在住院老年人中STOPPFall发现的增加跌倒风险的药物的流行率和类型:一项追溯观察性研究
Sanjana Jeevanji1, Marie Mean2, Carole E Aubert3
1Nursing home Fondation 4 Marronniers, Yverdon-les-Bains, Switzerland.
Applied nursing research : ANR
|July 31, 2025
概括
这项研究发现,75%的高跌倒风险患者接受了增加跌倒风险的药物 (FRID). 然而,在住院期间,处方减少了,特别是当护士发现有跌倒风险时,这提高了老年人的药物安全性.
科学领域:
- 老年病的医生 老年病的医生
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 布是老年人的重大公共卫生问题.
- 增加跌倒风险的药物 (FRID) 是可修改的跌倒风险因素.
- STOPPFALL工具有助于在高风险的老年患者中识别FRID.
研究的目的:
- 为了确定瑞士一家医院的FRIDs的流行率.
- 评估对患有高跌倒风险的患者的FRID处方的变化.
- 探索FRID暴露和医院内跌倒之间的联系.
主要方法:
- 一年来住院患者健康记录的回顾性分析.
- 使用STOPPFall工具评估入院和出院时的FRID患病率.
- 使用 STRATIFY 评分识别了高跌倒风险,并通过事件报告识别了跌倒.
主要成果:
- 在741名患者中,有44%的患者有高跌倒风险.
- 75%的高风险患者在入院时至少接受了一次FRID.
- 在住院期间,FRID处方显著减少 (p < 0.001).
- 护士记录的高跌倒风险与较低的FRID排放率相关 (p = 0.032).
- 在FRID暴露和医院内倒之间没有发现显著的关联.
结论:
- STOPPFALL工具提供了一个结构化的方法来识别FRID.
- 临床整合STOPPFALL可以优先考虑药物审查.
- 通过结构化FRID识别,可以提高老年人药物安全性.
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