确定跌倒损伤患者住院和手术的相对风险。

IF 1.2 Q4 HEALTH POLICY & SERVICES Health Systems Pub Date : 2021-08-17 eCollection Date: 2022-01-01 DOI:10.1080/20476965.2021.1966323
Dinesh R Pai, Hengameh M Hosseini, Stephen R Rosito
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引用次数: 1

摘要

在美国,跌倒是造成非致命和致命伤害的最常见原因之一,每年造成的损失估计超过540亿美元。到医院急诊科(ED)就诊的患者中有相当大比例的人住院治疗。本文分析了一个地区医院的数据有关的成年人呈现到急诊室,因为跌倒。我们使用患者的人口统计数据和医疗条件来帮助确定患者在跌倒后立即出现不良后果的风险。此外,我们确定患者住院和手术的相对风险及其特征。我们的研究结果表明,老年患者、救护车到达的患者、严重程度较高的患者和已有合并症的患者住院和手术的相对风险较高。此外,患有股骨和胫骨骨折、骨盆、肾衰竭、行走功能障碍和蜂窝组织炎等疾病的患者以及非西班牙裔白人住院和手术的相对风险要高得多。
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Determining the relative risk of hospitalisation and surgery of fall injury patients.

Falls are one of the most common cause of nonfatal and fatal injuries in the U.S. costing over an estimated $54 billion annually. A significant percentage of patients presenting to hospital emergency departments (ED) for falls are hospitalised. This paper analyzes a regional hospital data pertaining to adults presenting to the ED because of falls. We use patient demographics and medical conditions to help identify patients at risk for immediate undesirable outcomes after a fall. Furthermore, we determine the relative risk of patient hospitalisation and surgery and their characteristics. Our results indicate that older patient's, patients arriving by ambulance, patients with higher severity levels and patients with pre-existing comorbidities were at a higher relative risk of hospitalisation and surgery. Furthermore, patients with medical conditions pertaining to femur and tibia fractures, pelvis, renal failure, ambulatory dysfunction, and cellulitis, among others, and non-Hispanic whites were at a much higher relative risk of hospitalisation and surgery.

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来源期刊
Health Systems
Health Systems HEALTH POLICY & SERVICES-
CiteScore
4.20
自引率
11.10%
发文量
20
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