老年精神科病房跌倒的危险因素。
Risk factors for falling in a psychogeriatric unit.
作者信息
de Carle A J, Kohn R
机构信息
Department of Psychiatry and Human Behavior, Brown University, 345 Blackstone Boulevard, Providence, RI 02906, USA.
出版信息
Int J Geriatr Psychiatry. 2001 Aug;16(8):762-7. doi: 10.1002/gps.407.
OBJECTIVE
To identify risk factors associated with falls in a psychogeriatric inpatient population.
DESIGN
Retrospective cohort study.
SETTING
A psychogeriatric inpatient unit in a Brown University affiliated psychiatric hospital.
PARTICIPANTS
A total of 1834 men and women who represented all admissions to the psychogeriatric inpatient unit between January 1992 and December 1995.
RESULTS
Over the study period a total of 175 falls were recorded, giving a fall rate of 9.5%. Using a logistic regression model, six variables were found to be independently associated with an increased risk of falling: female gender, electroconvulsive therapy (ECT), mood stabilizers, cardiac arrhythmias, Parkinson's syndrome and dementias. Falls and ECT were associated with longer hospital stay, when adjusted for confounders including ECT.
CONCLUSIONS
These findings support previous results and identify ECT as a possible risk factor for falling in a hospital setting.
目的
确定与老年精神科住院患者跌倒相关的风险因素。
设计
回顾性队列研究。
地点
布朗大学附属精神病医院的老年精神科住院部。
参与者
共1834名男性和女性，代表了1992年1月至1995年12月期间老年精神科住院部的所有入院患者。
结果
在研究期间共记录到175次跌倒，跌倒发生率为9.5%。使用逻辑回归模型，发现六个变量与跌倒风险增加独立相关：女性、电休克治疗（ECT）、心境稳定剂、心律失常、帕金森综合征和痴呆症。在对包括ECT在内的混杂因素进行调整后，跌倒和ECT与更长的住院时间相关。
结论
这些发现支持了先前的结果，并确定ECT是医院环境中跌倒的一个可能风险因素。
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