衰弱作为住院患者未来跌倒的预测因素：系统评价和荟萃分析。
Frailty as a predictor of future falls in hospitalized patients: A systematic review and meta-analysis.
机构信息
Fujian Provincial Hospital, Fuzhou, China; Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China.
Fujian Provincial Hospital, Fuzhou, China; Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China; School of Nursing, Fujian Medical University, Fuzhou, China.
出版信息
Geriatr Nurs. 2020 Mar-Apr;41(2):69-74. doi: 10.1016/j.gerinurse.2019.01.004. Epub 2019 Feb 11.
The aims of this review were to identify prospective studies examining associations between frailty and falls and to combine the risk measures to synthesize pooled evidence on frailty as a predictor of falls. A systematic literature search was conducted through Embase, Scopus, PubMed, CINAHL Plus, and the Cochrane Library for studies published from inception through May 2018. Odds ratios (OR) and hazard ratios (HR) extracted from the studies were combined to synthesize pooled effect measures using random-effects or fixed-effects models. Six studies involving 3881 hospitalized patients were included in this study. Frailty was found to be significantly associated with future falls among three studies with OR (pooled OR = 1.323, 95%confidence interval = 1.137-1.538, P < 0.000) and three studies with HR (pooled OR = 1.890, 95%confidence interval = 1.456-2.453, P < 0.000). Frailty was a significant predictor of future falls in hospitalized patients. Paying more attention to frailty may lead to lowering fall risks.
本研究旨在确定前瞻性研究，以探讨衰弱与跌倒之间的关系，并对衰弱作为跌倒预测因子的风险指标进行综合分析，以综合汇总证据。通过 Embase、Scopus、PubMed、CINAHL Plus 和 Cochrane Library，对从研究开始到 2018 年 5 月发表的研究进行了系统的文献检索。从研究中提取的比值比（OR）和风险比（HR）采用随机效应或固定效应模型进行综合汇总效应测量。本研究共纳入 6 项研究，涉及 3881 名住院患者。有三项研究的 OR（合并 OR = 1.323，95%置信区间 = 1.137-1.538，P < 0.000）和三项研究的 HR（合并 OR = 1.890，95%置信区间 = 1.456-2.453，P < 0.000）表明，衰弱与未来跌倒显著相关。衰弱是住院患者未来跌倒的一个显著预测因子。更多地关注衰弱可能会降低跌倒的风险。
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