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As causas das quedas são multifatoriais e os fármacos têm um contributo significativo. O objetivo deste trabalho é explorar a associação entre os fármacos e as quedas e a sua recorrência (n≥2), no período de internamento, num hospital da grande Lisboa, entre junho de 2008 e dezembro de 2010. O seu desenho é retrospectivo, a partir de uma amostra de 214 episódios de notificação de incidente de queda de 190 doentes. Através da técnica de consenso face a face, emergiram os grupos terapêuticos a pesquisar. Na análise dos dados utilizou-se o t de student, ANOVA e Odds Ratio. Os doentes que efetuam fármacos associados ao risco de queda, têm 10 vezes mais risco de queda (OR=9,90; IC95%; 1,61-60,63), em especial quando pertencem ao grupo terapêutico do Sistema Nervoso Central. Foi identificada associação com as quedas e sua recorrência e estar medicado com haloperidol (OR=6,09; IC95%; 1,30-28,54) (OR=3,32; IC95%; 1,61-6,85). Este estudo permitiu identificar fatores que os enfermeiros devem ter em atenção na prescrição de intervenções, para prevenção das quedas e sua recorrência, aos doentes internados em hospitais de cuidados agudos.
The causes of falls are multifactorial and medications make a significant contribution. The objective of this study is to explore the association between medications and falls and recurrent falls (n ≥ 2) in the hospitalization period in a large hospital in Lisbon between June 2008 and December 2010. Its design is retrospective, using a sample of 214 episodes of fall event notification from 190 patients. Through the technique of face-to-face consensus, the treatment groups to be investigated emerged. In the data analysis we used the Student’s t test, ANOVA and Odds Ratio. Patients taking medications associated with risk of falling are 10 times more likely to have fall risk (OR=9.90;95%CI;1.61-60.63), especially when taking medications from groups affecting the central nervous system. An association was found between falls and their recurrence and being medicated with haloperidol (OR=6,09;95%CI;1,30-28,54) (OR=3,32;95%CI;1,61-6,85).This study allowed identification of factors that nurses should consider when prescribing interventions to prevent falls and their recurrence when patients are admitted to acute care hospitals.
The causes of falls are multifactorial and medications make a significant contribution. The objective of this study is to explore the association between medications and falls and recurrent falls (n ≥ 2) in the hospitalization period in a large hospital in Lisbon between June 2008 and December 2010. Its design is retrospective, using a sample of 214 episodes of fall event notification from 190 patients. Through the technique of face-to-face consensus, the treatment groups to be investigated emerged. In the data analysis we used the Student’s t test, ANOVA and Odds Ratio. Patients taking medications associated with risk of falling are 10 times more likely to have fall risk (OR=9.90;95%CI;1.61-60.63), especially when taking medications from groups affecting the central nervous system. An association was found between falls and their recurrence and being medicated with haloperidol (OR=6,09;95%CI;1,30-28,54) (OR=3,32;95%CI;1,61-6,85).This study allowed identification of factors that nurses should consider when prescribing interventions to prevent falls and their recurrence when patients are admitted to acute care hospitals.
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Acidentes por quedas Preparações farmacêuticas Serviços hospitalares Adulto Accidental falls Adult Hospital services Pharmaceutical preparations