Krause Tom
Albertinen-Haus, Zentrum für Geriatrie und Gerontologie Wissenschaftliche Einrichtung an der Universität Hamburg.
Pflege. 2005 Feb;18(1):39-42. doi: 10.1024/1012-5302.18.1.39.
There is a high incidence of falls for geriatric in-hospital patients, but a lack of knowledge about the consequences of those falls. The aim was to describe the injurious consequences of falls and their localisation, and the effect of falls on the length of hospital stay.
We analyzed the data of a standardized protocol for every fall in 2003 as well as the data of the hospital information system (KIS).
We found 345 patients who fell ("fallers") (total falls: 506) and 1763 patients who did not fall ("non-fallers"). Injuries or pain are the consequences in 37.2% of the falls. Only 5 patients (1.4%) suffered a fracture. Differences between fallers were seen in "length of hospital stay" (28.8 days vs 19.5 days), ("female") (61.4% vs 69.4%) and "barthel index" (40.2 vs 48.5 score points).
Falls are an indicator for a complicated treatment, because fallers have a longer hospital stay. To prevent consequences of falls is just as important as to prevent falls.
老年住院患者跌倒发生率较高，但对跌倒后果缺乏了解。目的是描述跌倒的伤害后果及其发生部位，以及跌倒对住院时间的影响。
我们分析了2003年每次跌倒的标准化协议数据以及医院信息系统（KIS）的数据。
我们发现345例跌倒患者（“跌倒者”）（跌倒总数：506次）和1763例未跌倒患者（“非跌倒者”）。37.2%的跌倒会导致受伤或疼痛。只有5例患者（1.4%）发生骨折。跌倒者在“住院时间”（28.8天对19.5天）、（“女性”）（61.4%对69.4%）和“巴氏指数”（40.2对48.5分）方面存在差异。
跌倒是治疗复杂程度的一个指标，因为跌倒者住院时间更长。预防跌倒后果与预防跌倒同样重要。
