Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis - Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, 3755 chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1E2, Canada.
Department of Medicine, Division of Geriatric Medicine, St. Mary's Hospital Center, McGill University, 3830 Lacombe Avenue, Montreal, QC, H3T 1M5, Canada.
BMC Complement Altern Med. 2019 Mar 28;19(1):76. doi: 10.1186/s12906-019-2484-x.
Music has been shown to improve health and quality of life. It was suggested that music may also have an impact on gait stability and fall risk. Yet, few studies have exploited music in the hospital setting, and even less so in the geriatric population. Our objective was to examine the influence of music listening on the risk of falls by comparing the Morse Fall Scale score in patients admitted to a Geriatric Assessment Unit (GAU) who attended music listening sessions and in patients who did not attend music sessions.
This was a retrospective cohort study (mean follow-up 13.3 ± 6.8 days) which took place in a GAU, St. Mary's Hospital Center, Montreal. A total of 152 charts of participants, with a mean age of 85.7 ± 6.4 years and 88.2% female were reviewed and included. There were 61 participants exposed to the music listening sessions group and 91 in the non-exposed group matched for age, sex, cause and season of admission, and living situation. One-hour music sessions were provided to the patients by volunteer musicians. The Morse Fall Scale score upon admission and discharge as well as its variation (change from before to after exposure) were used as outcomes. Age, sex, living situation, reason for admission, season of admission, Mini Mental Status Examination score, number of therapeutic classes taken daily upon admission, use of psychoactive drugs upon admission and length of stay were used as covariates.
The Morse Fall Scale score decreased significantly in the exposed group compared to the non-exposed group (p = 0.025) and represented a small to medium-sized effect, d = 0.395. The multiple linear regression model showed a significant association between the decrease of the Morse Fall Scale score and music exposure (B = - 17.1, p = 0.043).
Participating in music listening sessions was associated with a decreased risk of falls in patients admitted to a GAU. Further controlled research is necessary to confirm these findings and to determine the mechanisms by which music listening impacts fall risk.
Clinical trial registry: ClinicalTrials.gov . Registration number: NCT03348657 (November 17th, 2017). Retrospectively registered.
音乐已被证明可以改善健康和生活质量。有人认为，音乐也可能对步态稳定性和跌倒风险产生影响。然而，很少有研究在医院环境中利用音乐，在老年人群中更是如此。我们的目的是通过比较参加音乐聆听课程的和未参加音乐课程的老年评估病房（GAU）患者的 Morse 跌倒量表评分，来研究音乐聆听对跌倒风险的影响。
这是一项回顾性队列研究（平均随访 13.3±6.8 天），在蒙特利尔圣玛丽医院中心的 GAU 进行。共回顾和纳入了 152 名参与者的图表，平均年龄为 85.7±6.4 岁，88.2%为女性。其中 61 名参与者为暴露于音乐聆听课程组，91 名参与者为未暴露组，两组在年龄、性别、入院原因和季节、居住情况方面相匹配。由志愿音乐家为患者提供 1 小时的音乐课程。入院时和出院时的 Morse 跌倒量表评分以及其变化（暴露前后的变化）作为结局。年龄、性别、居住情况、入院原因、入院季节、简易精神状态检查评分、入院时每天服用的治疗药物种类、入院时使用精神活性药物以及住院时间作为协变量。
与未暴露组相比，暴露组的 Morse 跌倒量表评分显著下降（p=0.025），且具有小到中等的效应量，d=0.395。多元线性回归模型显示 Morse 跌倒量表评分下降与音乐暴露之间存在显著关联（B=-17.1，p=0.043）。
参加音乐聆听课程与 GAU 入院患者跌倒风险降低相关。需要进一步的对照研究来证实这些发现，并确定音乐聆听影响跌倒风险的机制。
临床试验注册：ClinicalTrials.gov。注册号：NCT03348657（2017 年 11 月 17 日）。回顾性注册。
