Dijcks B P J, Neyens J C L, Schols J M G A, van Haastregt J C M, de Witte L P
Universiteit Maastricht, Maastricht.
Ned Tijdschr Geneeskd. 2005 May 7;149(19):1043-7.
To determine how many falls occur annually in Dutch nursing homes and how many fractures are the result of falls.
Written questionnaire study.
All 371 Dutch nursing homes received a questionnaire requesting information on the number of somatic and psychogeriatric beds and the number of falls and fractures as a result of falls in 2000 and 2001.
Of the 371 questionnaires, 202 (54%) were returned. These were distributed as follows over the three types of nursing homes: combined: 151 (75%), somatic: 15 (7%), psychogeriatric: 36 (18%). The average capacity of the participating nursing homes was 180 beds. There was an average of more than 300 reported falls per nursing home: 336 in 2000 (SD: 180; median 314) and 311 in 2001 (SD: 165, median 294). On average, there were almost 2 falls per bed per year. The number of falls per bed in the psychogeriatric group was higher than in the somatic group. There was an average of about 4 fractures per year per nursing home as a result of falls: 4.3 in 2000 (SD: 3.7; median 4.0) and 3.6 in 2oo1 (SD: 2.8; median 3.0). The average number of annual fractures due to a fall was about 23 per 1ooo beds. An average of 1.3% of the falls resulted in a fracture. There were no clear differences here between somatic and psychogeriatric patients.
The reported number of falls per nursing-home bed averaged almost 2 per year, and an average of 1.3% of these falls resulted in a fracture.
确定荷兰养老院每年发生跌倒的次数以及因跌倒导致骨折的次数。
书面问卷调查研究。
向荷兰所有371家养老院发放问卷，询问2000年和2001年躯体疾病护理床位和老年精神疾病护理床位数量以及跌倒和因跌倒导致骨折的次数。
371份问卷中，202份（54%）被收回。这些问卷在三种类型的养老院中的分布如下：综合型：151份（75%），躯体疾病护理型：15份（7%），老年精神疾病护理型：36份（18%）。参与调查的养老院平均床位为180张。每家养老院报告的跌倒平均超过300次：2000年为336次（标准差：180；中位数314），2001年为311次（标准差：165，中位数294）。平均每年每张床位发生近2次跌倒。老年精神疾病护理组每张床位的跌倒次数高于躯体疾病护理组。每家养老院每年因跌倒导致骨折的平均次数约为4次：2000年为4.3次（标准差：3.7；中位数4.0），2001年为3.6次（标准差：2.8；中位数3.0）。每1000张床位每年因跌倒导致骨折的平均次数约为23次。平均1.3%的跌倒导致骨折。躯体疾病护理患者和老年精神疾病护理患者在此方面无明显差异。
每家养老院每张床位每年报告的跌倒平均次数近2次，其中平均1.3%的跌倒导致骨折。
