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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 80(3)

Characteristics of falls in orthopedic patients during hospitalization

https://doi.org/10.18999/nagjms.80.3.341
https://doi.org/10.18999/nagjms.80.3.341
1a8b7258-8a90-4c6b-ac8b-0f241e97a49c
名前 / ファイル ライセンス アクション
06_Kobayashi.pdf 06_Kobayashi.pdf (1.1 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2018-08-31
タイトル
タイトル Characteristics of falls in orthopedic patients during hospitalization
著者 Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 84910

Kobayashi, Kazuyoshi

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Ando, Kei

× Ando, Kei

WEKO 84911

Ando, Kei

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Inagaki, Yuko

× Inagaki, Yuko

WEKO 84912

Inagaki, Yuko

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Suzuki, Yusuke

× Suzuki, Yusuke

WEKO 84913

Suzuki, Yusuke

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Nagao, Yoshimasa

× Nagao, Yoshimasa

WEKO 84914

Nagao, Yoshimasa

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 84915

Ishiguro, Naoki

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Imagama, Shiro

× Imagama, Shiro

WEKO 84916

Imagama, Shiro

Search repository
キーワード
主題Scheme Other
主題 fall
キーワード
主題Scheme Other
主題 hospital
キーワード
主題Scheme Other
主題 orthopedic surgery
キーワード
主題Scheme Other
主題 elderly
キーワード
主題Scheme Other
主題 adverse events
抄録
内容記述 Falls are common in elderly patients and comprise 20–30% of all incident reports in hospitals. The current study examined falls in orthopedic patients among 212,617 inpatients admitted to our hospital from April 2012 to March 2017, using a prospective database in the hospital event reporting system. The risk of fall was evaluated using a fall assessment scoresheet at admission and during hospitalization, based on which patients were divided into risk grades 1, 2 and 3. Fall leading to fracture or a life-threatening injury was defined as an adverse event. The number of falls during the study period was 3,925, including 230 in orthopedic patients. Fall cases occurred at all times, but adverse events were significantly more common from 1–7 a.m. (67% vs. 24%, p<0.01). Patients hospitalized for orthopedic surgery had significantly higher fall rates compared to all other patients (3.12% vs. 1.80%, p<0.01), and were older (65.8 vs. 61.4 years, p<0.05) and more frequently >80 years old (23.4% vs. 17.9%, p<0.05). There was a significant difference in fall incidence between risk grades 2 and 3 for patients hospitalized for non-orthopedic surgery, but not for patients hospitalized for orthopedic surgery. We conclude that fall can occur in orthopedic patients with a low predicted risk of fall, and particularly for older patients. This may indicate that frequent specialized fall assessment is desirable after orthopedic surgery.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.80.3.341
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/803.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 80, 号 3, p. 341-349, 発行日 2018-08
著者版フラグ
値 publisher
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