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Objective: The aim of this study was to determine the incidence rates and determinants of adverse events during patients’ hospital stays. In addition, the incidence rates of adverse events between elderly patients aged ≥75 and <75 years were compared. Material and Methods: This was a prospective cohort study conducted in the rehabilitation unit of a public hospital among a sample of 216 inpatients aged >65 years. Adverse events were reported and briefly described. Variables potentially associated with the occurrence of adverse events were measured at baseline. Results: Twenty-six patients (12%) experienced an adverse event. The most frequent were fall-related events (8.3%). Patients aged ≥75 years experienced a higher number of adverse events than those aged <75 years (15.6% vs. 4.3%, respectively; p=0.02). Multivariable logistic regression models showed that age was strongly associated with fall-related events (odds ratio=1.1; 95% confidence interval=1.02–1.17) and all types of events combined (odds ratio=1.06; 95% confidence interval=1.03–1.12). Conclusion: This study provides evidence for the occurrence of adverse events (particularly fall-related events) in elderly patients receiving postacute care in the rehabilitation units of acute care hospitals. It also shows that some elderly patients (particularly those aged ≥75 years) are more likely to experience adverse events. There is room for improvement to reduce these experiences to facilitate patient safety.

Incidence and Determinants of Adverse Events among Older Inpatients in Post-Acute Rehabilitation Care: A Prospective Observational Study