Characteristics of early fallers on elderly patient rehabilitation wards

Characteristics of early fallers on elderly patient rehabilitation wards
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DOI:
10.1093/ageing/32.3.338
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发表时间:
2003-05-01
期刊:
影响因子:
6.7
通讯作者:
Allen, SC
Allen, SC
中科院分区:
医学1区
文献类型:
--
作者:
Vassallo, M;Sharma, JC;Allen, SC

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背景:跌倒是老年康复病房最常见的并发症之一。目的:研究早期跌倒和晚期跌倒的特点。设计:前瞻性观察研究,采用盲法终点评估。地点:非急性老年医院。对象:1025名因急性疾病治疗后住院接受康复治疗的患者。主要观察指标:早期跌倒/晚期跌倒和首次跌倒入院时间。结果:我们确定了824例未跌倒者和201例首次跌倒者。77个(38.3%)在第一周内下跌。在接下来的几周里,发病率逐渐下降。早期跌倒的人更有可能有跌倒史(P=0.0009),步态不安全(P=0.001),精神错乱(P
Background: falls are one of the most frequent complications on rehabilitation wards for elderly patients.Objective: to study the characteristics of early and late fallers.Design: prospective observational study with blinded end-point evaluation.Setting: a non-acute geriatric hospital.Subjects: 1025 consecutive patients admitted for rehabilitation following treatment for an acute illness.Main outcome measures: early/late fallers and time to first fall from admission.Results: we identified 824 non-fallers and 201 fallers. Seventy seven (38.3%) fell during the first week. The incidence decreased progressively in subsequent weeks. Early fallers were more likely to have a past history of falls (P=0.0009), an unsafe gait (P=0.001), confusion (P