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与跌倒相关的严重伤害和在急症医院跌倒期间的活动之间的关联
Kosuke Kobayashi1, Naohiro Kido1, Shoji Wakabayashi1
1Department of Rehabilitation, Hiroshima City North Medical Center Asa Citizens Hospital, Asa-kita Ward, Hiroshima City, Hiroshima, Japan.
PloS one
|July 7, 2023
概括
在医院行走期间的跌倒与中度或重度伤害有关. 预防患者室外的落对于患者的安全和减少严重的落相关伤害至关重要.
科学领域:
- 老年学是一门学科.
- 患者安全 患者安全
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 在急性住院治疗中,严重伤害机制需要进一步调查.
- 与跌倒相关的严重伤害和患者在医院跌倒期间的活动之间的联系尚未得到充分理解.
研究的目的:
- 调查落造成的严重伤害与患者在急症护理医院环境中落时的活动之间的关系.
主要方法:
- 在阿萨公民医院进行回顾性队列研究 (2021年4月至2022年3月).
- 包括65岁及以上的住院患者.
- 伤害严重程度与跌倒活动之间的定量关联,使用赔率比率.
主要成果:
- 在318名摔倒患者中,7名 (2.2%) 患有重伤,3名 (0.9%) 患有中度伤害.
- 中度或重度伤害与跌倒期间的活动有显著的关联 (OR:5.20,CI:1.43-18.9,p=0.013).
结论:
- 在行走过程中跌倒与中度至重度伤害有关,包括骨折,伤和脑损伤.
- 在患者卧室之外发生的跌倒在中度/重度伤害患者中更为常见.
- 在患者室外行走时预防跌倒对于减少急症医院的严重伤害至关重要.
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