Lower Incidence of In-Hospital Falls in Patients Hospitalized in Window Beds Than Nonwindow Beds
Lower Incidence of In-Hospital Falls in Patients Hospitalized in Window Beds Than Nonwindow Beds
复制标题
靠窗床位住院的患者院内跌倒发生率低于非靠窗床位住院的患者
DOI：
10.1016/j.jamda.2019.07.006
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发表时间：
2020
影响因子：
7.6
通讯作者：
Obayashi Kenji
中科院分区：
文献类型：
--
作者：
Iwamoto Junko;Saeki Keigo;Kobayashi Miwa;Yamagami Yuki;Yoshida Osamu;Kurumatani Norio;Obayashi Kenji
目的比较窗口床和非窗口床住院患者的院内福尔斯发生率。设计回顾性队列研究。地点：日本三重市一家综合医院。（平均年龄，2014年1月至2016年12月期间在四床房住院的68.4岁）。（窗口/非窗口）和院内福尔斯跌倒的发病率分别使用医疗记录和发病率报告的数据。结果在25,450人-天的观察期内，57例患者发生院内福尔斯跌倒（发病率为2.24/1000人-天）。有窗床组（n = 1273）的院内福尔斯发生率显著低于无窗床组（n = 1494）[发生率比（IRR）0.49，95%置信区间（CI），0.29，0.84]。在校正了年龄、性别、BMI、吸烟和饮酒习惯、住院期间手术和日常生活独立性的多变量分析中，窗口床组的住院福尔斯发生率显著低于非窗口床组（IRR 0.54，95% CI 0.32，0.93）。排除年龄<60岁患者的敏感性分析显示一致的结果：住院期间福尔斯的发生率在窗口床组中显著较低（n = 1123）比非开窗床组（n = 925）（IRR 0.55，95% CI 0.31，结论：在窗口病床住院的病人院内福尔斯发生率明显低于非窗口病床。在窗床上住院可能是一种新颖的，简单的预防院内福尔斯的选择。需要进一步的大规模、前瞻性、多中心研究。
ObjectivesComparing the incidence rate of in-hospital falls between patients hospitalized in window beds and nonwindow beds.DesignRetrospective cohort study.SettingA general hospital in Mie, Japan.ParticipantsA total of 2767 patients (mean age, 68.4 years) hospitalized in four-bedded rooms between January 2014 and December 2016.MeasuresWe identified patients' bed status (window/nonwindow) and the incidence of in-hospital falls using data on medical records and incidence reports, respectively.ResultsDuring an observation period of 25,450 person-days, 57 patients had in-hospital falls (incidence rate, 2.24/1000 person-days). Incidence rate for in-hospital falls was significantly lower in the window-bed group (n = 1273) than in the nonwindow-bed group (n = 1494) [incidence rate ratio (IRR) 0.49, 95% confidence interval (CI), 0.29, 0.84]. In the multivariable analysis adjusted for age, gender, BMI, smoking and drinking habit, surgical operation during hospitalization, and independence in daily living, the window-bed group exhibited significantly lower incidence rate for in-hospital falls than the nonwindow-bed group (IRR 0.54, 95% CI 0.32, 0.93). Sensitivity analysis excluding patients aged <60 years suggested a consistent result: incidence rate for in-hospital falls was significantly lower in the window-bed group (n = 1123) than in the nonwindow-bed group (n = 925) (IRR 0.55, 95% CI 0.31, 0.95).Conclusions and implicationsThe incidence rate of in-hospital falls was significantly lower among patients hospitalized in window beds than nonwindow beds. Hospitalization in window beds might be a novel, simple preventive option for in-hospital falls. Further large-scale, prospective, multicenter research is required.