Subjects: Nursing >> Nursing submitted time 2023-04-24
Abstract： Objective To explore the establishment of a comprehensive risk assessment model for falls in the elderly people in China. Methods Meta-analysis reappraisal combined with structured expert consultation were used to screen out risk factors for falls and OR values into the model, and established a logistic regression comprehensive evaluation model. Results The model finally included 32 indicators: age, history of falls, exercise, use of walking aids, Abnormal gait, abnormal balance, sleep disturbance, cognitive impairment, frailty, urinary/fecal incontinence, dizziness/vertigo, visual impairment, hearing impairment, lower extremity arthritis, History of stroke, diabetes, orthostatic hypotension, Parkinson''s, dementia, anemia, arrhythmia, depression, foot diseases, antipsychotics, antidepressants, hypnotic sedatives, antiepileptics, opioids , loop diuretics, cardiac glycosides, hypoglycemic agents, laxatives. Conclusion Based on meta-analysis and experts'' opinions, this study established a risk assessment model for falls in elderly people in China, which effectively avoided the problem of small sample size. The model was based on evidence-based medicine, and provided a basis and guidance for the screening and intervention of high-risk groups.
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