在住院癌症康复病房的跌倒频率,特征和危险因素
Ekta Gupta1, Jegy M Tennison1, Ki Y Shin1
1Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, TX.
JCO oncology practice
|June 20, 2023
概括
癌症康复患者在医院倒闭的发生率很低 (4.6%),伤害最小. 医疗设备如PCA和管被确定为跌倒风险因素.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 患者安全 患者安全
背景情况:
- 医院跌倒可能导致不良事件和伤害.
- 癌症患者和住院康复 (IPR) 患者面临较高的跌倒风险.
- 了解这一群体的跌落特征对于有针对性的干预至关重要.
研究的目的:
- 测量在住院癌症康复病房中跌倒的频率和伤害程度.
- 为了识别患者的特征和风险因素,在这种环境中与跌倒相关.
主要方法:
- 从2012年1月到2016年2月的住院癌症康复患者的回顾性评估.
- 使用MD安德森癌症中心成年住院患者跌倒风险评估工具 (MAIFRAT) 评估跌倒频率,伤害,情况,癌症类型和风险得分.
- 对逗留时间和确定的风险因素的分析.
主要成果:
- 在1571名单一患者中,共发生72次跌倒 (4.6%),每1000个患者日发生3.76次跌倒.
- 大多数落者 (86%) 没有受到伤害.
- 风险因素包括患者控制的止痛,其他医疗 (例如胰岛素),鼻胃/胃/胸管,以及更高的MAIFRAT分数. 病者比较年轻,IPR停留时间较长,查尔森并发症指数得分较低.
结论:
- 这个IPR单元的跌倒频率和伤害低于之前的研究报告,这表明动员对于癌症患者来说是安全的.
- 特定的医疗器械与降落风险的增加有关.
- 需要进一步的研究,为这一高风险患者亚组制定有针对性的防摔策略.
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