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:5/30/2016)... California (PRWEB) , ... May 30, 2016 , ... ... easy to use inside of FCPX," said Christina Austin - CEO of Pixel ... exclusively for use within Final Cut Pro X. Choose from abstract transitions to ...
(Date:5/29/2016)... ... May 29, 2016 , ... Whole Health Supply is happy to announce ... been available via Amazon.com. This new style of nail clipper has a wider jaw ... is approximately 4mm and the actual handle is 2.5mm thick to accommodate the cutting ...
(Date:5/28/2016)... ... May 28, 2016 , ... "Color Grading media can ... drop a preset onto their media," said Christina Austin - CEO of Pixel Film ... can quickly and easily add stylish color grades to their footage. A LUT is ...
(Date:5/27/2016)... ... 27, 2016 , ... More than a third of American adults are considered ... surgery has received increased attention in recent years, as an article published ... weight loss, most people are familiar with the basic requirements of maintaining a healthy ...
(Date:5/27/2016)... ... May 27, 2016 , ... An influential resource amongst nurses and professionals in ... lights on the variety of topics detailing why we appreciate nurses in so many ... career has gone from being in a major recession to one of the hottest ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... , May 27, 2016 ... biopharmaceutical company focused on late-stage drug development, today ... Pharma of pivotal batches required for registration ... Administration (FDA). This follows Kitov,s announcement ... trial successfully met its primary efficacy endpoint. ...
(Date:5/26/2016)... May 26, 2016 TARE ... Both Cost Savings and Overall Decreased Use ... BTG), an international specialist healthcare company, has today ... 21st Annual Meeting of ISPOR (International Society for ... hepatocellular carcinoma (HCC) using yttrium-90 glass microspheres is ...
(Date:5/25/2016)... GERMANTOWN, Maryland , May 25, 2016 /PRNewswire/ ... dringenden Bedarf zur Steuerung ... N.V. (NASDAQ: QGEN ; Frankfurt Prime ... Entwicklungsvereinbarung mit Therawis Diagnostics GmbH zur Entwicklung und ... sein. Ein erstes Projekt wird die Entwicklung und ...
Breaking Medicine Technology: