【Abstract】 Objective To analyze causes of tumble for inpatients with chronic kidney disease (CKD), and find out risk factors resulting in tumble, so as to provide evidences for the prophylaxis of tumble for CKD inpatients. Methods Adverse events of tumble on 26 CKD patients admitted to the Nephrology Department of a top three hospitals from January 2013 to December 2016were retrospectively analyzed Results There were 85% of patients aged over 65 years old in 26 CKD having tumbles. Patients often tumbled at bedside (462%) and in washroom (346%), and tumble frequently occurred at night shift (731%), especially 18:0022:00 and 6:008:00 being in the majority. There were 692% of tumble events in patients with carers. There were 923% of tumble events in CKD patients with hypertension and 615% in CKD patients with hypoalbuminemia, respectively. All patients suffered from different levels of anemia and disturbance of calcium and phosphorus metabolism. Conclusion For the effectively preventing CKD patients from tumble, the environmental management of ward areas is enhanced. it is attached importance to the prevention of tumble in patients with anemia, and disturbance of calcium and phosphorus metabolism, and promote the predictive ability of the nurses on risk factors of tumbles.