Acute Geriatrics Department at Kaplan Medical Center, Affiliated with the Hebrew University of Jerusalem, 1, Derech Pasternak, st., Rehovot, Israel.
Geriatrics Department, Hartzfeld Hospital, Kaplan Medical Center, Gedera, Affiliated with the Hebrew University of Jerusalem, Rehovot, Israel.
Eur Geriatr Med. 2022 Aug;13(4):859-866. doi: 10.1007/s41999-022-00660-2. Epub 2022 Jul 1.
The study aims to identify risk factors for falling among acutely ill older patients, hospitalized in acute geriatric ward.
A retrospective study of 260 cases of patients who had fallen and 439 controls was conducted in a geriatric ward. We retrieved from the electronic hospital records data including patient demographics, medical diagnoses, and laboratory results, and drugs taken prior to the fall were reviewed. In addition, data on functional and cognitive status were recorded. Admission Morse Falls Scale for every patient was also retrieved.
The following on-admission diagnoses were associated with a higher incidence of falls during hospitalization: hypertension (84% vs. 38%), congestive heart failure (CHF), 74% vs 16%, dementia (36% vs. 5%), and delirium (36% vs 5%). A higher percentage of fallers compared to controls consumed beta blockers (69% vs. 53%), benzodiazepines (46% vs. 32%), antidepressants (33% vs. 23%), oral diabetes drugs (20% vs. 11%) and opiates (8% vs. 4%). On-admission Morse Falls Scale score was found to be higher in the patients who fell (59 vs.53). The strongest predictors of falling during hospitalization were CHF, hypertension, dementia, delirium, assisted mobility and dependence.
A systematic screening of risk factors for falls and identification of them might contribute to reducing the risk associated with falls during hospitalization.
本研究旨在确定急性老年病房中急性病老年患者跌倒的危险因素。
对老年病房中 260 例跌倒患者和 439 例对照者进行回顾性研究。我们从电子病历中检索了患者的人口统计学、医学诊断和实验室结果数据，并回顾了跌倒前服用的药物。此外，还记录了功能和认知状态数据。还检索了每位患者入院时的 Morse 跌倒量表评分。
以下入院诊断与住院期间跌倒发生率较高相关：高血压（84% vs. 38%）、充血性心力衰竭（CHF）（74% vs. 16%）、痴呆症（36% vs. 5%）和谵妄（36% vs. 5%）。与对照组相比，更多的跌倒患者服用了β受体阻滞剂（69% vs. 53%）、苯二氮䓬类（46% vs. 32%）、抗抑郁药（33% vs. 23%）、口服糖尿病药物（20% vs. 11%）和阿片类药物（8% vs. 4%）。跌倒患者的入院 Morse 跌倒量表评分较高（59 分 vs. 53 分）。住院期间跌倒的最强预测因素是充血性心力衰竭、高血压、痴呆、谵妄、辅助移动和依赖。
对跌倒危险因素进行系统筛查并识别这些危险因素可能有助于降低住院期间与跌倒相关的风险。
