跌倒发生率及其相关因素:单个中心的经验

Bee Chiu Lim, Fatihah Mahmud, Bunyamin Abdullah, Muhammad Hazrul Badrul Hisham, Shanti Nalalingam, Fariz Safhan Mohamad Nor
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引用次数: 0

摘要

简介:病人在住院期间跌倒会造成灾难性的伤害,仍然是医院面临的主要病人安全问题之一。本研究旨在确定住院病人跌倒率以及跌倒相关伤害与社会人口变量之间的关联。材料与方法:在2017年1月至2019年12月期间,对一个中心的一次性住院患者跌倒进行了回顾性记录审查。采用皮尔逊卡方检验或费雪精确检验评估分类变量之间的关联。结果:2017年1月至2019年12月期间,共有44名住院患者发生过一次跌倒。从 2017 年到 2019 年,住院患者跌倒率为每 10000 个患者日 3.0 例。总体而言,跌倒的患者中有人受伤(24 人,占 55%)。年龄组、性别、摔倒时间、辅助类型、摔倒史、摔倒风险评估、精神状态、涉及科室和摔伤结果之间无明显差异。结论:我们的研究显示,2017-2019年每10000个患者日的跌倒发生率较低。超过一半的跌倒者经历了伤害性跌倒。手术科室的跌倒率最高。然而,伤害性跌倒结果与社会人口变量之间没有明显差异。风险评估和管理策略应侧重于教育,尤其是床铺安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence of Fall and its Associated Factor: A Single Centre Experience
INTRODUCTION: Patient falls during hospitalisation can cause catastrophic injuries and remain one of the major patient-safety issues faced by hospitals. This study was designed to determine the inpatient falls rate and the association between fall-related injury and sociodemographic variables. MATERIALS AND METHODS: A retrospective record review was conducted for a one-time inpatient fall in a single centre between January 2017 and December 2019. Pearson chi-square or Fisher's exact test were performed to assess association between the categorical variables. RESULTS: There were 44 inpatient falls who fell one time between January 2017 and December 2019. The inpatients fall rate was 3.0 per 10000 patient-days from 2017 to 2019. Overall, the patients who fell experienced an injury (n=24, 55%). There was no significant difference between age group, gender, time of fall, assisted type, history of fall, fall risk assessment, mental status, the department involved, and injurious fall outcome. CONCLUSION: Our study showed a low incidence of fall rate per 10000 patient-days for 2017-2019. More than half of the fallers experienced an injurious fall. The highest fall rate was noted in the surgical based departments. However, there was no significant difference between injurious fall outcomes and sociodemographic variables. Risk assessments and management strategies should focus on education, particularly bed safety.
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