Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Arthroplasty. 2010 Jan;25(1):10-4. doi: 10.1016/j.arth.2008.09.025. Epub 2008 Dec 5.
We are not aware of any data looking specifically at inpatient falls in an orthopedic ward. We reviewed all postoperative orthopedic patients who fell during 2003 and 2005 on a single postoperative orthopedic unit. Seventy patients (1%) fell, resulting in 2.5 falls per 1000 musculoskeletal inpatient days. Most (n = 45, 64%) were bathroom related, were unassisted (n = 54, 77%), and occurred during the evening or night shift (n = 46, 66%). Thirteen (19%) patients acquired an injury as a consequence. Female sex (odds ratio [OR] = 1.9), patient age greater than 65 years (OR = 1.7), prolonged admission (OR = 1.7), and admission for primary or revision knee arthroplasty (OR = 5.0) were all significant risk factors for a postoperative inpatient fall. This information has provided us with some insight to direct the development of a fall prevention program specific to postoperative orthopedic patients.
我们没有发现任何专门针对骨科病房住院患者跌倒的研究数据。我们回顾了 2003 年和 2005 年期间在单一骨科术后病房跌倒的所有骨科术后患者。共有 70 名患者（1%）跌倒，每 1000 例肌肉骨骼住院患者中发生 2.5 例跌倒。大多数（n=45，64%）与浴室有关，无人协助（n=54，77%），发生在傍晚或夜间（n=46，66%）。有 13 名（19%）患者因此受伤。女性（比值比 [OR]=1.9）、年龄大于 65 岁（OR=1.7）、住院时间延长（OR=1.7）以及因初次或翻修膝关节置换术入院（OR=5.0）均是术后住院患者跌倒的显著危险因素。这些信息为我们提供了一些见解，有助于制定专门针对骨科术后患者的跌倒预防计划。
