Feature analysis and prevention suggestions on falls in hospitalized elderly patients based on Hatton model
10.3969/j.issn.1672-8467.2024.04.013
- VernacularTitle:基于哈顿模型的老年住院患者跌倒特征分析及防跌倒建议
- Author:
Xiao-Run CHEN
1
,
2
;
Li LUO
;
Jia-Yan HUANG
Author Information
1. 上海市第六人民医院医务处 上海 200233
2. 上海交通大学中国医院发展研究院医院运营研究所 上海 200233
- Keywords:
hospitalized patient;
elderly;
falls;
Haddon model;
epidemiological characteristic;
medical institutions
- From:
Fudan University Journal of Medical Sciences
2024;51(4):552-557
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the epidemiological characteristics of falls among hospitalized elderly patients in Shanghai,to explore the external and self-factors that affect falls in the elderly,and to provide evidence for the elderly to prevent falls.Methods All the injury cases collected from the hospital information system of a general hospital in Shanghai during 2020 and 2022 based on Haddon Model were taken as the research objects.The epidemiological characteristics were analyzed using constituent ratio,chi-square test and Logistic regression analysis.Results Falls occured in 11 152 cases(11.63%)within 95 880 hospitalized elderly patients aged 65 years old and over.The ratio of males to females was 0.49∶1.Falls were more likely to occur in females and those who lived with children,and the place was mainly home/residential institutions.The time distribution showed the fewest occurrence in February.The mainly injured part was the trunk and limbs with the nature of fracture.Multiple regression analysis showed that compared to males,65-75 years old,spring,married status and living with spouses,the risk factors of falls in elderly patients were female,older age,winter,not in marriage and living with children.Conclusion The elderly have a high risk of falls,which is influenced by a combination of factors such as personal health,the natural environment,and social support.Comprehensive measures should be taken to identify and address the risk of falls in the elderly,including personal health promotion,home environment optimization,harmonious family atmosphere,professional medical support,and social collaboration,in order to achieve effective prevention and management.
