VOLUME 38 | ISSUE 3 | MAY-JUNE 2018

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Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia

Banan Abdullah AlSowailmi,a Maha Heshaam AlAkeely,a Hayat Ibrahim AlJutaily,b Mohammad Abdulaziz Alhasoon,b Amir Omair,c Hamad Abdullah AlKhalafb

From the aCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; bDepartment of Pediatrics, King Abdullah Specialized Children’s Hospital, Riyadh, Saudi Arabia; cDepartment of Medical Education, College of Medicine King Abdulaziz Medical City, King Saud Bin Abdulaziz University, Riyadh, Saudi Arabia

How to cite this article:

AlSowailmi BA, AlAkeely MH, AlJutaily H, Alhasoon MA, Omair A, AlKhalaf H. Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children’s hospital in Saudi Arabia. Ann Saudi Med 2018; 38(3): 225-229.

DOI: 10.5144/0256.4947.2018.225

Abstract

BACKGROUND: Fall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children’s falls during hospitalization.

 

OBJECTIVES: Identify the prevalence of fall injuries among hospital.ized children and describe the demographic and environmental factors that could predict a higher risk of severe outcomes of fall.

 

DESIGN: Descriptive, cross-sectional prevalence study.

 

SETTING: Specialized children’s hospital.

 

PATIENTS AND METHODS: Data was obtained through the electronic Safety Reporting System (SRS). All reported fall events during hospitalization in children ≤14 years of age for the period from 1 April 2015 to 30 April 2016 were included. Fall events that occurred in the day care unit and the outpatient clinic were excluded.

 

MAIN OUTCOME MEASURES: Prevalence and possible risk factors for fall events.

 

SAMPLE SIZE: 48.

 

RESULTS: The prevalence of falls among the 4860 admitted children was 9.9 (95% CI=7.5, 13.1) per 1000 patients (48/4860). A majority of the falls were among boys (n=26, 54%), in the age group from 1-5 years old (n=22, 46%), in children at high risk of falling (n=35, 73%), with normal mobility status (n=21, 44%), and with no history of previ.ous falls (n=33, 69%). Severe injuries accounted for 25% of falls (n=12). However, falls among the moderate risk category (n=9, 69%) were more often severe than falls among the high risk category of children (n=12, 34%) (P=.03). 

 

CONCLUSION: Risk factor identification is required to prevent falls and their severe outcomes.

 

LIMITATIONS: Underreporting and single-centered study.

 

CONFLICT OF INTEREST: None. 

 

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