Lee Mi-Joon, Seo Bum-Jeun, Kim Myo-Youn
Department of Medical Information, Kongju National University, 56 Gongjudaehak-ro, Gongju-si 32588, Republic of Korea.
Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Republic of Korea.
Healthcare (Basel). 2023 Aug 3;11(15):2194. doi: 10.3390/healthcare11152194.
This study aims to evaluate the association between patient falls and relevant factors and to quantify their effect on fall risk. This is a retrospective case-control study using the secondary data collected from a tertiary general hospital. Study subjects were 450 patients who were admitted to the hospital between January 2016 and December 2020. The prevalence of falls was associated with the fall risk level by the Morse Fall Scale (MFS) and individual status at admission including history of admission, dizziness, sleep disorder, bowel dysfunction, and urinary incontinence. The odds ratios of patient falls were higher in the low-risk group by the MFS score (odds ratio (OR) = 2.61, < 0.001) and the high-risk group (OR = 5.51, < 0.001) compared to the no-risk group. The hazard ratio of patient falls was higher in the high-risk group by the MFS score (hazard ratio (HR) = 3.85, < 0.001). The MFS had a significant explanatory power to predict fall risk. Sleep disorder and urinary incontinence were the significant factors influencing patient falls.
本研究旨在评估患者跌倒与相关因素之间的关联，并量化这些因素对跌倒风险的影响。这是一项回顾性病例对照研究，使用从一家三级综合医院收集的二手数据。研究对象为2016年1月至2020年12月期间入院的450例患者。跌倒的发生率与莫尔斯跌倒量表（MFS）所确定的跌倒风险水平以及入院时的个体状况相关，包括入院史、头晕、睡眠障碍、肠道功能障碍和尿失禁。与无风险组相比，MFS评分低风险组（比值比（OR）=2.61，<0.001）和高风险组（OR = 5.51，<0.001）患者跌倒的比值比更高。MFS评分高风险组患者跌倒的风险比（HR）更高（风险比（HR）= 3.85，<0.001）。MFS对预测跌倒风险具有显著的解释力。睡眠障碍和尿失禁是影响患者跌倒的重要因素。
