在跌倒引起的头部创伤后,老年患者重复跌倒的风险
Scott M Alter1,2, Brandon W Knopp1, Joshua J Solano1,2
1Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Cureus
|October 13, 2023
概括
经历跌倒和头部创伤的老年人面临重复急诊室 (ED) 访问的高风险. 痴呆症和中风等并发症增加了这种风险,需要更好的下降后护理策略.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 跌倒对老年人来说是一个重要的健康问题,通常与健康状况不佳和功能衰退有关.
- 经常性跌倒的风险因素,特别是在急诊室 (ED) 退院后,尚不清楚.
研究的目的:
- 为了前性地确定患有与跌倒有关的头部创伤的老年患者中短期复发性跌倒的风险因素,从ED出院.
- 调查该患者群体14天内重复ED访问的发生率和原因.
主要方法:
- 在两家I级创伤中心对65岁以上患有落相关头部创伤的患者进行前性研究.
- 排除标准包括脑内出血,住院或死亡.
- 患者被跟踪了14天,收集了关于重复ED访问和返回原因的数据.
主要成果:
- 14.1%的患者在14天内再次访问ED;8.3%与初始创伤有关,2.6%为新的伤害.
- 与导致重复访问的新伤害显著相关的并发症包括痴呆症 (OR 3.02),中风 (OR 2.12) 和吸烟 (OR 4.27).
结论:
- 超过10%的老年人出现ED与跌倒相关的头部创伤回归在14天内由于新的伤害或并发症.
- 加强门诊随访和降低风险的策略对于降低重复访问和相关的发病率至关重要.
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