标准化催眠包对住院期间的失眠和降低跌倒率的影响:单中心回顾性队列研究
Yuta Yoshino1, Naoko Fudaka2, Yumiko Shibasaki3
1Department of Internal Medicine, Saitama Citizens Medical Center, Saitama, Japan.
Geriatrics & gerontology international
|September 30, 2024
概括
一个新的医院催眠包没有减少整体患者的跌倒. 然而,它显著减少了与住院患者使用催眠药物相关的跌倒和伤害.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 二二胺受体激动剂是已知的患者跌倒和骨折的危险因素.
- 在临床环境中,避免使用二胺的催眠包在预防跌倒的有效性仍然不确定.
研究的目的:
- 评估标准化,避免使用二二胺的催眠包对住院患者跌倒率的影响.
- 评估新捆绑药物是否能减少与催眠相关的跌倒和伤害,其中包括suvorexant作为一线治疗.
主要方法:
- 进行了一项单一中心的回顾性队列研究,采用前后设计.
- 涉及有跌倒史的成年住院患者,比较新催眠包实施前后的跌倒率.
- 间断时间序列分析评估了跌倒率趋势,并量化了与催眠有关的跌倒和受伤.
主要成果:
- 该研究包括31,736名患者;在实施后没有观察到整体跌倒率 (3.42‰与3.31‰) 的显著差异.
- 间断时间序列分析显示,下降率趋势没有显著变化 (-11%的差距).
- 与催眠相关的跌倒 (1.11‰与0.84‰相比) 和相关的伤害 (0.93‰与0.71‰相比) 显著减少.
结论:
- 标准化一种新的催眠包并没有显著减少住院患者倒的总数.
- 实施的催眠包显示出减少与使用催眠药物相关的摔倒和受伤的潜力.
- 进一步的研究可能是有必要的,以优化在住院患者群体中全面预防跌倒,避免使用二胺的策略.
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