Roggeman Saskia, Weiss Jeffrey P, Van Laecke Erik, Vande Walle Johan, Everaert Karel, Bower Wendy F
NOPIA research group, Urology Department, Ghent Universtity Hospital, Ghent, Belgium.
Faculty of Medicine and Health Sciences, Department of Human Structure and Repair, Ghent University, Ghent, Belgium.
F1000Res. 2020 Apr 3;9. doi: 10.12688/f1000research.21581.1. eCollection 2020.
A large number of falls in hospitals occur on the way to the toilet. Accordingly, a literature search was conducted in Web of Science, PubMed, Embase, and the Cochrane Library to identify fall risk screening and assessment metrics published between 1980 and 2019 and to study the inclusion of lower urinary tract symptoms (LUTS) and their related parameters in these screening tools. In addition, the literature was searched to explore the relationship between toilet-related falls and LUTS. In total, 23 fall risk scales were selected, from which 11 were applicable for in-hospital patients. In nine of the 11 scales for in-hospital patients, a LUTS or LUTS-related parameter was included. In the 12 risk assessment tools for community-dwelling older people, there were no LUTS included. Frequency, urinary incontinence, and nocturia were mostly reported in the literature as a potential fall risk parameter. It is recommended to create greater awareness of nocturia and other LUTS among caregivers of hospitalized patients to prevent falls.
医院里大量的跌倒事件发生在去厕所的路上。因此，我们在科学网、PubMed、Embase和考科蓝图书馆进行了文献检索，以识别1980年至2019年间发表的跌倒风险筛查和评估指标，并研究下尿路症状（LUTS）及其相关参数在这些筛查工具中的纳入情况。此外，还检索了文献以探讨与厕所相关的跌倒与LUTS之间的关系。总共选择了23种跌倒风险量表，其中11种适用于住院患者。在11种适用于住院患者的量表中，有9种纳入了LUTS或与LUTS相关的参数。在12种针对社区居住老年人的风险评估工具中，没有纳入LUTS。文献中大多将频率、尿失禁和夜尿症报告为潜在的跌倒风险参数。建议提高住院患者护理人员对夜尿症和其他LUTS的认识，以预防跌倒。
