PDF(Pubmed)
Abstract：
Falls commonly occur in hospitals, particularly among older adults. Fractures in the older population can cause major morbidity, which can result in long hospital admissions and increased care costs. This study aimed to characterise the demographics of patients aged 65 years and over who fell in hospital and to determine the type of fractures they sustained. A descriptive study was undertaken to examine hospital data of older inpatients who had a fall during admission in two regional Queensland hospitals in Australia over a 2.5-year period. The prevalence of inpatient falls was 1.28%. Most falls were unwitnessed (77.34%) and they had an average of seven medical comorbidities. The mean age was 80.4 years and 63% were male. Women who fell were significantly older than men (p = 0.004). The mean length of stay of in-hospital fallers was 22.77 days and same admission mortality was 9.3%. Thirty-three fall events (3.8%) resulted in fractures, some with multiple injuries. The most common fracture was neck of femur, followed by rib, femur, and facial fractures. In conclusion, this study identifies the incidence of falls increased with age, most falls were unwitnessed, as well as provides evidence that patients with falls had multiple comorbidities and long hospital admissions. The data could be used to optimise fall prevention strategies and to refine post-fall assessment pathways.
摘要：
跌倒通常发生在医院，尤其是在老年人中。老年人群的骨折会导致严重的发病率，这可能导致长期住院和增加护理费用。这项研究旨在描述65岁及以上住院患者的人口统计学特征，并确定他们所承受的骨折类型。进行了一项描述性研究，以检查在2.5年内在澳大利亚昆士兰州的两家地区医院入院时跌倒的老年住院患者的医院数据。住院患者跌倒的患病率为1.28%。大多数跌倒是目击不到的（77.34％），平均有7种医疗合并症。平均年龄为80.4岁，63%为男性。跌倒的女性明显比男性大（p=0.004）。住院患者的平均住院时间为22.77天，相同的入院死亡率为9.3％。33次跌倒事件(3.8%)导致骨折,有些人多处受伤。最常见的骨折是股骨颈，接着是肋骨,股骨,面部骨折.总之,这项研究确定了跌倒的发生率随着年龄的增长而增加，大多数坠落都是目不转睛的,并提供了跌倒患者有多种合并症和长期住院的证据。这些数据可用于优化跌倒预防策略并完善跌倒后评估途径。
