| Article Citation and Permalink
(APA format) |
Article 1
Fritz, B. A., King, C. R., Mehta, D., Somerville, E., Kronzer, A., Ben Abdallah, A., Wildes, T., Avidan, M. S., Lenze, E. J., Stark, S., & ENGAGES Research Group. (2022). Association of a perioperative multicomponent fall prevention intervention with falls and quality of life after elective inpatient surgical procedures. JAMA Network Open, 5(3), e221938. https://doi.org/10.1001/jamanetworkopen.2022.1938 |
| Point | Description |
| Broad Topic Area/Title | Falls Among Hospitalized Patients |
| Problem Statement
(What is the problem research is addressing?) |
Up to 4 percent of patients during their inpatient stay, the experience falls after elective inpatient surgical procedures. Upon discharge, this percentage rises threefold among these patients in their first year after elective inpatient surgical procedures (Fritz et al., 2022). These falls have a significant impact on the patient’s life quality, finances, and safety and thus need to be addressed. |
| Purpose Statement
(What is the purpose of the study?) |
The authors of this study used a multicomponent intervention that included patient education, a home medication review by a specialist, and an assessment of home safety. This study aimed at assessing whether this multicomponent intervention was associated with patient fall incidence reduction in patients who had undergone elective inpatient surgical procedures |
| Research Questions
(What questions does the research seek to answer?) |
This study’s research questions sought to find answers to whether an intervention that incorporates patient education, specialist’s medication review at home, and identification of hazards in the patient’s home environment could be associated with reductions in patient falls during the first year after an elective inpatient surgical procedure. |
| Define Hypothesis
(Or state the correct hypothesis based upon variables used) |
Effects of falls among hospitalized patients are multifactorial, multifaceted and have physical, emotional, financial, and functional consequences on the quality of life of the affected patients. Elective inpatient surgical procedures add to these risks in the postoperative period. The preoperative and postoperative periods is an opportunity to offer multicomponent strategies to prevent fall and minimize fall risks. |
| Identify Dependent and Independent Variables and the Type of Data for the Variables | The dependent variable in this study was the incidence of patient falls in the first year after elective surgery reported by the patient. This study also had secondary dependent variables such as quality of life scores by the Veterans RAND tool. The application of the multicomponent fall prevention intervention was the independent variable. |
| The population of Interest for Study | The study population was a group of adult patients who had undergone general anesthesia before an elective inpatient surgical procedure and had at least 2-day hospital stays. |
| Sample | The study sampled a total of 1396 patients from two different studies assigned into intervention and control groups. The 698 patients were from the ENGAGES indicates Electroencephalography Guidance of Anesthesia to Alleviate Geriatric Syndromes clinical trial study, while the other 698 patients in the control groups were from the d SATISFY-SOS, Systematic Assessment and Targeted Improvement of Services Following Yearly Surgical Outcomes Surveys cohort study and had met the inclusion criteria same as those in the intervention group. |
| Sampling Method | A non-random sampling, quota sampling, the method was used to select eligible participants from the intervention and control patient pools. |
| Identify Data Collection
Identify how data were collected |
Data on the primary outcome variable was collected through patient surveys that were adminis
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