Profile of fall injury in the New South Wales older adult population
Profile of fall injury in the New South Wales older adult population
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DOI：
10.1016/j.aenj.2016.07.001
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发表时间：
2016-11-01
期刊：
影响因子：
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通讯作者：
Balogh, Zsolt J.
中科院分区：
文献类型：
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作者：
Miu, Jenny;Curtis, Kate;Balogh, Zsolt J.
背景资料：来自新南威尔士州（NSW）创伤登记处的先前报告确定严重受伤患者的福尔斯和年龄增长非常普遍，但详细的损伤和人口统计学特征，结果及其预测因素报告很少。本研究描述了新南威尔士州老年重大创伤患者的跌倒损伤概况。方法：2010年至2014年期间对55岁及以上患者进行的回顾性登记研究，这些患者因跌倒而遭受中度至严重损伤，使用回归分析检查死亡率和住院时间。结果：在2010年至2014年期间，有4263例严重创伤福尔斯，大多数发生在家中（55.4%），在同一水平（46.7%），并导致头部受伤（63.2%）。跌倒后死亡率的重要预测因素是年龄增加，男性，福尔斯在住宿护理机构，孤立的头部损伤和损伤分类为危重（ISS 41-75）。结论：福尔斯在老年人的结果是非常差的，需要一个有针对性的前瞻性研究，以确定干预和预防领域。本研究中确定的跌倒后死亡率的预测因素可与现有研究一起使用，以开发工具并设计在紧急情况下实施的护理路径，以改善患者护理和结局。皇冠版权所有（C）2016由爱思唯尔有限公司代表澳大拉西亚急诊护理学院发布。All rights reserved.
Background: A previous report from the New South Wales (NSW) Trauma Registry identified falls and increasing age of severely injured patients as highly prevalent, but detailed injury and demographic profiles, outcomes and their predictors are poorly reported. This study describes the fall-injury profile in the older adult major trauma patient in NSW.Methods: A retrospective registry based study between 2010 and 2014 on patients aged 55 years and over who sustained a moderate to critical injury from a fall, examining mortality and length of stay using regression analyses.Results: There were 4263 major trauma falls between 2010 and 2014, most occurring at home (55.4%), on the same level (46.7%) and resulting in head injury (63.2%). Significant predictors for mortality following a fall were increased age, male gender, falls in residential care institutions, isolated head injuries and injury classified as critical (ISS 41-75).Conclusions: The outcomes of falls in the older adult are very poor and a focused prospective study is required to identify areas for intervention and prevention. The predictors of mortality following a fall identified in this study can be used with existing research to develop tools and design care pathways for implementation in the emergency context to improve patient care and outcomes. Crown Copyright (C) 2016 Published by Elsevier Ltd on behalf of College of Emergency Nursing Australasia. All rights reserved.