The fear and risk of community falls in patients following an intensive care admission: An exploratory cohort study

Selina Parry, Linda Denehy, Catherine Granger, Jennifer McGinley, D. Clark Files, Michael Berry, Sanjay Dhar, Rita Bakhru, Jane Larkin, Zudin Puthucheary, Ross Clark, Peter Morris

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: Muscle weakness and impairments in physical functioning are well-recognised sequelae after critical illness. Whether individuals have a higher risk of community falls and a fear of falling has not been examined amongst individuals after critical illness. Objectives: The objective of this study was to explore the prevalence of falls, fear of falling, and fall risk in intensive care unit (ICU) survivors over a 6-month period after hospital discharge. Methods: This was a nested exploratory study within a medical ICU. Fall prevalence was measured in line with established guidelines over 6 months after ICU discharge. Fear of falling and prediction of fall risk were assessed at 2, 4, and 6 months after discharge. Results: Twelve individuals were included. Half of the cohort (n = 6) had at least one fall, with one-third sustaining more than one fall. There were 17 falls reported across the six individuals. Injuries requiring medical intervention were reported with five falls. Almost one-third were classified as ‘moderate’ to ‘severe’ injurious falls. Loss of balance and fatigue were reported as the main contributors to the falls. All individuals who had a fall reported a severe fear of falling at 2 months. Individuals classified as having ‘moderate’ to ‘high’ risk of falls at 2 months were more likely to have at least one fall. Conclusions: This study suggests that ICU survivors may have a high fall risk, fear of falling, and fall prevalence, which can result in significant injury.

Original languageEnglish
Pages (from-to)144-150
Number of pages7
JournalAustralian Critical Care
Volume33
Issue number2
DOIs
StatePublished - Mar 2020

Bibliographical note

Publisher Copyright:
© 2019 Australian College of Critical Care Nurses Ltd

Keywords

  • Critical illness
  • Fall prevalence
  • Fear of falling
  • Muscle weakness
  • Post–intensive care syndrome
  • Recovery

ASJC Scopus subject areas

  • Emergency
  • Critical Care

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