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Falls in the general hospital: association with delirium, advanced age, and specific surgical procedures.

机译:跌入综合医院:伴有ir妄,高龄和特定的手术程序。

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BACKGROUND: Falls and delirium in general-hospital inpatients are related to increases in morbidity, mortality, and healthcare costs. Patients fall despite safeguards and programs to reduce falling. OBJECTIVE: The authors sought to determine the prevalence of diagnosed and undiagnosed delirium in patients who fell during their hospital stay. METHOD: The authors performed a retrospective electronic chart review of 252 patients who fell during their hospital stay. Falls were categorized by their severity (i.e., minor, moderate, and major). Demographic information, patient outcomes, and diagnostic criteria for delirium (per DSM-IV) were collected on the day of admission, the day of the fall, and the 2 days preceding the patient's fall. RESULTS: Falls in the general hospital were associated with delirium (both diagnosed and undiagnosed), advanced age, and specific surgical procedures. CONCLUSION: Improving the recognition of undiagnosed delirium may lead to sustainable and successful fall prevention programs. Detection of impairments in mental status can assist staff to create individualized patient care plans. Knowledge about which patients are at risk for injury from delirium and falls can lead to improvements in patient safety, functioning, and quality of life.
机译:背景:普通住院患者的跌倒和del妄与发病率,死亡率和医疗保健费用的增加有关。尽管有保障措施和减少摔倒的措施,患者还是会跌倒。目的:作者试图确定在住院期间摔倒的患者中已诊断和未诊断的ir妄的患病率。方法:作者对252名在住院期间摔倒的患者进行了回顾性电子图表审查。根据跌落的严重程度(即轻度,中度和重度)对跌落进行分类。在入院当天,跌倒当天和患者跌倒前2天收集人口统计学信息,患者结局和del妄的诊断标准(根据DSM-IV)。结果:综合医院的跌倒与del妄(已诊断和未诊断),高龄以及特定的手术程序有关。结论:提高对未诊断的ir妄的认识可能会导致可持续和成功的预防跌倒计划。检测精神状态障碍可以帮助工作人员制定个性化的患者护理计划。了解哪些患者有ir妄和跌倒伤害的危险,可以改善患者的安全性,功能和生活质量。

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