Working Languages
How to Cite
Downloads
Abstract
Objective: To investigate the prevalence of fall risk and associated factors among patients with heart failure admitted to the Department of Cardiology, 108 Military Central Hospital.
Subjects and Methods: A cross-sectional descriptive study was conducted on 81 patients with heart failure who were hospitalized overnight between May 2024 and August 2024. The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) was applied to evaluate fall risk in these patients.
Results: The mean age was 75.6 ± 13.3 years, with a predominance of male patients. The majority of patients exhibited a moderate fall risk (69.1%), while 17.3% had a high fall risk. The study revealed that only age group was significantly associated with fall risk. Patients aged ≥70 years had a 6.4-fold higher likelihood of falls compared to those younger than 70 years (p < 0.05).
Conclusion: Patients with heart failure presented with a high prevalence of fall risk, with 86.4% classified as having moderate to high risk. Advanced age (≥ 70 years) was identified as an important independent risk factor. These findings highlight the need for systematic fall risk screening and preventive interventions in patients with heart failure, particularly in the elderly population.
Keywords
References
Suy tim diễn biến âm thầm nhưng tỷ lệ tử vong cao hơn nhiều loại ung thư - Tin tổng hợp - Cổng thông tin Bộ Y tế. Accessed March 24, 2025. https://moh.gov.vn/tin-tong-hop/-/asset_publisher/k206Q9qkZOqn/content/suy-tim-dien-bien-am-tham-nhung-ty-le-tu-vong-cao-hon-nhieu-loai-ung-thu?inheritRedirect=false
Bozkurt B, Ahmad T, Alexander K, et al. HF STATS 2024: Heart Failure Epidemiology and Outcomes Statistics An Updated 2024 Report from the Heart Failure Society of America. J Card Fail. 2025;31(1):66-116. doi:10.1016/j.cardfail.2024.07.001
Rees OL, Wheen P, Anderson LJ. Updates in heart failure. Clin Med. 2023;23(5):432-436. doi:10.7861/clinmed.2023-2023-23.5.Cardio1
Linh LV, Phượng HK, Hoàng NV. Đánh giá kết quả điều trị theo khuyến cáo hội tim mạch học Việt Nam năm 2022 ở bệnh nhân suy tim phân suất tống máu giảm sau 6 tháng khởi trị tại Bệnh viện Triều An năm 2023-2024. Tạp Chí Học Việt Nam. 2024;543(1). doi:10.51298/vmj.v543i1.11367
Chi tiết - Gia tăng người bị suy tim, bệnh lý có tỷ lệ tử vong cao hơn cả ung thư. Accessed March 24, 2025. https://benhvientimhanoi.vn/vi/chi-tiet/bao-trong-nuoc-quoc-te/gia-tang-nguoi-bi-suy-timbenh-ly-co-ty-le-tu-vong-cao-hon-ca-ung-thu
Appeadu MK, Bordoni B. Falls and Fall Prevention in Older Adults. In: StatPearls [Internet]. StatPearls Publishing; 2023. Accessed March 24, 2025. https://www.ncbi.nlm.nih.gov/books/NBK560761/
Carpenter CR, Avidan MS, Wildes T, Stark S, Fowler SA, Lo AX. Predicting Geriatric Falls Following an Episode of Emergency Department Care: A Systematic Review. Acad Emerg Med Off J Soc Acad Emerg Med. 2014;21(10):1069-1082. doi:10.1111/acem.12488
CDC. Older Adult Falls Data. Older Adult Fall Prevention. October 28, 2024. Accessed March 24, 2025. https://www.cdc.gov/falls/data-research/index.html
Denfeld QE, Goodlin S, Abedalweli R, Roberts Davis M, Hiatt SO, Lee CS, Winters-Stone K. Frequency and Predictors of Falls Among Adults With Heart Failure: A Prospective Study. J Card Fail. 2023;29(3):414-8.
Rivera-Chávez JG, Torres-Gutiérrez JL, Regalado-Villalobos A, Moreno-Cervantes CA, Luna-Torres S. Association between falls and cardiovascular diseases in the geriatric population. Arch Cardiol Mex. 2021;91(1):66-72.
Poe SS, Dawson PB, Cvach M, et al. The Johns Hopkins Fall Risk Assessment Tool: A Study of Reliability and Validity. J Nurs Care Qual. 2018;33(1):10-19. doi:10.1097/NCQ.0000000000000301
Denfeld QE, Goodlin S, Abedalweli R, et al. Frequency and Predictors of Falls Among Adults With Heart Failure: A Prospective Study. J Card Fail. 2023;29(3):414-418. doi:10.1016/j.cardfail.2022.09.011
Denfeld QE, Turrise S, MacLaughlin EJ, et al. Preventing and Managing Falls in Adults With Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circ Cardiovasc Qual Outcomes. 2022;15(6):e000108. doi:10.1161/HCQ.0000000000000108
Lee K, Davis MA, Marcotte JE, et al. Falls in community-dwelling older adults with heart failure: A retrospective cohort study. Heart Lung J Crit Care. 2020;49(3):238-250. doi:10.1016/j.hrtlng.2019.12.005
Zarudskii AA, Proschaeu KI, Perutskaya EA, Perutskii DN, Kravchenko ES, Silutina MV. [Falls in patients with chronic systolic heart failure 65 and more years old.]. Adv Gerontol Uspekhi Gerontol. 2020;33(6):1103-1106.
Lee K, Pressler SJ, Titler M. Falls in Patients With Heart Failure: A Systematic Review. J Cardiovasc Nurs. 2016;31(6):555. doi:10.1097/JCN.0000000000000292
Yakut Ozdemir H, Bozdemir Ozel C, Dural M, et al. The 6-minute walk test and fall risk in patients with heart failure: A cross-sectional study. Heart Lung J Crit Care. 2024;64:80-85. doi:10.1016/j.hrtlng.2023.11.012
Denfeld QE, Goodlin S, Abedalweli R, Roberts Davis M, Hiatt SO, Lee CS, Winters-Stone K. Frequency and Predictors of Falls Among Adults With Heart Failure: A Prospective Study. J Card Fail. 2023 Mar;29(3):414-418. doi: 10.1016/j.cardfail.2022.09.011.
Denfeld QE, Turrise S, MacLaughlin EJ, Chang PS, Clair WK, Lewis EF, Forman DE, Goodlin SJ; American Heart Association Cardiovascular Disease in Older Populations Committee of the Council on Clinical Cardiology and Council on Cardiovascular and Stroke Nursing; Council on Lifestyle and Cardiometabolic Health; and Stroke Council. Preventing and Managing Falls in Adults With Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circ Cardiovasc Qual Outcomes. 2022 Jun;15(6):e000108. doi: 10.1161/HCQ.0000000000000108.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2026 Journal of Nursing Science