From the Department of Physical Therapy, School of Health Professions.
School of Medicine.
Female Pelvic Med Reconstr Surg. 2022 Feb 1;28(2):e7-e10. doi: 10.1097/SPV.0000000000001118.
The objective of this study was to determine the prevalence of increased fall risk among women presenting to a large pelvic health center using a screening method compatible with the busy clinic environment and to identify factors associated with increased risk.
A retrospective medical records review was conducted on consecutive treatment-seeking women presenting to a Urogynecology & Pelvic Health Center over 6 months. The Centers for Disease Control and Prevention, Stopping Elderly Accidents, Deaths, and Injuries fall risk screening tool was included among the intake questionnaires all patients completed before their scheduled appointments. Relevant sociodemographic and clinical measures were abstracted from the electronic medical record.
Three hundred and forty-eight women completed the fall screen. One hundred and twenty-four (36%) screened positive for increased fall risk. Mean age was 58.7 ± 15.8 years. An age threshold of 68 years best discriminated between those who were and were not identified as at risk. There was a gradient of association between number of urinary symptoms and prevalence of increased fall risk. Patients with 3 or more urinary symptoms were most likely to screen positive (1: odds ratio [OR], 1.51 [0.86-2.66]; 2: OR, 1.62 [0.99-2.64]; 3 or more: OR, 1.84 [1.07-3.17]) after adjusting for other know fall risk factors.
The prevalence of increased fall risk in this patient population is high and highest in women with multiple urinary symptoms. The Stopping Elderly Accidents, Deaths, and Injuries screening tool was a feasible and nonintrusive screening method for identifying increased fall risk during routine patient care. Fall risk and concern about falling should be taken into consideration when deciding management strategies for urinary problems.
本研究旨在确定使用与繁忙诊所环境兼容的筛查方法，在大型盆腔健康中心就诊的女性中，增加跌倒风险的患病率，并确定与风险增加相关的因素。
对在泌尿妇科和骨盆健康中心就诊的连续治疗的女性进行了回顾性病历审查。在她们预约前，所有患者都需要完成包括疾病控制与预防中心、防止老年人意外伤害、死亡和伤害的跌倒风险筛查工具在内的入组问卷。从电子病历中提取相关社会人口统计学和临床指标。
348 名女性完成了跌倒筛查。124 名（36%）筛查出跌倒风险增加。平均年龄为 58.7±15.8 岁。68 岁的年龄阈值可最好地区分那些被识别为有风险和无风险的人。尿症状的数量与增加的跌倒风险的患病率之间存在关联梯度。有 3 个或更多尿症状的患者最有可能呈阳性（1：比值比 [OR]，1.51[0.86-2.66]；2：OR，1.62[0.99-2.64]；3 个或更多：OR，1.84[1.07-3.17]），在调整了其他已知的跌倒风险因素后。
在该患者人群中，增加跌倒风险的患病率较高，且有多种尿症状的女性患病率最高。停止老年人意外伤害、死亡和伤害筛查工具是一种可行且非侵入性的筛查方法，可在常规患者护理中识别增加的跌倒风险。在决定尿问题的管理策略时，应考虑跌倒风险和对跌倒的担忧。
