Predictive Risk Factors Associated with Stroke Patient Falls in Acute Care Settings

Objective: Pressure ulcers (PUs) are one of the most commonly occurring complications in hospitalised patients. Knowing the size of the problem and its risk factors will help in preventing it. The aim of this study is to measure the incidence of PUs in acute care settings in Jordan and to explore associated risk factors. Method: A prospective incidence study for hospitalised patients in Jordan according to the European Pressure Ulcer Advisory Panel methodology. All patients admitted into four Jordanian hospitals over a period of six months were included. Results: The cumulative incidence rate was 0.48%. Using multivariate analysis, a low albumin level, elevated white blood cells, incontinence and having more chronic illnesses were significantly associated with acquiring PUs. Conclusion: Incidence of PUs in Jordan is lower when compared with other parts of the world; this could be related to the relatively younger Jordanian population compared with other populations. Declaration of interest: The author has no conflicts of interest to declare.

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Trunk Lateral Flexor Endurance and Body Fat: Predictive Risk Factors for Low Back Pain in Child Equestrian Athletes

Children ◽

10.3390/children7100172 ◽

2020 ◽

Vol 7 (10) ◽

pp. 172

Author(s):

Antonio Cejudo ◽

Angélica Ginés-Díaz ◽

Olga Rodríguez-Ferrán ◽

Fernando Santonja-Medina ◽

Pilar Sainz de Baranda

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Body Fat ◽

Lower Limb ◽

Musculoskeletal Injury ◽

Low Back ◽

Factors Associated ◽

Potential Risk Factors ◽

Predictive Risk

Low back pain (LBP) is the most common overuse musculoskeletal injury suffered by child equestrian athletes (CEA). Despite this, little is known about the risk factors related to LBP in these athletes, and very limited research has been conducted on this topic. This study was designed to investigate predictive risk factors for LBP in CEA. The purposes of this research were to determine whether anthropometric, range of motion (ROM), core endurance and sagittal spinal morphotype measures are risk factors for LBP and to establish a diagnostic cutoff value for those factors associated with LBP. Nineteen CEA between the ages of 12 and 17 years were voluntarily recruited. Potential risk factors evaluated included corporal composition, lower limb ROM, core endurance and sagittal spinal measures. Associations and predictions were calculated between these risk factors and the LBP during the last 12 months. Almost half of the CEA have suffered at least one episode of LBP. Two risk factors and cutoff values were identified as predictors of LBP in CEA: having a high body fat higher than 23% (p = 0.01) and trunk lateral flexor endurance lower to 65 s (p = 0.021), body fat being the strongest predictor.

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Tu1543 Predictive Risk Factors Associated With Submucosal Fibrosis in Colorectal Endoscopic Submucosal Dissection

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2014.02.989 ◽

2014 ◽

Vol 79 (5) ◽

pp. AB579

Author(s):

Koji Takahashi ◽

Toshio Uraoka ◽

Osamu Goto ◽

A.I. Fujimoto ◽

Yasutoshi Ochiai ◽

...

Keyword(s):

Risk Factors ◽

Endoscopic Submucosal Dissection ◽

Factors Associated ◽

Submucosal Dissection ◽

Predictive Risk ◽

Colorectal Endoscopic Submucosal Dissection ◽

Submucosal Fibrosis

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Predictive Risk Factors Associated With Increased Opioid Use Among Patients Undergoing Elective Spine Surgery

The International Journal of Spine Surgery ◽

10.14444/7025 ◽

2020 ◽

Vol 14 (2) ◽

pp. 189-194

Author(s):

ZACHARY SANFORD ◽

ANDREW BRODA ◽

HALEY TAYLOR ◽

JUSTIN TURCOTTE ◽

CHAD M. PATTON

Keyword(s):

Risk Factors ◽

Spine Surgery ◽

Opioid Use ◽

Factors Associated ◽

Predictive Risk

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Two Sides to Every Fall: Patient and Nurse Perspectives

Critical Care Nurse ◽

10.4037/ccn2020289 ◽

2020 ◽

Vol 40 (6) ◽

pp. 33-41

Author(s):

Linda M. Hoke ◽

Rachel T. Zekany

Keyword(s):

