Guse Clare E, Porinsky Rebecca
Department of Family and Community Medicine and Injury Research Center, Medical College of Wisconsin, Milwaukee, Wis 53226, USA.
WMJ. 2003;102(4):37-42.
To identify risk factors associated with hospitalizations for falls in Wisconsin in patients aged 65 and older.
This study was a cross-sectional study of year 2000 hospital inpatient discharge records for patients aged 65 and older who did not have a diagnosis-related group code indicating rehabilitation, obtained from the Wisconsin Bureau of Health Information. The database includes all discharges from all non-federal Wisconsin hospitals.
Of 223,085 discharged older adults, 6.9% had an unintentional fall diagnosis. Independent predictors of an unintentional fall diagnosis were age, sex, time of year of discharge, region of residence, alcohol-related problems, dementia, Parkinson's disease, mechanical and motor problems, altered consciousness, convulsions/epilepsy, anemia, and glaucoma.
Alcohol-related problems and mechanical and motor problems significantly increased the risk of a fall diagnosis in hospitalized patients aged 65 and over.
确定威斯康星州65岁及以上患者因跌倒住院的相关危险因素。
本研究是一项横断面研究，数据来源于威斯康星州健康信息局，选取了2000年65岁及以上且诊断相关组代码未表明康复情况的医院住院患者出院记录。该数据库包含威斯康星州所有非联邦医院的所有出院记录。
在223,085名出院的老年人中，6.9%被诊断为意外跌倒。意外跌倒诊断的独立预测因素包括年龄、性别、出院时间、居住地区、酒精相关问题、痴呆、帕金森病、机械和运动问题、意识改变、惊厥/癫痫、贫血和青光眼。
酒精相关问题以及机械和运动问题显著增加了65岁及以上住院患者跌倒诊断的风险。
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