Hodgson Gracie, Pace Alex, Carfagnini Quinten, Ayanso Anteneh, Gardner Pauli, Narushima Miya, Ismail Zeau, Faught Brent E
Brock University, St. Catharines, ON, Canada.
Niagara Health, St. Catharines, ON, Canada.
Gerontol Geriatr Med. 2023 Jul 30;9:23337214231189930. doi: 10.1177/23337214231189930. eCollection 2023 Jan-Dec.
In hospitals, older patients are at increased risk of falling multiple times. This study incorporated an epidemiologic cross-sectional design consisting of 4,348 older patients (≥65-year-old). Eight hundred eighty five (20.4%) in-patients experienced multiple falls while remaining participants had one fall incident. A patient fall event was recorded with age, sex, incident date, type of fall, and location. Logistic regression assessed risk factors found in patients with multiple falls compared to those with one fall. Significant differences were observed in the proportion of multiple falls: in a bed with no rails, standing, walking, and using a wheel/Geri chair ( < .05). Overall, sex, type of fall, and location were significant in predicting multiple falls ( < .05). Male patients were at 16.1% greater risk of multiple falls, when compared to females ( < .05). A fall in complex care, mental health, or respirology were more likely to experience multiple falls ( = 2.659, 3.620, 1.593 respectively), while season had no impact.
在医院中，老年患者多次跌倒的风险增加。本研究采用了流行病学横断面设计，纳入了4348名老年患者（≥65岁）。885名（20.4%）住院患者经历了多次跌倒，其余参与者有一次跌倒事件。记录患者跌倒事件的年龄、性别、事件日期、跌倒类型和地点。逻辑回归评估了多次跌倒患者与一次跌倒患者相比的危险因素。在多次跌倒比例方面观察到显著差异：在没有床栏的床上、站立、行走以及使用轮椅/ geri椅时（<0.05）。总体而言，性别、跌倒类型和地点在预测多次跌倒方面具有显著性（<0.05）。与女性相比，男性患者多次跌倒的风险高16.1%（<0.05）。在综合护理、心理健康或呼吸内科发生的跌倒更有可能经历多次跌倒（分别为=2.659、3.620、1.593），而季节没有影响。
