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Original Research

Open Access

Inpatient falls in burn units

  • Anna Chrapusta1
  • Marcin Mikos2
  • Agnieszka Surowiecka3,4
  • Iwona Grzelak3
  • Joanna Piszczek3
  • Tomasz Korzeniowski3,5,*,
  • Jerzy Strużyna3,5

1Malopolska Burn and Plastic Surgery Center, Ludwik Rydygier Memorial Hospital in Krakow, 31-826 Krakow, Poland

2Department of Bioinformatics and Public Health, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-705 Krakow, Poland

3East Center of Burns Treatment and Reconstructive Surgery, District Hospital in Leczna, 21-010 Leczna, Poland

4Department of Didactics and Medical Simulation, Medical University of Lublin, 20-059 Lublin, Poland

5Department of Plastic Surgery, Reconstructive Surgery and Burn Treatment, Medical University of Lublin, 20-059 Lublin, Poland

DOI: 10.22514/sv.2024.114 Vol.20,Issue 9,September 2024 pp.79-83

Submitted: 06 January 2024 Accepted: 12 March 2024

Published: 08 September 2024

*Corresponding Author(s): Tomasz Korzeniowski E-mail: tomasz.korzeniowski@umlub.pl

Abstract

Inpatient falls are one of the most frequently reported adverse events. Existing literature describes both prediction and prevention strategies for falls but not specifically for burn patients. Severe burns are associated with a high mortality rate and significant mobility impairment. Pain, itching and dressings may influence the rate of falls among burn patients. We conducted a retrospective multicenter study enrolling a total of 494 patients. The burn patients who fell had a longer length of stay (LOS) (p < 0.05, odds ratio (OR) = 1.01). Patients who fell also more frequently had burns located on the head and neck (p = 0.001, OR = 6.33) or on the trunk (p = 0.01, OR = 4.71). Falls did not influence overall survival rates. Visual impairment due to facial burns and dressings may be associated with a higher incidence of falls. More studies of burn patients should be performed to evaluate additional risk factors and develop preventive and educational programs.


Keywords

Inpatient fall; Burn; Adverse event


Cite and Share

Anna Chrapusta,Marcin Mikos,Agnieszka Surowiecka,Iwona Grzelak,Joanna Piszczek,Tomasz Korzeniowski,Jerzy Strużyna. Inpatient falls in burn units. Signa Vitae. 2024. 20(9);79-83.

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