In-Hospital Fall and Fracture Risk With Conditions in the Elixhauser Comorbidity Index: An Analysis of State Inpatient Data.
In-Hospital Fall and Fracture Risk With Conditions in the Elixhauser Comorbidity Index: An Analysis of State Inpatient Data.
复制标题
Elixhauser 合并症指数中的住院跌倒和骨折风险：州住院患者数据分析。
DOI：
10.1097/pts.0000000000000637
复制
发表时间：
2021
影响因子：
2.2
通讯作者：
Peek-Asa,Corinne
中科院分区：
文献类型：
--
作者：
Davis,Jonathan;Casteel,Carri;Peek-Asa,Corinne
住院福尔斯（IHF）是医疗保健行业和寻求住院治疗的患者的重大负担。许多福尔斯跌倒导致的损伤可被视为医院获得性疾病（HAC）。我们证明了如何管理数据可以用来量化有多少IHF发生，并确定哪些条件增加这些福尔斯的风险。MethodsIowa州住院患者数据库记录从2008年至2014年的成年人超过50岁，用于量化IHF，福尔斯导致的HAC（HAC IHF），并在住院治疗期间骨折。在Elixhauser Comorbid指数中使用的医疗条件进行了评估的风险，单独的下降相关的结果，使用Poisson regression.ResultsThere有1770个记录，有一个IHF率为0.26每1000患者天的IHF。精神病（率比= 1.95，95%置信区间= 1.63-2.34）和酗酒（率比= 1.77，95%置信区间= 1.40-2.24）显示IHF风险增加最大。这些情况也增加了HAC IHF和院内骨折的风险。液体和电解质紊乱，缺乏性贫血，慢性肺部疾病增加了IHF/HAC IHF的风险，但并没有增加在医院fractions.ConclusionsAdministrative数据的风险，可用于跟踪各种下降相关的结果发生在住院治疗。Elixhauser合并症指数中的几种情况被确定为增加跌倒相关结果的风险，在评估患者跌倒的风险时应予以考虑。
ObjectiveIn-hospital falls (IHFs) are a significant burden to the healthcare industry and patients seeking inpatient care. Many falls lead to injuries that could be considered a hospital-acquired condition (HAC). We demonstrated how administrative data can be used to quantify how many IHFs occur and identify what conditions increase the risk for these falls.MethodsIowa State Inpatient Database records from 2008 to 2014 for adults older than 50 years were used to quantify IHFs, falls resulting in an HAC (HAC IHFs), and fractures during in-hospital treatment. The medical conditions used in the Elixhauser Comorbidity Index were evaluated for the risk of the separate fall-related outcomes using Poisson regression.ResultsThere were 1770 records that had an IHF for an IHF rate of 0.26 per 1000 patient days. Psychoses (rate ratio= 1.95, 95% confidence interval= 1.63–2.34) and alcohol abuse (rate ratio= 1.77, 95% confidence interval= 1.40–2.24) showed the greatest increase in IHF risk. These conditions also increased the risk of HAC IHFs and in-hospital fractures. Fluid and electrolyte disorders, deficiency anemias, and chronic pulmonary disease increased the risk for IHFs/HAC IHFs but did not increase the risk of in-hospital fractures.ConclusionsAdministrative data can be used to track various fall-related outcomes occurring during inpatient treatment. Several conditions of the Elixhauser Comorbidity Index were identified as increasing the risk of fall-related outcomes and should be considered when evaluating a patient’s risk of falling.