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Title :Use of Risk Assessment Tool for Inpatient Traumatic Intracranial Hemorrhage after Falls in Acute Care Hospital Setting
Authors :Toyabe, Shin-ichi
Publisher :Canadian Center of Science and Education
Issue Date :May-2012
Journal Title :Global Journal of Health Science
Volume :4
Issue :3
Start Page :64
End Page :71
ISSN :1916-9736
Abstract :Severe injuries such as intracranial hemorrhage (ICH) are the most serious problem after falls in hospital, but they have not been considered in risk assessment scores for falls. We tried to determine the risk factors for ICH after falls in 20,320 inpatients (696,364 patient-days) aged from 40 to 90 years who were admitted to a tertiary-care university hospital. Possible risk factors including STRATIFY risk score for falls and FRAX(TM) risk score for fractures were analyzed by univariate and multivariate analyses. Fallers accounted for 3.2% of the patients, and 5.0% of the fallers suffered major injuries, including peripheral bone fracture (59.6%) and ICH (23.4%). In addition to STRATIFY, FRAX(TM) was significantly associated not only with bone fractures but also ICH. Concomitant use of risk score for falls and risk score for fractures might be useful for the prediction of major injuries such as ICH after falls.
Keywords :falls
STRATIFY
FRAX
traumatic intracranial hemorrhage
traumatic bone fracture
Type Local :学術雑誌論文
Language :eng
Format :application/pdf
URI :http://hdl.handle.net/10191/26647
fullTextURL :http://dspace.lib.niigata-u.ac.jp/dspace/bitstream/10191/26647/1/4_3_64-71.pdf
Rights :(C) Canadian Center of Science and Education
Appears in Collections:10 査読済論文 = Postprint

Please use this identifier to cite or link to this item: http://hdl.handle.net/10191/26647