Incidence and risk factors of falls in patients undergoing hemodialysis: A multicenter survey in northern China

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2023-02-06 DOI:10.1111/hdi.13064

Junqing Liang MD, RN, Ying Wang BSN, RN, Weilin Zhang BSN, RN, Hong Ding RN, Yanjun Gao RN, Rui Wang RN, Xiaofei Sun RN, Ying Peng RN, Liangying Gan PhD, MD, Li Zuo PhD, MD

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引用次数: 0

Abstract

Introduction

Patients undergoing hemodialysis (HD) are at a higher risk of falls than healthy individuals. Further knowledge regarding the risk of falls could lead to better risk prevention strategies. We designed a multicenter, prospective cohort study according to the strengthening of the reporting of observational studies in epidemiology (STROBE) guidelines to investigate the incidence and risk factors of falls in patients undergoing hemodialysis in Northern China.

Methods

Patients undergoing hemodialysis in six hemodialysis units were recruited from January 2019 to January 2020. Data on demographics and disease conditions were collected at baseline. Data on other variables, the incidence of falls, and related conditions were collected every 3 months during a 1-year follow-up. The Generalized Estimating Equation model was used to evaluate factors associated with falls.

Findings

This study included 472 patients. The incidence of falls was 0.31 per patient year. In patients aged 45–64 years (p = 0.01; odds ratio [OR]: 14.801; 95% confidence interval [CI]: 1.897–115.453) and ≥ 65 years (p = 0.007; OR: 16.562; 95% CI: 2.118–129.521), anemia (p = 0.015; OR: 2.122; 95% CI: 1.154–3.902) and moderately (p = 0.003; OR: 5.439; 95% CI: 1.791–16.516) and severely abnormal timed up and go test (TUGT) levels (p = 0.001; OR: 7.032; 95% CI: 2.226–22.216) were identified as independent risk factors of falls.

Discussion

Falls are prevalent among patients undergoing in-center hemodialysis. Advanced age, anemia, and moderately and severely abnormal TUGT levels may be risk factors of falls.

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中国北方地区血液透析患者跌倒的发生率和危险因素:一项多中心调查

接受血液透析(HD)的患者比健康人有更高的跌倒风险。进一步了解跌倒风险可能会导致更好的风险预防策略。根据加强流行病学观察性研究报告(STROBE)指南，我们设计了一项多中心、前瞻性队列研究，以调查中国北方血液透析患者跌倒的发生率和危险因素。方法招募2019年1月至2020年1月在6个血液透析单位接受血液透析的患者。在基线时收集人口统计和疾病状况数据。在1年的随访中，每3个月收集一次其他变量、跌倒发生率和相关情况的数据。采用广义估计方程模型评价与跌倒相关的因素。结果本研究纳入472例患者。跌倒的发生率为0.31 /例/年。45 ~ 64岁患者(p = 0.01;优势比[OR]: 14.801;95%可信区间[CI]: 1.897-115.453)和≥65岁(p = 0.007;OR: 16.562;95% CI: 2.118-129.521)，贫血(p = 0.015;OR: 2.122;95% CI: 1.154-3.902)和中度(p = 0.003;OR: 5.439;95% CI: 1.791-16.516)和严重异常的定时up and go测试(TUGT)水平(p = 0.001;OR: 7.032;95% CI: 2.226-22.216)被确定为跌倒的独立危险因素。在接受中心血液透析的患者中，跌倒是很普遍的。高龄、贫血、中重度TUGT水平异常可能是跌倒的危险因素。

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

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.