노인 낙상 후 중등도 이상 손상에 영향을 미치는 요인
Risk Factors of Moderate to Severe Injury among the Elderly after a Fall
0
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
Purpose: This study was performed to identify the severity of after-fall injuries and the factors affecting moderate to severe injury among elderly individuals. Methods: The study included 340 patients aged 65 years and over who visited the emergency room after experiencing a fall incident. Data were retrospectively collected through electronic medical records. Results: Severity of injuries was moderate 80.9%, the most common injury type was fracture 56.2% and the most commonly injured body part was the upper limb 43.8%. After treatment at the emergency room, 51.5% individuals were hospitalized. Of those hospitalized, 32.6% patients received an operation. Analysis was done of risk factors affecting falls with moderate to severe injury. The results revealed that falls in patients aged 85 years or older were 2.72 times more likely than patients aged 65~74 years. Falls were 4.21 higher in patients taking 1~2 medicines compared to patients not taking medicine. Conclusion: Injury after the fall in the elders was severe. In order to minimize post-fall injuries, it is necessary to perform emergency treatment after falls, to visit the hospital facility promptly. It is also necessary to educate patients to be aware of the side effects of the drugs they are taking.
Abstract
Purpose: This study was performed to identify the severity of after-fall injuries and the factors affecting moderate to severe injury among elderly individuals. Methods: The study included 340 patients aged 65 years and over who visited the emergency room after experiencing a fall incident. Data were retrospectively collected through electronic medical records. Results: Severity of injuries was moderate 80.9%, the most common injury type was fracture 56.2% and the most commonly injured body part was the upper limb 43.8%. After treatment at the emergency room, 51.5% individuals were hospitalized. Of those hospitalized, 32.6% patients received an operation. Analysis was done of risk factors affecting falls with moderate to severe injury. The results revealed that falls in patients aged 85 years or older were 2.72 times more likely than patients aged 65~74 years. Falls were 4.21 higher in patients taking 1~2 medicines compared to patients not taking medicine. Conclusion: Injury after the fall in the elders was severe. In order to minimize post-fall injuries, it is necessary to perform emergency treatment after falls, to visit the hospital facility promptly. It is also necessary to educate patients to be aware of the side effects of the drugs they are taking.
참고문헌 (26)
- "A survey on the actual condition of the elderly" (2019)[URL]
- "WHO Global report on falls prevention in older age" (2017)[URL]
- Santosh K. Verma, "Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States", PLOS ONE, 11(3), pp.e0150939~ (2016), Public Library of Science (PLoS)[DOI]
- Linda H Aiken, "Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study", The Lancet, 383(9931), pp.1824~1830 (2014), Elsevier BV[DOI]
- P. Nordstrom, "Length of hospital stay after hip fracture and short term risk of death after discharge: a total cohort study in Sweden", BMJ, 350(feb20 1), pp.h696~h696 (2015), BMJ[DOI]
- 김종민, "노인의 성별 낙상관련 요인", 보건교육건강증진학회지, 25(2), pp.1~18 (2008), 한국보건교육건강증진학회
- 전병진, "농촌지역 노인들의 낙상효능감에 영향을 미치는 요인에 관한 연구", 대한작업치료학회지, 17(4), pp.99~112 (2009), 대한작업치료학회
- J. A. Painter, "Fear of Falling and Its Relationship With Anxiety, Depression, and Activity Engagement Among Community-Dwelling Older Adults", American Journal of Occupational Therapy, 66(2), pp.169~176 (2012), AOTA Press[DOI]
- Hsiao-Ting Chang, "Factors Associated with Fear of Falling among Community-Dwelling Older Adults in the Shih-Pai Study in Taiwan", PLOS ONE, 11(3), pp.e0150612~ (2016), Public Library of Science (PLoS)[DOI]
- 김세정, "종합병원에 입원한 노인환자의 낙상위험요인", Journal of The Korean Data Analysis Society, 16(4), pp.2191~2203 (2014), 한국자료분석학회
- 오희영, "낙상후 대퇴골절 수술 노인의 신체기능, 의료이용 및 낙상의 두려움", 성인간호학회지, 15(3), pp.432~440 (2003), 한국성인간호학회
- Tatjana Bulat, "Clinical practice algorithms: Medication management to reduce fall risk in the elderly—Part 4, Anticoagulants, anticonvulsants, anticholinergics", bladder relaxants, and antipsychotics, 2008, pp.20(4), 181~190[DOI]
- 강정희, "재가여성노인의 낙상 경험", 노인복지연구, (60), pp.259~286 (2013), 한국노인복지학회[DOI]
- 김선경, "지역사회 노인의 낙상경험에 따른 일상생활수행능력과 건강관련 삶의 질", 근관절건강학회지, 18(2), pp.227~237 (2011), 대한근관절건강학회
- 이상곤, "일부농촌지역 재가 낙상경험 노인의 낙상두려움 관련 요인", 농촌의학.지역보건, 36(4), pp.251~263 (2011), 한국농촌의학.지역보건학회
- 전혜진, "손상으로 입원한 노인의 손상 관련 특성과 손상 중증도 영향요인 분석: 퇴원손상심층조사 자료를 이용하여", 노인간호학회지, 14(3), pp.151~161 (2012), 한국노인간호학회
- 김영희, "지역사회 재가노인의 낙상경험과 낙상위험요인", 근관절건강학회지, 20(2), pp.91~101 (2013), 대한근관절건강학회[DOI]
- Mary E. Tinetti, "The Patient Who Falls", JAMA, 303(3), pp.258~266 (2010), American Medical Association (AMA)[DOI]
- Lili Garrard, "Reliability and Validity of the NDNQI® Injury Falls Measure", Western Journal of Nursing Research, 38(1), pp.111~128 (2015), SAGE Publications[DOI]
- 이정미, "방문간호를 받는 재가노인의 낙상위험", 근관절건강학회지, 21(1), pp.36~45 (2014), 대한근관절건강학회[DOI]
- 유양경, "노인의 낙상 실태 및 낙상경험에 따른 신체기능의 차이", 노인간호학회지, 12(1), pp.40~50 (2010), 한국노인간호학회
- 전미양, "건강율동체조가 여성 노인의 균형, 우울, 의료비용, 의료기관 이용 및 낙상에 미치는 효과", Journal of Korean Academy of Nursing, 35(8), pp.1268~1276 (2005), 한국간호과학회
- Hong SO, "Epidemiologic characteristics of injured elderly inpatients in Korea: the results of the Korea national hospital discharge survey 2004-2013", Public Health Weekly Report, (2), pp.108~109 (2017)
- Jon Pynoos, "Environmental Assessment and Modification as Fall-Prevention Strategies for Older Adults", Clinics in Geriatric Medicine, 26(4), pp.633~644 (2010), Elsevier BV[DOI]
- Park MH, "Geriatric Nursing", pp.419~ (2017), Jeongdam Media
- 양정희, "낙상 예방", Annals of geriatric medicine and research, 16(3), pp.101~107 (2012), 대한노인병학회[DOI]