[住院48小时内成人跌倒风险因素分析]
[Analysis of fall risk factors in adults within the first 48 hours of hospitalization].
作者信息
Remor Carine Peres, Cruz Carla Barroca, Urbanetto Janete de Souza
出版信息
Rev Gaucha Enferm. 2014 Dec;35(4):28-34. doi: 10.1590/1983-1447.2014.04.50716.
OBJECTIVE
To analyze fall risk factors in the first 48 hours of hospitalization and to associate them with the occurrence of falls.
METHOD
Cohort study conducted at a hospital in Porto Alegre/RS, Brazil. A sample of 556 patients from an adult in-patient study population were evaluated within the first 48 hours of hospitalization for factors associated with falls, based on the Morse Fall Scale (MFS) and muscle strength, among others.
RESULTS
Evidence showed that the classification of high-risk according to the MFS and, more specifically, the items history of falls, ambulatory aid, impaired gait and overestimation of walking ability, were associated with falls during hospitalization (p≤0.005). In addition to these risk factors, reduced muscle strength and visual deficit also contributed to the occurrence of this safety incident
CONCLUSION
The analysis of fall risk factors in patients evaluated within 48 hours of hospitalization may contribute to minimizing these occurrences and preventing injury.
目的
分析住院后48小时内的跌倒风险因素，并将其与跌倒的发生情况相关联。
方法
在巴西阿雷格里港/南里奥格兰德州的一家医院进行队列研究。根据莫尔斯跌倒量表（MFS）和肌肉力量等因素，对来自成年住院研究人群的556名患者在住院后的48小时内进行了跌倒相关因素评估。
结果
证据表明，根据MFS进行的高危分类，更具体地说，跌倒史、行走辅助、步态障碍和对行走能力的高估等项目，与住院期间的跌倒有关（p≤0.005）。除了这些风险因素外，肌肉力量下降和视力缺陷也促成了这一安全事件的发生。
结论
对住院48小时内接受评估的患者的跌倒风险因素进行分析，可能有助于减少这些事件的发生并预防伤害。
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