Tan K M, Austin B, Shaughnassy M, Higgins C, McDonald M, Mulkerrin E C, O'Keeffe S T
Dept of Geriatric Medicine, Galway Regional Hospitals, Galway.
Ir J Med Sci. 2005 Jul-Sep;174(3):28-31. doi: 10.1007/BF03169144.
Patient falls are a common complication of hospitalisation. Use of restraints in patients who are perceived to be at risk for falling may lead to injury and even death.
To determine the frequency of falls and fall-related injuries and the contribution of restraints in a hospital population.
We analysed incident reports of falls for a single year from a large teaching hospital. Results The fall rate per 10,000 patient days was 13.2 (95%CI 11.6-14.8). Fall rate increased dramatically with increased age. Eighty-two (30.7%) falls resulted in injury, of which 6 (7.3%) were serious. Injuries occurred in 71/247 (29%) unrestrained falls and in 11/20 (55%) falls in patients who were restrained. Injuries were more severe in falls with restraints in place (p < 0.0001).
Restraint use is associated with increased severity of injury in hospital patients who fall.
患者跌倒为住院常见并发症。对被视为有跌倒风险的患者使用约束措施可能导致受伤甚至死亡。
确定某医院人群中跌倒及跌倒相关损伤的发生率以及约束措施的影响。
我们分析了一家大型教学医院一年中的跌倒事件报告。结果每10000患者日的跌倒率为13.2（95%可信区间11.6 - 14.8）。跌倒率随年龄增长显著增加。82例（30.7%）跌倒导致受伤，其中6例（7.3%）为重伤。在247例未受约束的跌倒中有71例（29%）受伤，在20例受约束的跌倒中有11例（55%）受伤。有约束措施时跌倒导致的损伤更严重（p < 0.0001）。
在跌倒的住院患者中，使用约束措施与损伤严重程度增加相关。
