UMass Chan Medical School Faculty Publications


Characteristics of the middle-age adult inpatient fall

UMMS Affiliation

Graduate School of Nursing; Department of Medicine, Division of Preventive and Behavioral Medicine

Publication Date


Document Type



Nursing | Public Health


PURPOSE: The purpose of this study is to describe characteristics of middle-age inpatients' (ages 45-64) fallers and their fall and fall injury risk factors.

BACKGROUND: Middle-age falls were 42-46% of inpatient falls. Studies related to inpatient falls have not targeted this population.

METHODS: A 439 retrospective chart review was performed. Middle-age fall and injury rates were compared with ages 21-44 and 65-90.

RESULTS: The mean age was 55.75years (SD 5.26). 28.7% (n=126) of falls resulted in injury. Individual fallers (n=386) had a mean of four comorbidities (SD 1.843), including hypertension (46.5%), anxiety/depression (40.2%), and alcohol and drug abuse (32.9%). There was no significant difference (p=.637) in fall rates per 1,000 patient days between ages 45-64 and 65-90.

CONCLUSION: Middle-age inpatients' acute illness makes them as vulnerable for fall and injury as the older population. They should not be overlooked for fall prevention measures.


Comorbidities, Falls, Inpatient, Middle-age, Risk factors

DOI of Published Version



Appl Nurs Res. 2016 Aug;31:65-71. doi: 10.1016/j.apnr.2016.01.003. Epub 2016 Jan 20. Link to article on publisher's site


Donna Guillaume undertook this study as a doctoral student (view her dissertation) in the Graduate School of Nursing at UMass Medical School.

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Applied nursing research : ANR

PubMed ID