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首页> 外文期刊>Journal of the American Medical Directors Association >Anemia increases risk for falls in hospitalized older adults: an evaluation of falls in 362 hospitalized, ambulatory, long-term care, and community patients.
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Anemia increases risk for falls in hospitalized older adults: an evaluation of falls in 362 hospitalized, ambulatory, long-term care, and community patients.

机译：贫血增加了住院老年人跌倒的风险：362位住院，门诊，长期护理和社区患者的跌倒评估。

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OBJECTIVE: The objective of this study was to determine if a relationship exists between the presence of anemia and the occurrence of falls during hospitalization in ambulatory older adults from long-term care and community settings. All individuals were hospitalized for acute conditions not related to a fall. PARTICIPANTS: Three hundred sixty-two hospitalized, ambulatory older (59-104 years) adults. MEASUREMENTS: Laboratory values (hemoglobin [Hb], hematocrit [Hct]), routine laboratory tests, pertinent medical history, and demographics. RESULTS: Ambulatory hospitalized patients who fell were compared to controls (no falls during hospitalization) of similar age (P = .283) and gender distribution (P = .554). Patients who fell had significantly lower Hb (P < .00005), lower Hct (P < .00005) and were more likely to be anemic (56% vs 38%, P = .001) than controls. A logistic regression model examined the effect of Hb level and anemia on falls and included the covariates of age, gender, place of residence, and race. The model described a 22% decreased risk of falls for every 1.0 g/dL increase in Hb (P < .0005) and an overall 1.9-fold increased risk of falls in anemic patients (P < .001). Patient age, gender, and place of residence were not related to the risk of falls during hospitalization. CONCLUSIONS: These findings suggest a potentially important link between anemia and the risk of falls during hospitalization in ambulatory older patients. Further studies are needed to determine if the risk of falls can be modified by correction of anemia and to determine the applicability of these findings to older adults in different settings.
机译：目的：本研究的目的是确定长期护理和社区环境中非卧床老年人住院期间贫血的存在与跌倒发生之间是否存在关系。所有个体均因与跌倒无关的急性疾病而住院。参与者：362名住院，门诊老年（59-104岁）成年人。测量：实验室值（血红蛋白[Hb]，血细胞比容[Hct]），常规实验室检查，相关病史和人口统计学信息。结果：将跌倒的住院住院患者与年龄（P = .283）和性别分布（P = .554）的对照组（住院期间无跌倒）进行比较。跌倒患者的Hb明显较低（P <.00005），Hct较低（P <.00005），与对照组相比，更容易出现贫血（56％比38％，P = .001）。逻辑回归模型检查了血红蛋白水平和贫血对跌倒的影响，并包括年龄，性别，居住地和种族的协变量。该模型描述了Hb每增加1.0 g / dL，跌倒风险降低22％（P <.0005），贫血患者跌倒风险总体增加1.9倍（P <.001）。患者的年龄，性别和居住地与住院期间跌倒的风险无关。结论：这些发现表明，在住院的老年患者中，贫血和住院期间跌倒的风险之间可能存在重要的联系。需要进一步的研究以确定跌倒的风险是否可以通过纠正贫血来改变，以及确定这些发现对不同环境中的老年人的适用性。

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