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住院老年患者跌倒的相关危险因素

Risk Factors Associated with Falls in Hospitalized Older Adults Patients.

作者信息

Chen Miaohong, Tao Yajuan, Lin Zhexin, Li Shiliang, He Wen, Zhang Ling

机构信息

Sun Yat-Sen University, Guangzhou, China.

出版信息

Gerontol Geriatr Med. 2024 Dec 3;10:23337214241302711. doi: 10.1177/23337214241302711. eCollection 2024 Jan-Dec.

Abstract

Given the complexity of existing assessment methods and the scarcity of specialized geriatric healthcare professionals in China, this study aimed to investigate the risk factors for falls in hospitalized older adults patients. Methods: From July 2018 to July 2020, 112 older adults patients hospitalized in the Department of Geriatrics of our hospital were enrolled and grouped into the low-( = 12), medium-( = 58), and high-( = 42) (fall) risk groups according to the Johns Hopkins Fall Risk Assessment. The patient's clinical characteristics, smoking, alcohol consumption, disease, falling history, osteoporosis medication, mobility, Barthel index, MMSE, and JHFRAT score were compared between groups. The high-risk group had the oldest age, and the lowest weight, BMI, as well as highest rate of stroke history and sarcopenia among the three groups. Multivariate linear regression analysis revealed that stroke history ( = 2.66, 95% CI = [0.43, 4.89];  = .020) and gait speed ( = -4.78, 95% CI = [-8.74, -0.76];  = .020) were the significant factors associated with fall risk in hospitalized older adults patients. The results suggested that hospitalized older adults patients with stroke history and low gait speed had higher fall risk. These findings may be helpful for fall prevention in hospitalized older adults patients.

摘要

鉴于现有评估方法的复杂性以及中国老年专科医疗保健专业人员的稀缺,本研究旨在调查住院老年患者跌倒的风险因素。方法:2018年7月至2020年7月,选取我院老年科住院的112例老年患者,根据约翰霍普金斯跌倒风险评估分为低(n = 12)、中(n = 58)、高(n = 42)(跌倒)风险组。比较各组患者的临床特征、吸烟、饮酒、疾病、跌倒史、骨质疏松症用药、活动能力、Barthel指数、MMSE和JHFRAT评分。高危组年龄最大,三组中体重、BMI最低,卒中史和肌肉减少症发生率最高。多因素线性回归分析显示,卒中史(β = 2.66,95%CI = [0.43, 4.89];P = .020)和步态速度(β = -4.78,95%CI = [-8.74, -0.76];P = .020)是住院老年患者跌倒风险的重要相关因素。结果表明,有卒中史且步态速度慢的住院老年患者跌倒风险更高。这些发现可能有助于预防住院老年患者跌倒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf62/11613288/0a2eae328fb9/10.1177_23337214241302711-fig1.jpg

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