Prospective study of fall risk assessment among institutionalized elderly in Japan.
Prospective study of fall risk assessment among institutionalized elderly in Japan.
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DOI：
10.1046/j.1442-2018.2002.00119.x
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发表时间：
2002-12-01
影响因子：
2.7
通讯作者：
Hiramatsu, Tomoko
中科院分区：
文献类型：
--
作者：
Izumi, Kiyoko;Makimoto, Kiyoko;Hiramatsu, Tomoko
本研究的目的是确定机构中的老年人福尔斯的危险因素，使用Izumi开发的标准化风险评估工具。我们检查了746例患者从三种类型的设施：康复病房在四个综合医院，三个长期护理设施，三个疗养院，长达三个月。所有设施内的福尔斯发生率为12.5%。不同类型的设施之间的相对风险下降的模式不同。在长期护理机构和疗养院跌倒的相对风险最高的是护士的预测，其次是跌倒史和精神状态改变。相比之下，在综合医院，这是流动性。在长期护理机构中，福尔斯史（优势比3.68，95 CI：1.47-9.23）和相互作用（福尔斯史和辅助排便）（优势比3.13，95 CI：1.48-6.64）对跌倒的调整优势比显示出显著性。福尔斯史、精神状态改变和辅助排便可用于筛查入院时跌倒高风险患者。
The purpose of the present study was to identify risk factors for falls among institutionalized elderly, using the standardized risk assessment tool developed by Izumi. We examined 746 patients from three types of facilities: rehabilitation wards in four general hospitals, three long-term care facilities, and three nursing homes, for up to three months. The incidence of falls within all facilities was 12.5%. Patterns of relative risks of falling differed among types of facilities. The highest relative risk of fall in long-term care facilities and nursing homes was nurses' prediction, followed by history of fall and altered mentation. In contrast, that in general hospitals was mobility. In long-term care facilities, history of falls (odds 3.68, 95CI: 1.47-9.23) and interaction (history of falls and assistance with toileting) (odds 3.13, 95CI: 1.48-6.64) showed significance on adjusted-odds ratios for fall. History of falls, altered mentation, and assistance with toileting may be used to screen patients at a high risk for fall at admission.