Risk Profiles in Hospitalized Adults Based on Functional Capacity, Pressure Injury Risk, and Fall Risk: A Cluster and Multiple Correspondence Analysis.
Irene Llagostera-Reverter, Víctor Ortiz-Mallasén, María Jesús Valero-Chillerón and 4 others
PMID 42068180WHAT IT FOUND
Hospital admission assessments grouped adults into low, moderate, and high combined risk profiles for dependency, pressure injuries, and falls.
Older patients, women, and urgent medical admissions were more likely to be high risk.
Key findings
01Admission nursing scores grouped patients into low, moderate, and high combined risk profiles.
02The high-risk profile included 428 adults with severe dependency, high pressure injury risk, and high fall risk.
03Female sex, medical processes, and urgent admission were associated with the high-risk profile rather than the low-risk profile.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at a single hospital in Spain, so the profiles may not fit other settings. It used records from routine nursing assessments, so documentation errors could affect the groups. The Downton fall-risk tool has limited sensitivity and specificity, so some fall risk may have been misclassified. The study did not follow patients to see whether they fell, developed pressure injuries, or had functional decline. The profiles were not tested as an intervention, so their effect on care or outcomes is unknown.
Declared interests
Universitat Jaume I funded the work; the authors declared no conflicts of interest.
The easy way to misread this
Do not use these profiles to predict which patient will fall or develop a pressure injury. The study sorted admission scores and did not follow patients for outcomes, so it does not show that profile-based nursing care prevents adverse events.