Does acute care for the elderly (ACE) unit decrease the incidence of falls?
Does acute care for the elderly (ACE) unit decrease the incidence of falls?
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DOI：
10.1016/j.gerinurse.2017.10.011
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发表时间：
2018-05-01
影响因子：
2.7
通讯作者：
Bachuwa, Ghassan
中科院分区：
文献类型：
--
作者：
Abdalla, Ahmed;Adhaduk, Mehul;Bachuwa, Ghassan
为了确定与普通内科和外科（GMS）病房相比，老年人急性护理（ACE）病房是否降低了患者福尔斯的发生率，进行了一项非同期前瞻性研究，纳入了在2年内入住ACE或GMS病房的65岁及以上患者。有7069例入院，相当于28,401个患者日。共报告了149例福尔斯，总发生率（IR）为5.2例福尔斯/1000患者日，95%CI，4.4/10006.1/1000患者日。在调整年龄、性别、处方精神药物和催眠药以及莫尔斯跌倒评分后，ACE病房患者与非ACE病房患者相比的福尔斯IR比率为0.27/1000患者-天; 95% CI，0.13 - 0.54; p < 0.001。因此，估计患者福尔斯减少73%介于ACE单位和非ACE单位之间。医院可以考虑投资ACE单位，以降低福尔斯的风险和相关的医疗和财务费用。(C)2017爱思唯尔公司All rights reserved.
To determine whether acute care for the elderly (ACE) units decrease the incidence of patient falls compared to general medical and surgical (GMS) units, a non-concurrent prospective study included individuals aged 65 and older admitted to ACE or GMS units over a 2-year span was done. There were 7069 admissions corresponded to 28,401 patient-days. A total of 149 falls were reported for an overall incidence rate (IR) of 5.2 falls per 1000 patient-days, 95% CI, 4.4/10006.1/1000 patient-days. The falls IR ratio for patients in ACE unit compared to those in non-ACE units after adjusting for age, sex, prescribed psychotropics and hypnotics, and Morse Fall Score was 0.27/1000 patient-days; 95% CI, 0.130.54; p < 0.001. So, an estimated 73% reduction in patient falls between ACE unit and non-ACE units. Hospitals may consider investing in ACE units to decrease the risk of falls and the associated medical and financial costs. (C) 2017 Elsevier Inc. All rights reserved.