Effectiveness of a fall-risk reduction programme for inpatient rehabilitation after XXXX .

@entity1 @entity64 @entity15467 @entity580
PURPOSE: To evaluate effectiveness of fall-risk-assessment-based fall prevention for @entity64 rehabilitation inpatients. METHOD: A consecutive series of 232 @entity1 admitted for the first time to a subacute @entity64 -rehabilitation ward during 2010-2011 was studied in detail. The Assessment Sheet for Fall Prediction in @entity64 Inpatients (ASFPSI by Nakagawa et  al.) was used to assess fall-risk upon admission. Association of ASFPSI score and @entity1 characteristics with actual falls was statistically tested. Yearly incidence of falls per 1000 @entity580 ( @entity580 ) was retrospectively audited for the 2006-2014 period to evaluate effectiveness of fall-risk reduction measures. RESULTS: The observed incidence of falls over the detailed-study-period was 3.0/1000 @entity580 ; 39% of the fallers fell during the first week after admission. ASFPSI score was not significantly associated with falls. Longer hospital stay, left body-side affected and non-extreme @entity15467 score (55-101) were associated with higher odds of fall. Introduction of fall-risk reduction measures followed by compulsory fall-risk assessment lead to incidence of falls dropping from 7.1/1000 @entity580 in 2006 to 2.8/1000 @entity580 in 2011 and remaining at that level until 2014. CONCLUSIONS: The fall-risk-assessment-based measures appear to have led to decreasing falls risk among post- @entity64 rehabilitation inpatients classified as being at high risk of falls. The fall prevention programme as a whole was successful. @entity1 with non-extreme level of functional independence should receive enhanced fall prevention. Implications for Rehabilitation Recognising the fall risk upon the @entity1 's admission is essential for preventing falls in rehabilitation wards. Assessing the fall risk is a team tasks and combines information from various sources. Assessing fall risk in @entity64 @entity1 using the assessment sheet by Nakagawa et  al. immediately upon admission systematically draws attention to the risk of falls in each individual @entity1 .
