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낙상으로 입원한 노인환자의 낙상발생장소와 사망과의 관계

Association between location of fall and mortality in hospitalized elderly patients for falls

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Objectives: This study aimed to determine the effect of fall location on mortality among patients aged 65 years or older who were hospitalized due to a fall. Methods: This cross-sectional study analyzes in-depth survey data of discharged patients from the Korea Centers for Disease Control and Prevention from 2015 to 2020. The subjects of this study were 27,437 elderly patients aged 65 years or older who were hospitalized with the principal diagnosis code S-T due to a fall. Descriptive, chi-square and multiple logistic regression analyses were conducted to determine the relationship between the location of falls and death. Results: The odds ratio of falls in elderly patients hospitalized due to falls according to the location of falls was 4.9 times that of falls in group living facilities compared to falls that occurred on roads. It was significantly higher in men and the older age group of over 80 years. Conclusion: As a result of analyzing the relationship between the location of falls and death of the elderly, the incidence of death due to falls was high among elderly living in nursing homes and group living facilities and hospitalized. Therefore, more efforts are needed to identify these high-risk groups from various angles, detect them early, and prevent them intensively.

Abstract

Objectives: This study aimed to determine the effect of fall location on mortality among patients aged 65 years or older who were hospitalized due to a fall. Methods: This cross-sectional study analyzes in-depth survey data of discharged patients from the Korea Centers for Disease Control and Prevention from 2015 to 2020. The subjects of this study were 27,437 elderly patients aged 65 years or older who were hospitalized with the principal diagnosis code S-T due to a fall. Descriptive, chi-square and multiple logistic regression analyses were conducted to determine the relationship between the location of falls and death. Results: The odds ratio of falls in elderly patients hospitalized due to falls according to the location of falls was 4.9 times that of falls in group living facilities compared to falls that occurred on roads. It was significantly higher in men and the older age group of over 80 years. Conclusion: As a result of analyzing the relationship between the location of falls and death of the elderly, the incidence of death due to falls was high among elderly living in nursing homes and group living facilities and hospitalized. Therefore, more efforts are needed to identify these high-risk groups from various angles, detect them early, and prevent them intensively.

참고문헌 (37)

