ĐẶC ĐIỂM NGUY CƠ NGÃ Ở BỆNH NHÂN LOÃNG XƯƠNG ĐƯỢC ĐIỀU TRỊ TẠI BỆNH VIỆN LÃO KHOA TRUNG ƯƠNG 2022

Abstract

Objective: To evaluate the risk of falls and its association with osteoporotic characteristics in elderly patients with osteoporosis. Subjects and methods: a cross- sectional study conducted on 141 patients over the age of 60 at the National Geriatric
Hospital from August to October 2022. Patients were interviewed using standardized questionnaires. Results: The mean age and standard deviation of the patient group were 73.12 (8.62) with a majority of female patients (94.3%). Based on the FRI-21
questionnaire, over half of the patients (50.4%) had a high risk of falls and 49.6% had a low risk of falls. Of the 57 patients (40.4%) who participated in the study, they reported having fallen before. 35 patients (24.8%) had fallen in the past 12 months, and 10 patients (7.1%) had fallen two or more times in the past 12 months. The bedroom was the most common location for falls, accounting for 36.4% of falls, followed by the bathroom at 25%. Hallways and outside areas accounted for 18.2% and 15.9% respectively. The main causes of falls among the study participants were loss of balance (56.8%), followed by slipping (38.6%), and only 2 cases of fainting when changing position (4.5%). Soft tissue injuries were the most commonly recorded type of injury (56.7%). Eight cases of bone fractures (13.3%) and three cases requiring hospitalization (5.0%) were reported. Conclusion: The risk of falls in elderly osteoporosis patients was rather high, therefore, a routine fall risk assessment should be performed in this population to prevent falls and reduce consequences after falls in order to improve the patient's quality of life.