确定与老年患者医院后倒相关的因素:一个全境的队列研究
X X Qian1, P H Chau1, D Y T Fong1
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Public health
|July 20, 2024
概括
从医院出院的老年人患跌倒的风险很高,特别是那些有特定风险因素的人. 识别和管理这些因素对于预防严重的医院后跌倒和再住院至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 住院后的跌倒对老年人群来说是一个很大的医疗负担.
- 识别导致这些跌倒的因素对于有效的预防策略至关重要.
研究的目的:
- 调查与老年人医院后跌倒相关的未经检查的因素.
- 分析导致需要急诊室 (ED) 访问的跌倒的因素与需要住院治疗的因素.
主要方法:
- 一项回顾性全境队列研究分析了65岁及以上的65岁及以上患者的电子病历,这些患者从香港公立医院出院 (2007-2018).
- 在出院后的12个月内,使用诊断代码,临床笔记,急救诊所访问和死亡记录来监测落.
- 后勤回归模型确定了与医院后跌倒和其严重程度相关的因素 (ED访问与住院).
主要成果:
- 在606,392名老年患者中,4.71%的患者在出院后12个月内倒; 70.5%需要住院治疗.
- 跌倒风险增加与非手术病房出院,长时间住院,特定日间计划,晚年,女性性别,并发症,增加跌倒风险的药物,以前跌倒和生活在香港岛有关.
- 接受相关健康或护理服务与降低跌倒风险有关.
结论:
- 已识别出具有危险因素的老年患者特别容易患上医院后跌倒,往往导致再住院.
- 建议针对这一高风险群体进行有针对性的跌倒风险评估和量身定制的预防策略.
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