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确定跌倒受伤患者住院和手术的相对风险。

Determining the relative risk of hospitalisation and surgery of fall injury patients.

作者信息

Pai Dinesh R, Hosseini Hengameh M, Rosito Stephen R

机构信息

Project and Supply Chain Management, Penn State Harrisburg, School of Business Administration, Middletown, PA, USA.

University of Scranton, Heath administration and Human Resources instead of Penn state school of public affairs.

出版信息

Health Syst (Basingstoke). 2021 Aug 17;11(4):288-302. doi: 10.1080/20476965.2021.1966323. eCollection 2022.

Abstract

Falls are one of the most common cause of nonfatal and fatal injuries in the U.S. costing over an estimated $54 billion annually. A significant percentage of patients presenting to hospital emergency departments (ED) for falls are hospitalised. This paper analyzes a regional hospital data pertaining to adults presenting to the ED because of falls. We use patient demographics and medical conditions to help identify patients at risk for immediate undesirable outcomes after a fall. Furthermore, we determine the relative risk of patient hospitalisation and surgery and their characteristics. Our results indicate that older patient's, patients arriving by ambulance, patients with higher severity levels and patients with pre-existing comorbidities were at a higher relative risk of hospitalisation and surgery. Furthermore, patients with medical conditions pertaining to femur and tibia fractures, pelvis, renal failure, ambulatory dysfunction, and cellulitis, among others, and non-Hispanic whites were at a much higher relative risk of hospitalisation and surgery.

摘要

跌倒是美国非致命和致命伤害的最常见原因之一,每年估计花费超过540亿美元。因跌倒前往医院急诊科(ED)就诊的患者中有很大一部分会住院治疗。本文分析了一家地区医院与因跌倒前往急诊科就诊的成年人相关的数据。我们使用患者人口统计学和医疗状况来帮助识别跌倒后有立即出现不良后果风险的患者。此外,我们确定患者住院和手术的相对风险及其特征。我们的结果表明,老年患者、乘坐救护车前来的患者、病情严重程度较高的患者以及患有既往合并症的患者住院和手术的相对风险较高。此外,患有股骨和胫骨骨折、骨盆、肾衰竭、行走功能障碍和蜂窝织炎等疾病的患者以及非西班牙裔白人住院和手术的相对风险要高得多。

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