  1. Hasanat Alamgir, "Unintentional falls mortality among elderly in the United States: Time for action", Injury, 43(12), pp.2065~2071 (2012), Elsevier BV[DOI]
  2. Alert, S. E., "Preventing falls and fall-related injuries in health care facilities", The Joint Commission, 55, pp.1~55 (2015)
  3. Danielle Ledur Antes, "Mortality caused by accidental falls among the elderly: a time series analysis", Revista Brasileira de Geriatria e Gerontologia, 18(4), pp.769~778 (2015), FapUNIFESP (SciELO)[DOI]
  4. Elizabeth Burns, "Deaths from Falls Among Persons Aged ≥65 Years — United States, 2007–2016", MMWR. Morbidity and Mortality Weekly Report, 67(18), pp.509~514 (2018), Centers for Disease Control MMWR Office[DOI]
  5. "National Center for Injury Prevention and Control" (2017)[URL]
  6. 추진아, "지역사회거주 노인에서 낙상유경험자와 무경험자간의 삶의 질 비교", 근관절건강학회지, 19(3), pp.373~382 (2012), 대한근관절건강학회[DOI]
  7. Sarah H. Cross, "Trends in Location of Death Among Older Adult Americans After Falls", Gerontology and Geriatric Medicine, 8, pp.233372142210988~ (2022), SAGE Publications[DOI]
  8. Fuller, G. F., "Falls in the elderly", American Family Physician, 61(7), pp.2159~ (2000)
  9. Colette Galet, "Fall injuries, associated deaths, and 30-day readmission for subsequent falls are increasing in the elderly US population: a query of the WHO mortality database and National Readmission Database from 2010 to 2014", Clinical Epidemiology, Volume 10, pp.1627~1637 (2018), Informa UK Limited[DOI]
  10. 한지윤, "지역사회 재가노인의 낙상위험주거환경과 낙상경험", 농촌의학.지역보건, 47(1), pp.27~39 (2022), 한국농촌의학.지역보건학회
  11. F Healey, "Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports", Quality and Safety in Health Care, 17(6), pp.424~430 (2008), BMJ[DOI]
  12. Guoqing Hu, "An Explanation for the Recent Increase in the Fall Death Rate among Older Americans: A Subgroup Analysis", Public Health Reports, 127(3), pp.275~281 (2012), SAGE Publications[DOI]
  13. 전혜진, "손상으로 입원한 노인의 손상 관련 특성과 손상 중증도 영향요인 분석: 퇴원손상심층조사 자료를 이용하여", 노인간호학회지, 14(3), pp.151~161 (2012), 한국노인간호학회
  14. 전혜원, "노인요양시설종사자들의 낙상에 대한 태도 및 낙상영향요인 인식에 관한 연구", 직업교육연구, 30(4), pp.89~111 (2011), 한국직업교육학회
  15. 전민재, "노인 낙상군과 노인 비낙상군의 비교: 균형능력과 우울감 및 삶의 질", 한국전문물리치료학회지, 21(3), pp.45~54 (2014), 한국전문물리치료학회[DOI]
  16. 강정희, "노인요양시설 요양보호사의 낙상 관련 돌봄 경험에 대한 질적 연구", 사회과학연구, 32(3), pp.129~154 (2016), 사회과학연구소[DOI]
  17. 김종민, "노인생애주기에 따른 낙상요인", 보건교육건강증진학회지, 27(1), pp.21~34 (2010), 한국보건교육건강증진학회
  18. 김선경, "지역사회 노인의 낙상경험에 따른 일상생활수행능력과 건강관련 삶의 질", 근관절건강학회지, 18(2), pp.227~237 (2011), 대한근관절건강학회
  19. 김상미, "치매 입원환자의 낙상 영향 요인", 한국노년학, 39(2), pp.231~240 (2019), 한국노년학회[DOI]
  20. "6 out of 10 elderly safety accidents are falls" (2022)[URL]
  21. 2019 Guidelines of Korea National Hospital Discharge In-depth Injury Survey, "Korea Disease Control and Prevention Agency", Korea Disease Control and Prevention Agency, ~ (2022)
  22. Korea Disease Control and Prevention Agency, "Injury FactBook 2022" (2022), Korea Disease Control and Prevention Agency
  23. Korea Disease Control and Prevention Agency, "National Injury Fact Book 2018-2019" (2022), Korea Disease Control and Prevention Agency
  24. Korea Institute for Healthcare Accreditation, "Standard of healthcare accreditation for tertiary hospital: Ver 4.0", Korea Institute for Healthcare Accreditation, ~ (2021)
  25. "Korean Standard Classification of Diseases" (2022)[URL]
  26. Korean Statistical Information Service, "Future population projection" (2020), Korean Statistical Information Service
  27. 이은미, "우리나라 손상 퇴원환자의 규모 및 치료결과 특성의 추이 (2005-2016): 퇴원손상심층조사 자료를 이용하여", 대한보건연구, 46(2), pp.45~59 (2020), 사단법인 대한보건협회[DOI]
  28. 임재영, "한국 노인의 낙상 실태와 위험요인: 일부 지역의 인구비례 할당 표본 조사", Annals of geriatric medicine and research, 14(1), pp.8~17 (2010), 대한노인병학회
  29. 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]
  30. Carol W. Runyan, "Unintentional injuries in the home in the United States", American Journal of Preventive Medicine, 28(1), pp.73~79 (2005), Elsevier BV[DOI]
  31. Brett H. Shaw, "Relationships between orthostatic hypotension, frailty, falling and mortality in elderly care home residents", BMC Geriatrics, 19(1) (2019), Springer Science and Business Media LLC[DOI]
  32. Shin, J. G., "Prevalence and management of falls among elderly in a hospital", master, pp.2011
  33. Shin, J., "A study on care helper insight and fall-related knowledge through fall prevention education", Journal of Occupational Therapy for the Aged and Dementia, 6(1), pp.1~10 (2012)
  34. 손재이, "간호·간병통합서비스 이용환자의 낙상발생률과 낙상의 특성", 보건행정학회지, 29(2), pp.172~183 (2019), 한국보건행정학회
  35. Tideiksaar, R., "Falls in older people : Prevention & management" (2010), Health Professions Press
  36. Verma, S. K., "Falls and fall-related injuries among community-dwelling adults in the United States", PLoS One, 11(3), pp.e0150939~ (2016)[DOI]
  37. 윤숙희, "요양병원의 환자안전사고 관련 요인 분석: 이차분석 연구", 성인간호학회지, 34(3), pp.295~303 (2022), 한국성인간호학회[DOI]

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