陷入住院大脑损伤康复科的病患... 后果是什么?
Kathryn Marshall1, Janelle Griffin1, Joshua Knowles2
1Princess Alexandra Hospital, Occupational Therapy, Brisbane, Qld, Australia.
概括
患者在脑损伤康复期间跌倒可能会产生严重后果. 老年患者和无证人跌倒增加了受伤的风险,强调了需要加强监督和支持的需要.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 患者安全 患者安全
背景情况:
- 跌倒是大脑损伤康复的常见问题.
- 之前的研究集中在跌倒特征上,但不是特别关注有后果的跌倒.
- 了解后果性跌倒对于提高患者安全至关重要.
研究的目的:
- 调查患者在住院脑损伤康复机构中的特征和后果.
- 为了确定患者和与跌倒相关的变量,与导致伤害的跌倒相关.
主要方法:
- 对事件报告和患者病历的回顾性分析.
- 包括2017年1月至2021年12月期间经历下降的患者.
- 跌倒有报告后果 (如疼痛,骨折,TBI) 和没有后果的跌倒的比较.
主要成果:
- 在161名患有276次跌倒的患者中,56%的人有后果.
- 随着患者年龄的增加,随着患者年龄的增加而增加 (几率比为每年1.03).
- 秋季,冬季和春季,跌倒更有可能产生后果,当工作人员没有目击时,跌倒的可能性更高 (OR 3.6).
结论:
- 患者年龄的增加和无证人跌倒是导致脑损伤康复后跌倒的重要危险因素.
- 调查结果强调,需要加强对老年人的监督和定制援助,以便在康复期间减轻与跌倒有关的伤害.
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