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Contributing Factors Associated With Impulsivity-Related Falls in Hospitalized, Older Adults

Ferrari, Marisa A. DNP, RN; Harrison, Barbara E. PhD, GNP, BC; Campbell, Cathy MSN, APRN; Maddens, Michael MD; Whall, Ann L. PhD, RN, FAAN, FGSA

doi: 10.1097/NCQ.0b013e3181e36755

Impulsivity-related falls (IRFs) sustained by hospitalized, older adults can lead to critical adverse events. The purpose of this study was to determine whether 7 common fall risk factors contributed to the occurrence of IRF in hospitalized, older adults. This study found that 31% of falls were classified as IRF. Logistic regression indicated that inattention and mobility were contributors to IRF. Early identification of these 2 risk factors could improve identification of potential IRFs and reduce fall rates.

Oakland University, Rochester (Drs Ferrari, Harrison, and Whall), and William Beaumont Hospital, Royal Oak (Ms Campbell and Dr Maddens), Michigan.

Corresponding Author: Marisa A. Ferrari, DNP, RN, Oakland University, 460 O'Dowd Hall, Rochester, MI 48309 (

Accepted for publication: April 16, 2010

© 2010 Lippincott Williams & Wilkins, Inc.