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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: A cohort study of accidents occurring in mentally handicapped patients living in institutions. | Zubillaga et al. Annals of General Psychiatry 2010 9 22 http www.annals-general-psychiatry.eom content 9 1 22 ANNALS OF GENERAL PSYCHIATRY PRIMARY RESEARCH Open Access Atohlort study of accidents occurring in mentally handicapped patients living in institutions Paul Zubillaga 1 2 José Ignacio Emparanza22 Blanca Guinea23 Francisco Mendizabal21 Alfonso Muriel24 Montserrat Ruiz21 Ana María Sanchez25 Fernando Sistiaga21 and Fernando Viguria25 Abstract Background Mentally handicapped patients who require extensive and generalised care and are resident in mental health institutions have certain characteristics that could mean that they suffer certain types of accidents. The aim of this study was to determine the number and type of accident-related injuries in this population in order to design appropriate preventative strategies. Methods Accident-related injuries in patients resident in six institutions in the north of Spain were recorded prospectively over a period of 21 months. The characteristics of these injuries were recorded in a database linked to another in which patient data were recorded. A logistic regression model employing the generalized estimating equation GEE methodology was employed due to the repetition of patient accidents. Results There was one death due to foreign body aspiration into the airways. A total of 1 671 injuries were recorded 0.5 of which were classified as serious 10 moderate and 89.5 minor. The serious injuries involved fractures 6 and cuts 2 the moderate injuries mainly cuts 57 bruising 18 and sprains 13 and the minor injuries bruising 40 cuts 35 and scratches 20 . Falls were the main cause of these injuries 25.2 . The variables associated with serious accidents were self-harm OR 1.18 non-collaborative behaviour OR 1.21 and inpatient OR 1.37 . Conclusions Accidents in mentally handicapped patients occur in different ways compared to those in the general population. The majority of injuries found were minor an average of 0.8 to 3.4 .
