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혈액내과 입원 환자의 낙상 위험 요인과 환자 결과:전자의무기록 분석

Triggers and Outcomes of Falls in Hematology Patients:Analysis of Electronic Health Records

기본간호학회지 2019년 26권 1호 p.1 ~ 11
정민경, 이선미,
소속 상세정보
정민경 ( Jung Min-Kyung ) - 서울성모병원
이선미 ( Lee Sun-Mi ) - 가톨릭대학교 간호대학

Abstract


Purpose: The goal was to use electronic health records to identify factors and outcomes associated with falls among patients admitted to hematology units.

Methods: This retrospective case-control study included data from a tertiary university hospital. Analysis was done of records from 117 patients with a history of falls and 201 patients with no history of falls who were admitted to the hematology unit from January 1, 2013 to December 31, 2014. Risk factors were analyzed using hierarchical logistic regression; patient outcomes were analyzed using multiple logistic regression, Cox proportional hazards regression, and multiple linear regression.

Results: Clinical factors such as self-care nursing (OR=4.47, CI=1.64~12.11), leukopenia (OR=6.03; CI=2.51~14.50), and hypoalbuminemia (OR=2.79, CI=1.31~5.96); treatment factors such as use of narcotics (OR=2.06, CI=1.01~4.19), antipsychotics (OR=3.05, CI=1.20~7.75), and steroids (OR=4.51, CI=1.92~10.58); and patient factors such as low education (OR=3.16, CI=1.44~6.94) were significant risk factors. Falls were also associated with increased length of hospital stay to 21.58 days (p<.001), and healthcare costs of 17,052,784 Won (p<.001).

Conclusion:These findings can be a resource for fall prevention education and to help develop fall risk assessment tools for adults admitted to hematology units.

키워드

Accidental falls; Risk factors; Hematology; Length of stay; Health care costs

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