Preventing falls in elderly persons.
Preventing falls in elderly persons.
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DOI：
10.1056/nejmcp020719
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发表时间：
2003-01-02
影响因子：
158.5
通讯作者：
Tinetti, ME
中科院分区：
文献类型：
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作者：
Tinetti, ME
前言这篇日志以一个突出临床常见问题的病例小插曲开始。然后提出支持各种战略的证据，然后审查现有的正式准则。本文最后提出了作者的临床建议。阶段一位79岁的女性，有充血性心力衰竭、关节炎、抑郁和睡眠困难的病史，需要进行随访。她服用几种处方药，包括抗抑郁药、利尿剂、血管紧张素转换酶抑制剂和β受体阻滞剂，以及非处方睡眠和过敏药物。她的慢性病看起来很稳定。她的女儿报告说，病人在过去六个月里摔倒了两次。我们可以做些什么来防止未来的福尔斯？临床问题每年超过三分之一的65岁或以上的人跌倒，其中一半的福尔斯跌倒。
ForewordThisJournalfeature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.StageA 79-year-old woman with a history of congestive heart failure, arthritis, depression, and difficulty sleeping presents for a follow-up visit. She takes several prescription medications, including an antidepressant, a diuretic, an angiotensin-converting–enzyme inhibitor, and a beta-blocker, as well as over-the-counter sleep and allergy medications. Her chronic conditions appear to be stable. Her daughter reports that the patient has fallen twice during the past six months. What can be done to prevent future falls?The Clinical ProblemMore than one third of persons 65 years of age or older fall each year, and in half of such cases the falls . . .