老年人因跌倒而再次到急诊室的危险因素:病例控制分析
Charlene San Juan1, Linda Appiah-Kubi1, Joanna Mitropoulos1
1Department of Geriatric Medicine, Western Health, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|August 1, 2024
概括
老年人的跌倒是复杂的. 这项研究没有发现单一的风险因素,在跌倒后重复访问急诊室 (ED),强调需要全面的预防策略.
科学领域:
- 老年病的医生 老年病的医生
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 布是老年人急诊室 (ED) 访问的主要原因.
- 目前的二次跌倒预防干预措施并没有有效地减少与跌倒相关的ED再出现.
- 了解老年ED人口中反复跌倒的特定风险因素至关重要.
研究的目的:
- 识别和评估与老年人ED的跌倒相关再呈现相关的风险因素.
- 调查临床特征和患者特征与需要紧急护理的重复性跌倒事件相关.
主要方法:
- 一个单一中心的病例控制研究,涉及300名65岁及以上的患者.
- 案例在六个月内有两个或两个以上的落相关的ED呈现;控制有一个索引呈现,没有随后的落相关的ED访问.
- 数据包括跌倒风险因素和初次ED访问的临床细节;进行了单变量和多变量分析.
主要成果:
- 单变量分析表明,增加的多病症,更高的药物计数和居住在住院养老机构 (RACF) 与跌倒再呈现有关.
- 多变量分析没有发现任何独立的风险因素.
- 后期分析显示,对RACF居民来说,精神药物使用和12个月内之前的跌倒是显著的;在初次呈现时严重的肌肉骨损伤是保护性的.
结论:
- 该研究没有确定与跌倒相关的ED再呈现的独立风险因素,这表明复杂的,相互关联的促成因素.
- 确定了两个高风险群体:来自RACF的个人和那些最初跌倒并没有造成严重伤害的人.
- 需要进一步的研究来阐明复杂的复杂多因素的复杂性质的老年人再次跌倒呈现ED.
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