Combined Assessment of Cognitive and Balance Abilities to Predict Falls in Patients in the Convalescent Rehabilitation Ward.

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Aging and Health Pub Date : 2024-11-18 DOI:10.1177/08982643241302366

Koki Kawamura, Shota Ishino, Masato Hotta, Hitoshi Kagaya, Izumi Kondo, Kenichi Ozaki, Manabu Kokubo

{"title":"Combined Assessment of Cognitive and Balance Abilities to Predict Falls in Patients in the Convalescent Rehabilitation Ward.","authors":"Koki Kawamura, Shota Ishino, Masato Hotta, Hitoshi Kagaya, Izumi Kondo, Kenichi Ozaki, Manabu Kokubo","doi":"10.1177/08982643241302366","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to investigate the relationship between falls and cognitive and balance problems in patients.Methods: This retrospective observational study analyzed the medical records of 1010 older patients admitted to a convalescent rehabilitation ward. The primary endpoint was fall occurrence during ward stays. The main outcomes were the Mini-Mental State Examination (MMSE) and Standing Test for Imbalance and Disequilibrium (SIDE), with patients divided into groups of MMSE ≥28 and <28 and SIDE ≥2b and <2b.Results: During ward stays, 220 patients (22%) fell. Estimating the fall risk of the MMSE ≥28 + SIDE ≥2b group compared to that of other groups revealed that only the MMSE <28 + SIDE <2b group had a significantly higher fall risk, with a hazard ratio [95% confidence interval] of 3.13 [1.51-6.46].Conclusion: Combined MMSE and SIDE assessment at ward admission facilitated the easy identification of individuals at high fall risk.","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241302366"},"PeriodicalIF":2.2000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aging and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08982643241302366","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to investigate the relationship between falls and cognitive and balance problems in patients.

Methods: This retrospective observational study analyzed the medical records of 1010 older patients admitted to a convalescent rehabilitation ward. The primary endpoint was fall occurrence during ward stays. The main outcomes were the Mini-Mental State Examination (MMSE) and Standing Test for Imbalance and Disequilibrium (SIDE), with patients divided into groups of MMSE ≥28 and <28 and SIDE ≥2b and <2b.

Results: During ward stays, 220 patients (22%) fell. Estimating the fall risk of the MMSE ≥28 + SIDE ≥2b group compared to that of other groups revealed that only the MMSE <28 + SIDE <2b group had a significantly higher fall risk, with a hazard ratio [95% confidence interval] of 3.13 [1.51-6.46].

Conclusion: Combined MMSE and SIDE assessment at ward admission facilitated the easy identification of individuals at high fall risk.

查看原文本刊更多论文

综合评估认知能力和平衡能力以预测康复疗养病房患者的跌倒情况

研究目的本研究旨在探讨跌倒与患者认知和平衡问题之间的关系：这项回顾性观察研究分析了入住疗养康复病房的 1010 名老年患者的医疗记录。研究的主要终点是住院期间的跌倒发生率。主要结果为迷你精神状态检查（MMSE）和站立失衡和不平衡测试（SIDE），将患者分为MMSE≥28组和结果组：在病房住院期间，有220名患者（22%）跌倒。在估算 MMSE≥28 + SIDE≥2b 组与其他组的跌倒风险时发现，只有 MMSE 结论：入院时进行 MMSE 和 SIDE 联合评估有助于轻松识别高跌倒风险人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.