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Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital

机译：向教学医院的患者安全委员会报告了与医院内摔倒相关的危险因素

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Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate and multivariate analyses were performed. Results Of the 125 fall reports in the study, 38 (30.4%) were in 2014, 26 (20.8%) in 2015, and 61 (48.8%) in 2016. Half of the patients (63; 50.4%) were classified as high fall risk and 74 (59.2%) had two or more risk factors for the event. The most frequently used drug classes were opioids (25%), anxiolytics (19.7%), beta-blockers (9.9%), angiotensin II antagonists (7%) and vascular-selective calcium channel blockers (7%). After the adjusted analysis, the factors associated with falls were amputation (odds ratio: 14.17), female sex (odds ratio: 2.98) and severe pain (odds ratio: 5.47). Conclusion Medications are an important contributor to in-hospital falls, and the Medication Fall Risk Score can help identify patients at a high risk for falls.
机译：目的探讨向医院病人安全办公室报告的跌倒患者中增加跌倒风险的药物的使用，并确定与跌倒高风险相关的因素。方法在教学医院进行横断面研究。研究人群是患者安全办公室收到的秋季报告的全部。因变量是跌倒的高风险。药物跌倒风险评分用于衡量跌倒风险。进行描述性，单变量和多变量分析。结果研究的125例秋季报告中，2014年为38（30.4％），2015年为26（20.8％），2016年为61（48.8％）。一半的患者（63; 50.4％）被归为高跌倒风险，其中74个（59.2％）具有该事件的两个或更多风险因素。最常用的药物类别是阿片类药物（25％），抗焦虑药（19.7％），β受体阻滞剂（9.9％），血管紧张素II拮抗剂（7％）和血管选择性钙通道阻滞剂（7％）。经过校正分析后，与摔倒相关的因素是截肢（比值：14.17），女性（比值：2.98）和剧烈疼痛（比值：5.47）。结论药物是导致院内跌倒的重要因素，药物跌倒风险评分可以帮助识别高跌倒风险的患者。

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