Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.
Department of Orthopedics and Traumatology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.
Int J Environ Res Public Health. 2023 Feb 15;20(4):3409. doi: 10.3390/ijerph20043409.
Due to population aging, there is an increasing need for orthopedic surgery, especially total knee arthroplasty (TKA) and total hip arthroplasty (THA). In geriatric patients, postoperative falls are common events which can compromise the success of these expensive procedures. The aim of our study was to assess the influence of living arrangements on the prevalence of postoperative falls following joint replacement. We included 441 patients after TKA or THA, living in nursing homes, alone or with family. The prevalence of falls in the first 2 years (15.2%) was significantly influenced by living arrangements: patients with TKA or THA living alone had three times higher odds of falling compared to those living with family, and institutionalized patients with THA had four times higher odds of falling compared to those living with family. Of 67 patients who fell, 6 (8.9%) needed reintervention. For TKA patients, the fall rates were not significantly different between institutions and family, indicating the interest of nursing homes in offering proper care. However, for the THA group, the results were poorer, emphasizing the need for improvement in postoperative rehabilitation. Further multi-centric studies are required for generalizing the impact of living arrangements on fall prevalence after joint replacement.
由于人口老龄化，骨科手术的需求不断增加，尤其是全膝关节置换术（TKA）和全髋关节置换术（THA）。在老年患者中，术后跌倒很常见，这可能会影响这些昂贵手术的成功率。我们的研究旨在评估居住安排对关节置换术后跌倒发生率的影响。我们纳入了 441 名 TKA 或 THA 术后居住在养老院、独居或与家人同住的患者。在最初 2 年内跌倒的发生率（15.2%）显著受到居住安排的影响：与家人同住的 TKA 或 THA 术后患者跌倒的几率是独居患者的三倍，而与家人同住的 THA 术后患者跌倒的几率是居住在养老院的患者的四倍。在 67 名跌倒的患者中，有 6 名（8.9%）需要再次干预。对于 TKA 患者，机构和家庭之间的跌倒率没有显著差异，这表明养老院有兴趣提供适当的护理。然而，对于 THA 组，结果较差，强调需要改善术后康复。需要进一步进行多中心研究，以推广居住安排对关节置换术后跌倒发生率的影响。
