对老年人未来跌倒的急救部门的跌倒风险查工具的全面审查
Daniel Wickins1,2, Jack Roberts3,4, Steven M McPhail3
1Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia, danielpaul.wickins@hdr.qut.edu.au.
Gerontology
|September 29, 2024
概括
在急诊室 (ED) 的跌倒风险查工具可以识别有风险的患者. 以前的跌倒和高风险药物是未来跌倒的关键预测因素,但工具比较具有挑战性.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 临床流行病学 临床流行病学
背景情况:
- 跌倒对老年人来说是一个重要的健康问题,每年约有三分之一的65岁以上的人跌倒,往往导致受伤.
- 推在急诊室使用跌倒风险查工具,以确定需要进一步评估和干预的患者.
- 本研究回顾了ED中使用的跌倒风险查工具及其与未来跌倒事件的关联的已发表研究.
研究的目的:
- 检查ED中使用的跌倒风险查工具研究的范围.
- 评估证据,将这些查工具的使用与患者未来的跌倒联系起来.
- 为了确定与ED人口中跌倒风险相关的关键变量.
主要方法:
- 在PubMed,Embase和CINAHL进行了系统的搜索,搜索自2012年以来发表的同行评审文章.
- 包括检查ED中应用的跌倒风险查工具的研究.
- 提取的数据包括样本特征,测量变量和统计分析.
主要成果:
- 包括自2012年以来发表的16项研究,评估了14种独特的查工具.
- 八项研究重点关注跌倒风险查,而其他研究则包括功能性,脆弱性,快速身体,创伤分类和生活质量等措施.
- 以前的跌倒和高风险药物始终与未来的跌倒有关,预后研究通常报告的敏感性高于特异性.
结论:
- 之前的跌倒和高风险药物始终被确定为ED中查的患者未来跌倒的预测因素.
- 直接比较跌倒风险查工具受到评估方法和测量共变量的变化所阻碍.
- 需要进一步的研究,以探索使用电子病历 (EMR) 数据来增加ED跌倒风险查.
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