A Systematic Review of Falls Risk of Frail Patients with Dementia in Hospital: Progress, Challenges, and Recommendations.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Clinical Interventions in Aging Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI:10.2147/CIA.S400582

Naomi Davey, Eimear Connolly, Paul Mc Elwaine, Sean P Kennelly

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引用次数: 0

Abstract

This review article assesses the effectiveness and limitations of strategies to reduce falls among hospitalized older adults with frailty and dementia. It explores the efficacy of existing fall prevention strategies for a cohort that is acutely susceptible to falls and fall-related consequences. A systematic literature search was conducted across MEDLINE, Embase, CINAHL, and PsycINFO, employing Medical Subject Headings (MeSH) to identify studies on fall prevention strategies in hospitalized older adults with both dementia and frailty published from 2013 to 2023. The initial 643 records were distilled to eight articles, with Structured Interdisciplinary Bedside Rounds (SIBR) emerging as a notable intervention. SIBR demonstrated a reduction in falls by fostering improved interdisciplinary communication and care planning. However, a decline in family engagement during consecutive sessions suggests a need for strategies to sustain familial involvement. The findings advocate for patient-centered interventions that address the cognitive and functional challenges faced by this cohort of older adults. This review advocates for comprehensive and inclusive research in hospital environments to improve fall prevention strategies for frail older adults with dementia.

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关于住院老年痴呆症患者跌倒风险的系统性综述：进展、挑战和建议。

这篇综述文章评估了减少患有虚弱症和痴呆症的住院老年人跌倒的策略的有效性和局限性。文章探讨了现有预防跌倒策略对易发生跌倒及与跌倒相关后果的人群的有效性。我们利用医学主题词表（MeSH）在MEDLINE、Embase、CINAHL和PsycINFO中进行了系统的文献检索，以确定2013年至2023年期间发表的有关患有痴呆症和体弱的住院老年人跌倒预防策略的研究。最初的643条记录被提炼为8篇文章，其中结构化跨学科床旁查房（SIBR）是一项值得关注的干预措施。通过改善跨学科交流和护理规划，SIBR 减少了跌倒的发生。然而，在连续的治疗过程中，家属的参与度有所下降，这表明需要制定策略来维持家属的参与度。研究结果提倡采取以患者为中心的干预措施，以应对这部分老年人在认知和功能方面所面临的挑战。本综述提倡在医院环境中开展全面、包容的研究，以改进针对患有痴呆症的体弱老年人的跌倒预防策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.80

自引率

2.80%

发文量

193

审稿时长

6-12 weeks

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.