在中国非卧床患者中,巴特尔指数得分与跌倒之间的反向U形关系:一个横截面研究
Jie Yan1, Qingfang Zhang1,2, Jing Zhou1
1Department of Rehabilitation, the First Affiliated Hospital of Shenzhen University/Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Topics in stroke rehabilitation
|February 25, 2024
概括
日常生活活动 (ADL) 的表现是非卧床中风患者的主要跌倒风险. 适度的ADL容量表明在康复环境中跌倒的风险增加.
科学领域:
- 康复医学 康复医学 康复医学
- 老年学是指老年学的学科.
- 神经学 神经学
背景情况:
- 日常生活活动 (ADL) 的表现是非卧床中风住院患者中跌倒的重要风险因素.
- 识别跌倒风险对于康复机构的患者安全至关重要.
研究的目的:
- 调查巴特尔指数得分与非卧床中风康复住院患者中跌倒发生率之间的关系.
- 为了确定ADL容量是否会影响该患者群体的跌倒风险.
主要方法:
- 采用了横截面研究设计.
- 收集了3097名非卧床中风住院患者的数据,这些患者使用龙石尺度进行识别.
- 经过对共变量进行调整的统计分析,以检查巴特尔指数得分和下降之间的关系.
主要成果:
- 整体跌倒发生率为10.43%.
- 在总的巴特尔指数得分和下降之间观察到一个反转的U形曲线关系.
- 这种关系的转折点是巴特尔指数得分为60,影响大小为1.02 (95% CI 1.00-1.04) 在左边和0.97 (95% CI 0.96-0.99) 在右边.
结论:
- 患有中度ADL能力的非卧床中风患者面临着特别高的跌倒风险.
- 巴特尔指数得分可以帮助识别中风患者在康复期间跌倒的风险较高.
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