritis drugs last longer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... North Carolina (PRWEB) , ... June 26, 2016 , ... ... release of a new product that was developed to enhance the health of felines. ... for centuries. , The two main herbs in the PawPaws Cat Kidney Support ...
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from ... at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center ... care topics including advance care planning, healthcare costs and patient and family engagement. ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand ... project," said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s ... within Final Cut Pro X . Simply select a ProHand generator and drag ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a method ... —Johnson is one of the first doctors to perform the treatment. Orthobiologics are ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... A ... procedures that most people are unfamiliar with. The article goes on to state that ... but also many of these less common operations such as calf and cheek reduction. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 23, 2016 Any dentist who has made an ... current process. Many of them do not even offer this ... and high laboratory costs involved. And those who ARE able ... such a high cost that the majority of today,s patients ... Parsa Zadeh , founder of Dental Evolutions Inc. and ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Global MEMS Devices Medical Market Analysis 2016 - Forecast to ... The report contains up to date financial ... reliable analysis. Assessment of major trends with potential impact on ... dive analysis of market segmentation which comprises of sub markets, ...
(Date:6/23/2016)... , June 23, 2016 , ... on Thursday, July 7, 2016 , , , , LOCATION: ... , , , , EXPERT PANELISTS:  , , , ... Senior Industry Analyst, Christi Bird; Senior Industry Analyst, Divyaa Ravishankar and ... The global pharmaceutical industry is witnessing an exceptional era. ...
Breaking Medicine Technology: