| 王玉波,陈雪丽,Qing Shen,Daniel KY Chan,Huong Van Nguyen.住院期间反复跌倒的老年患者认知损伤特点的临床回顾性研究[J].中国康复医学杂志,2010,25(8):740~743 |
| 住院期间反复跌倒的老年患者认知损伤特点的临床回顾性研究 点此下载全文 |
| 王玉波 陈雪丽 Qing Shen Daniel KY Chan Huong Van Nguyen |
| 北京老年医院康复科，北京海淀区温泉路118号，100095 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 2047 |
| 全文下载次数: 1897 |
| 摘要： |
| 摘要
目的：探索导致老年患者住院期间反复跌倒的相关因素，焦点在其认知损伤的特点，目的是探索可借鉴的管理经验。
方法：回顾性地研究了在澳大利亚新南威尔士州Bankstown-Lidcombe医院老年科住院治疗期间发生跌倒的患者，其中住院期间跌倒1次以上的70例、1次的269例，并随机抽取没发生过跌倒的70例为对照组。同时，分析了部分患者的简易智能检查量表（MMSE）总分和各亚项目分数。
结果：住院老年患者反复跌倒的独立危险因素是痴呆、脑卒中、房颤和住院时间>5周，保护性因素有英语背景。反复跌倒的患者的MMSE分值明显低于单次跌倒和未发生跌倒的患者（分别为17.3±6.7, 20.2±6.2, 24.0±5.1,P<0.01），反复跌倒患者在“瞬间记忆”、“注意力和计算力”和“视空间结构”方面分值明显低于单次跌倒患者。
结论：认知功能障碍是住院老年患者反复跌倒的主要原因，尤其是在瞬间记忆、延时记忆和视空间结构方面。老年人住院期间跌倒应规范管理，预防为主，尤其是认知功能损伤的患者。 |
| 关键词：住院患者 老年人 反复跌倒 认知障碍 |
| Characteristics associated with recurrent falls among the elderly within aged care wards in a tertiary hospital in Australia: the effect of cognitive impairment Download Fulltext |
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| Department of Rehabilitation, Beijing Geriatric Hospital, Beijing, 100095 |
| Fund Project: |
| Abstract: |
| Abstract
Objective:To determine the factors associated with recurrent falls in aged inpatients at a tertiary hospital in Australia, with a focus on the cognitive domains of recurrent fallers and to explore the management experience for reference.
Method：A retrospective study was proceeded on the characteristics of 70 aged inpatients who sustained≥1 falls, 269 patients who sustained once fall; and 70 non-fallers during their hospital admission. The available mini-mental state examination （MMSE） scores were analyzed.
Result: The independent risk factors for recurrent falls were the history of dementia, stroke, or atrial fibrillation, and the lengths of patients staying in hospital were >5 weeks. The protective factor for falls were the patients′ ability of speaking English. Recurrent fallers had significantly lower MMSE scores compared with once fallers and non-fallers （17.3±6.7, 20.2±6.2, 24.0±5.1 respectively, P<0.01）; and the proportion of recurrent fallers who had MMSE < 18 was larger than that in the other two groups （54.1%, 34.4% and 10.8% respectively, P<0.01）. In addition, patients with recurrent falls were more likely to have significantly lower scores in the ′registration′, ′attention and calculation′, ′recall′ and ′praxis′ domains of MMSE than the once fallers.
Conclusion: Cognitive impairment particularly in short-term memory, recall and visuospatial perception domains, may contribute to recurrent falls in the inpatient population. |
| Keywords:inpatient the elderly recurrent fall cognitive impairment |
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