Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis

Abstract

Background

Falling out of hospital beds can reduce patients’ satisfaction, increase their length of stay and mortality, reduce hospital productivity, and increase health system costs. The present research aimed to determine the prevalence of bed falls among inpatients in Iranian hospitals.

Methods

This study was a meta-analysis. All the articles on the prevalence of bed fall in Iranian hospitals were extracted from five databases as well as the Google Scholar search engine and their quality was assessed. The heterogeneity of the studies was tested using the I² index and the meta-regression model at the 0.05 significance level. Finally, the Comprehensive Meta-Analysis software analyzed six articles that met the inclusion criteria.

Results

Based on the estimation of a random effects model, the prevalence of bed falls in Iranian hospitals was 19.9 % (7.7 %-42.6 %; 95 % CI). The highest prevalence was observed in Kermanshah province in 2014 at 92 % (80.5 %-97.0 %; 95 % CI) and the lowest prevalence was observed in Tabriz in 2015 at 6 % (3.4 %-10.4 %%; 95 % CI). Moreover, there were significant relationships between sample size, average age, and the prevalence of bed falls among inpatients (p < 0.05).

Conclusions

The findings indicate that the prevalence of bed falls is high among hospitalized patients in Iran, with considerable implications for patient safety and healthcare costs. Addressing this issue requires targeted interventions focusing on environmental safety, staff training, and patient education to mitigate fall risks effectively.