Falls in a Young Active Amputee Population: A Frequent Cause of Rehospitalization?
Falls in a Young Active Amputee Population: A Frequent Cause of Rehospitalization?
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DOI：
10.7205/milmed-d-14-00450
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发表时间：
2015-10-01
影响因子：
1.2
通讯作者：
Hsu, Joseph R.
中科院分区：
文献类型：
--
作者：
Felcher, Shaun M.;Stinner, Daniel J.;Hsu, Joseph R.
福尔斯发生在高达50%的截肢者在一年内他们的手术和高达40%的这些福尔斯导致伤害。然而，尽管估计有58%的截肢患者年龄在65岁以下，但缺乏评估年轻、活跃的截肢者人群中福尔斯跌倒的数据。作者评价了平均年龄为25.53岁的截肢者人群（n = 393）。计算导致再住院的福尔斯的总体发生率、患病率、跌倒特征和风险因素。发病率为1.92/1000人年，患病率为2.04%，其中87.5%发生在明确截肢后的前6个月内。在再次住院的患者中，75%需要至少1次外科手术。感染并发症的发病率最高，平均需要5次手术。延迟评估的患者（平均= 13天）与跌倒后0 - 1天的患者相比，感染并发症的风险显著更高（p = 0.03）。这项研究是第一个报告这种关系，并强调有风险的患者需要寻求早期医疗照顾，因为这可能会最大限度地减少感染的风险，并减少手术干预的需要。
Falls occur in up to 50% of amputees within a single year of their operation and up to 40% of these falls result in injury. However, there is a lack of data evaluating falls in a young, active amputee population despite an estimated 58% of persons living with an amputation being under the age of 65. The authors evaluated an amputee population (n = 393) with a mean age of 25.53 years. Overall incidence, prevalence, fall characteristics, and risk factors were calculated for falls resulting in rehospitalization. An incidence of 1.92 per 1,000 person years with a prevalence of 2.04% was found with 87.5% occurring within the first 6 months following definitive amputation. Of the patients rehospitalized, 75% required at least 1 surgical procedure. Infectious complications had the most significant morbidity requiring a mean of 5 operative procedures. Those that delayed evaluation (mean = 13 days) vs. those that presented 0 to 1 day from a fall were significantly more at risk of an infectious complication (p = 0.03). This study is the first to report such a relationship, and emphasizes the need for at-risk patients to seek early medical attention as this may minimize the risk of infection and obviate the need for surgical intervention.