Limpawattana Panita, Sutra Sumitr, Thavompitak Yupa, Chindaprasirt Jarin, Mairieng Pisaln
Division of Geriatric Medicine, Internal Medicine Department, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
J Med Assoc Thai. 2012 Jul;95 Suppl 7:S235-9.
Fall is a preventable condition associated with disability and mortality in elders. The overall data regarding admission rates and its impact in Thai elderly are lacking.
To identify admission, mortality rates of older persons with fall, its causes and consequences.
Information on illness of inpatients and casualties came from hospitals nationwide and from hospital withdrawals from the 3 health insurance schemes in fiscal 2010. The data included 96% of the population. The data were analyzed by age groups in older patients with fall.
There were 311,132 falls of all admissions; accounting for admission and mortality rates of 423.4 and 11.1/100,000 older persons. The number rose with age. Slipping, tripping were the major causes. The average length of stay (LOS) of fallers with and without fractures was 8.1 and 6.4 days. The average hospital costs in these same groups were 25,728 and 19,419.3 Baht.
The increasing age is related to an increased admission and mortality rates of fall. Slipping, tripping was the frequent causes. Greater LOS and hospital charges were found in fallers with fractures. Allied-healthcare workers should routinely implement a fall assessment and educate modifiable factors to elders to prevent future fall.
跌倒在老年人中是一种可预防的状况，与残疾和死亡率相关。目前缺乏关于泰国老年人入院率及其影响的总体数据。
确定跌倒老年人的入院率、死亡率、原因及后果。
住院患者和伤亡人员的疾病信息来自全国范围内的医院以及2010财年3个医疗保险计划的出院患者。数据涵盖了96%的人口。对跌倒老年患者按年龄组进行数据分析。
所有入院病例中有311,132例跌倒；跌倒老年人的入院率和死亡率分别为423.4/10万和11.1/10万。该数字随年龄增长而上升。滑倒、绊倒为主要原因。有骨折和无骨折跌倒患者的平均住院时间分别为8.1天和6.4天。这两组患者的平均住院费用分别为25,728泰铢和19,419.3泰铢。
年龄增长与跌倒的入院率和死亡率上升相关。滑倒、绊倒为常见原因。有骨折的跌倒患者住院时间更长，住院费用更高。联合医疗工作者应常规开展跌倒评估，并向老年人传授可改变的因素以预防未来跌倒。
