Yokohama Dai-Ichi Hospital, Internal Medicine, 2-5-15 Takashima, Nishi-Ku, Yokohama, Kanagawa, 220-0011, Japan.
Genkikai Yokohama Hospital, Yokohama, 226-0013, Japan.
BMC Geriatr. 2023 May 22;23(1):319. doi: 10.1186/s12877-023-04015-9.
Aging and an increased fall risk have been demonstrated in hemodialysis patients at home and in a facility. However, studies investigating the cause of falls to prevent fractures in dialysis rooms are scarce. This study aimed to explore the related factors for accidental falls statistically in dialysis facilities for future fall prevention.
This study included 629 hemodialysis patients with end-stage renal disease. The patients were divided into two groups: the fall and non-fall groups. The main outcome was the presence or absence of falls in the dialysis room. Univariate and multivariate logistic analyses were performed; multivariate analysis was conducted using covariates significantly correlated in the univariate analysis.
A total of 133 patients experienced falling accidents during the study period. The multivariate analysis indicated that the use of walking aid (p < 0.001), orthopedic diseases (p < 0.05), cerebrovascular disease, and age were significantly correlated with falls.
In the dialysis clinic, patients who use walking aids and have complicated orthopedic or cerebrovascular conditions are at a high risk of falling in the dialysis room. Therefore, establishing a safe environment may help prevent falls, not only for these patients but also among other patients with similar conditions.
在家中和医疗机构中，血液透析患者的老龄化和跌倒风险增加已得到证实。然而，研究调查导致透析室骨折的跌倒原因以预防跌倒的研究却很少。本研究旨在通过统计学方法探讨透析室中与意外跌倒相关的因素，以便为未来的跌倒预防提供依据。
本研究纳入了 629 名患有终末期肾病的血液透析患者。患者分为两组：跌倒组和非跌倒组。主要结局是透析室是否发生跌倒。进行了单因素和多因素逻辑回归分析；多因素分析采用单因素分析中显著相关的协变量进行。
在研究期间，共有 133 名患者发生跌倒事故。多因素分析表明，使用助行器（p<0.001）、骨科疾病（p<0.05）、脑血管疾病和年龄与跌倒显著相关。
在透析诊室内，使用助行器且伴有复杂骨科或脑血管疾病的患者在透析室跌倒的风险较高。因此，建立安全的环境可能有助于预防跌倒，不仅对这些患者，而且对其他具有类似情况的患者也有帮助。
