发生率和相关的风险因素的成年人下降后的危险疾病:一个观察性研究
Selina M Parry1,2, Peter E Morris3, Jane Larkin2
1Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
Critical care medicine
|April 18, 2025
概括
患有重症的幸存者在出院后的第一年内发生大量跌倒,最初三个月的风险很大. 这凸显了针对性干预的必要性,例如查和炼计划.
科学领域:
- 关键护理医学 关键护理医学
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
背景情况:
- 严重疾病的幸存者经常经历长期的功能衰退.
- 跌倒是住院后期间常见的严重不良事件.
研究的目的:
- 确定在重症监护室 (ICU) 幸存者中医院出院后第一年内跌倒的发生率.
- 识别与此脆弱人群下降相关的风险因素.
主要方法:
- 在大学附属混合ICU进行的前性观察研究.
- 一百名成年ICU患者需要至少48小时的侵入性通风,在一年内对跌倒情况进行了监测.
- 收集的数据包括跌倒频率,第一次跌倒的时间,跌倒严重程度以及平衡,力量,认知和生活质量的评估.
主要成果:
- 61%的幸存者在出院后的第一年内至少有一次跌倒.
- 总体下跌发病率为每人每年4.4次,发病率在出院后三个月内达到峰值.
- 每四名参与者中就有一人患有需要医疗护理的伤害性跌倒,关键的危险因素包括并发症和平衡/力量受损.
结论:
- 在ICU幸存者中,跌倒的发生率很高,特别是在出院后的早期.
- 在医院出院后的前三个月内,跌倒的关键窗口存在.
- 建议进行查,药物审查和运动干预措施,以减轻这一群体的跌倒风险.
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