title: Risk Factors for In-Hospital Complications of Fall-Related Fractures among Older Chinese: A Retrospective Study.
abstract: Purpose.The aim of this study was to investigate the risk factors and the efficacy of the preventive measurements for the in-hospital complications of fall-related fractures.Methods. The data on older Chinese patients with fall-related fractures were collected, including information on the patients, diseases, and preventive measurements. The potential risk factors for the in-hospital complications included health status on admission, comorbidity, fractures, preventive measures of the complications, and drugs use for the comorbidity. After univariate analyses, multivariate logistic regression analyses were applied to investigate the impact of the potential risk factors on the number of the complications and each individual complication, respectively, and the efficacy of the preventive measurements.Results.A total of 525 male and 1367 female were included in this study. After univariate analyses, multiple logistic regression showed that dementia, pneumonia, antidepressant, postural hypotension, and cerebral infarction could increase the incidence and number of comorbidities. Meanwhile, dementia has shown the strongest association with each individual complication.Conclusions.Different combinations of comorbidity, medication use, and preventive measurements were related to the in-hospital complications of fall-related fractures. Dementia emerged as the most important risk factor for these complications, while most of the preventive measurements could not reduce their incidences.
authors.affiliation: Department of Nursing, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China.
authors.forename: Hong-Ying
authors.identifier: 0000-0003-1104-6648
authors.initials: HY
authors.lastname: Pi
authors.affiliation: Department of Orthopedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Gao
authors.affiliation: Department of Nursing, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Medical Oncology, Nanlou Faculty of Clinical Medicine, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China.
authors.forename: Meng-Meng
authors.initials: MM
authors.lastname: Hu
authors.affiliation: Department of Digestive Medicine, Nanlou Faculty of Clinical Medicine, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Nie
authors.affiliation: The 15th Battalion of Student Brigade, Third Military Medical University, No. 30 Gaotanyan Main Street, Shapingba District, Chongqing 400038, China.
authors.forename: Pei-Pei
authors.initials: PP
authors.lastname: Peng
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000453:epidemiology* / Q000209:etiology*; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors