INPATIENT ACCIDENTS IN HOSPITALS
INPATIENT ACCIDENTS IN HOSPITALS
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DOI：
10.1111/j.1532-5415.1985.tb05435.x
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发表时间：
1985-12-01
影响因子：
6.3
通讯作者：
UDEN, G
中科院分区：
文献类型：
--
作者：
UDEN, G
马尔莫市医院的病人在一年内总共发生了499起事故。超过一半的事故发生在老年护理中的患者。72%的患者在事故发生时没有被观察到。在过去的两个月里，30%的人至少下降了一次。共有299处骨折，其中127处是髋部骨折，约占该市所有髋部骨折的四分之一。医院事故组的死亡率是年龄和性别匹配的医院对照组的两倍，是瑞典人口的三倍。与医院对照组相比，事故患者更经常出现头晕和神志不清的情况，但他们的行动能力更强。三分之一的事故或多或少涉及明显的环境因素。医院护理不能保护精神和身体丧失行为能力的老年患者免受所有事故的伤害，除非采取特殊措施，这些措施可能会干扰患者的人格完整性和康复的最终目标。老年医学杂志33：833,1985
In patients admitted to the hospital in the city of Malmö altogether 499 accidents occurred in one year. More than half of the accidents occurred in patients in geriatric care. Seventy‐two percent of the patients were unobserved when the accident occurred. Thirty percent had fallen at least once in the last two months. There were 299 fractures—127 were hip fractures—contributing about one‐fourth of all hip fractures in the city. The mortality of the hospital accident group was twice as high as in age‐ and sex‐matched hospital controls and three times as high as in the population of Sweden. The accident patients more often than hospital controls had suffered from dizziness and confusion but were more mobile. More or less obvious environmental factors were involved in one‐third of the accidents. Hospital care may not protect the mentally and physically incapacitated elderly patients from all accidents unless special measures are taken, measures that may interfere with the personal integrity of the patients and with the ultimate goals of rehabilitation.J Am Geriatr Soc 33:833, 1985