Risk Factors ◽

Content Analysis ◽

Acute Care ◽

Fall Prevention ◽

Analysis Approach ◽

Cardiac Care ◽

Prevention Strategies ◽

Factors Associated ◽

Two Sides ◽

Cardiac Care Unit

Background Despite vast evidence describing risk factors associated with falls and fall prevention strategies, falls continue to present challenges in acute care settings. Objective To describe and categorize patient and nurse perspectives on falls and nurses’ suggestions for preventing falls. Methods To improve transparency about the causes of falls, nurses interviewed patients in a 48-bed progressive cardiac care unit who had experienced a fall. A content analysis approach was used to examine responses to 3 open-ended items: why patients said they fell, why nurses said the patients fell, and nurses’ reflections on how each fall could have been prevented. Results Over a 2-year period, 67 falls occurred. Main themes regarding causes of falls were activity (41 falls, 61%), coordination (16 falls, 24%), and environment (10 falls, 15%). Patients said they fell because they slipped, had a medical issue, were dizzy, or had weak legs. Nurses said patients fell because they had a medical issue or did not call for assistance. Conclusions Nurses and patients agreed on the causes of assisted falls but disagreed on the causes of unassisted falls. Nurses frequently said that the use of a bed alarm could have prevented the fall.

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Risk factors for ED visits and admissions during outpatient chemotherapy in head and neck cancer.

Journal of Clinical Oncology ◽

10.1200/jco.2020.39.28_suppl.223 ◽

2021 ◽

Vol 39 (28_suppl) ◽

pp. 223-223

Author(s):

Navika Shukla ◽

Anirudh Saraswathula ◽

Saad A. Khan ◽

Vasu Divi

Keyword(s):

Risk Factors ◽

Head And Neck Cancer ◽

Head And Neck ◽

Acute Care ◽

Neck Cancer ◽

Care Utilization ◽

Factors Associated ◽

Outpatient Chemotherapy ◽

Acute Care Utilization ◽

Ed Visits

223 Background: Despite the recent introduction of the CMS metric, OP-35, which tracks 30-day inpatient admissions and ED visits after outpatient chemotherapy administration, the risk factors driving acute care utilization (ACU) in the head and neck cancer treatment setting are not yet well understood. Further characterization of these risk factors could allow for improved care quality and reduce preventable inpatient and ED admissions. Methods: This was a retrospective cohort study utilizing the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked cancer registry-claims database. The study cohort consisted of patients aged 66 years or older diagnosed with head and neck cancer between 2004-2015 who received outpatient chemotherapy within the first two years after diagnosis. Multivariable logistic regression modeling was utilized to characterize the risk factors associated with an inpatient or ED admission within 30 days after receiving chemotherapy. Results: Of the 2,236 eligible patients, 735 (32.9%) had at least one inpatient or ED admission within 30 days of receiving outpatient chemotherapy. On multivariable analysis, cancer of the oral cavity [odds ratio (OR) 1.43; 95% confidence interval (CI) 1.04-1.96] and oropharynx/hypopharynx [OR 1.34; 95% CI 1.06-1.70] were associated with an increased odds of ACU. Other factors associated with ACU included NCI comorbidity index [OR 1.10; 95% CI 1.03-1.18], prior ACU [OR 1.06; 95% CI 1.02-1.09], second cycle of chemotherapy relative to the first cycle [OR 0.38, 95% CI 0.29-0.50], and third or greater cycle of chemotherapy [OR 0.17; 95% CI 0.13-0.21]. Certain chemotherapeutic agents also modified risk: use of an angiogenesis inhibitor [OR 0.18; 95% CI 0.06-0.45], alkylating agent [OR 1.24; 95% 1.01-1.53], plant alkaloid [OR 1.63; 95% CI 1.25-2.10], or antimetabolite [OR 2.69; 95% CI 1.78-4.09]. The most common admission diagnosis was pain (n = 243; 33.1%) followed by dehydration (n = 167; 22.7%). Conclusions: Multiple clinical variables modify risk of acute care utilization after outpatient chemotherapy in the head and neck cancer setting, providing several potential avenues of intervention for providers.

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