Use of risk assessment tool for inpatient traumatic intracranial hemorrhage after falls in acute care hospital setting.
Use of risk assessment tool for inpatient traumatic intracranial hemorrhage after falls in acute care hospital setting.
复制标题
DOI：
10.5539/gjhs.v4n3p64
复制
发表时间：
2012-04-28
期刊：
影响因子：
--
通讯作者：
Toyabe S
中科院分区：
文献类型：
--
作者：
Toyabe S
颅内出血（ICH）等严重损伤是跌倒住院后最严重的问题，但它们尚未被纳入跌倒风险评估评分中。我们试图确定 20,320 名住院患者（696,364 个患者日）的跌倒后脑出血的危险因素，这些患者年龄在 40 岁至 90 岁之间，他们入住于三级甲级大学医院。通过单变量和多变量分析，分析了可能的风险因素，包括 STRATIFY 跌倒风险评分和 FRAX™ 骨折风险评分。跌倒者占患者的3.2%，其中5.0%的跌倒者遭受过严重伤害，包括周围骨折（59.6%）和颅内出血（23.4%）。除了 STRATIFY 之外，FRAX™ 不仅与骨折显着相关，而且还与 ICH 显着相关。同时使用跌倒风险评分和骨折风险评分可能有助于预测跌倒后脑出血等重大伤害。
Severe injuries such as intracranial hemorrhage (ICH) are the most serious problem after falls in hospital, but they have not been considered in risk assessment scores for falls. We tried to determine the risk factors for ICH after falls in 20,320 inpatients (696,364 patient-days) aged from 40 to 90 years who were admitted to a tertiary-care university hospital. Possible risk factors including STRATIFY risk score for falls and FRAX™ risk score for fractures were analyzed by univariate and multivariate analyses. Fallers accounted for 3.2% of the patients, and 5.0% of the fallers suffered major injuries, including peripheral bone fracture (59.6%) and ICH (23.4%). In addition to STRATIFY, FRAX™ was significantly associated not only with bone fractures but also ICH. Concomitant use of risk score for falls and risk score for fractures might be useful for the prediction of major injuries such as ICH after falls.