Falls Among Adult Patients Hospitalized in the United States: Prevalence and Trends
Falls Among Adult Patients Hospitalized in the United States: Prevalence and Trends
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DOI：
10.1097/pts.0b013e3182699b64
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发表时间：
2013-03-01
影响因子：
2.2
通讯作者：
Shorr, Ronald I.
中科院分区：
文献类型：
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作者：
Bouldin, Erin L. D.;Andresen, Elena M.;Shorr, Ronald I.
目的：本研究的目的是提供美国跌倒患病率的规范性数据。S.医院的单位类型，并确定27个月的长期趋势，在福尔斯实施前的医疗保险和医疗补助服务中心（CMS）的规则，不报销医院的护理有关的伤害造成的医院福尔斯。我们使用了2006年7月1日至2008年9月30日期间收集的国家护理质量指标数据库（NDNQI）的数据，估计成人内科、内科-外科和外科护理单位发生福尔斯的患病率和长期趋势。来自美国1263家医院的6100个内科、外科和内科-外科护理单位的观察超过8800万患者日（pd）。总共发生了315,817起福尔斯跌倒事件（发生率= 3.56福尔斯/1000 pd），其中82，332例（26.1%）导致受伤（发生率= 0.93/1000 pd）。总跌倒率和损伤性跌倒率在医疗单位最高（跌倒率= 4.03/1000 pd;损伤性跌倒率= 1.08/1000 pd），在外科单位最低（跌倒率= 2.76/1000 pd;损伤性跌倒率= 0.67/1000 pd）。福尔斯（每季度下降0.4%，P < 0.0001）和伤害性福尔斯（每季度下降1%，P G 0.0001）均在27个月的研究中下降。结论：在这个大样本中，跌倒和伤害性跌倒的患病率因美国医院的护理单位类型而异。在为期27个月的研究中，福尔斯（P <0.0001）和损伤性福尔斯（P <0.0001）发生率小幅下降，但具有统计学显著性。
Objectives: The purpose of this study was to provide normative data on fall prevalence in U. S. hospitals by unit type and to determine the 27-month secular trend in falls before the implementation of the Centers for Medicare and Medicaid Service (CMS) rule, which does not reimburse hospitals for care related to injury resulting from hospital falls.Methods: We used data from the National Database of Nursing Quality Indicators (NDNQI) collected between July 1, 2006, and September 30, 2008, to estimate prevalence and secular trends of falls occurring in adult medical, medical-surgical, and surgical nursing units. More than 88 million patient days (pd) of observation were contributed from 6100 medical, surgical, and medical-surgical nursing units in 1263 hospitals across the United States.Results: A total of 315,817 falls occurred (rate = 3.56 falls/1000 pd) during the study period, of which, 82,332 (26.1%) resulted in an injury (rate = 0.93/1000 pd). Both total fall and injurious fall rates were highest in medical units (fall rate = 4.03/1000 pd; injurious fall rate = 1.08/1000 pd) and lowest in surgery units (fall rate = 2.76/1000 pd; injurious fall rate = 0.67/1000 pd). Falls (0.4% decrease per quarter, P < 0.0001) and injurious falls (1% decrease per quarter, P G 0.0001) both decreased over the 27-month study.Conclusions: In this large sample, fall and injurious fall prevalence varied by nursing unit type in U.S. hospitals. Over the 27-month study, there was a small, but statistically significant, decrease in falls (P G 0.0001) and injurious falls (P < 0.0001).