CIRCUMSTANCES AND CONSEQUENCES OF FALLS EXPERIENCED BY A COMMUNITY POPULATION 70 YEARS AND OVER DURING A PROSPECTIVE-STUDY

CIRCUMSTANCES AND CONSEQUENCES OF FALLS EXPERIENCED BY A COMMUNITY POPULATION 70 YEARS AND OVER DURING A PROSPECTIVE-STUDY
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DOI:
10.1093/ageing/19.2.136
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发表时间:
1990-03-01
期刊:
影响因子:
6.7
通讯作者:
FITZGERALD, JL
FITZGERALD, JL
中科院分区:
医学1区
文献类型:
--
作者:
CAMPBELL, AJ;BORRIE, MJ;FITZGERALD, JL

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761名70岁及以上的受试者的样本来自一个乡镇的全科医疗记录。对每例受试者进行评估并随访1年,以确定福尔斯的发生率和相关因素。跌倒率(每100人-年的福尔斯次数)从70-74岁的47次增加到80岁及以上的121次。跌倒率没有性别差异,但男性比女性更容易在户外跌倒,而且活动量更大。20%的福尔斯跌倒与绊倒和滑倒有关,但我们没有发现任何证据表明,检查房屋和安装安全设施会降低跌倒率。10%的福尔斯跌倒导致严重伤害。与未跌倒的男性相比,跌倒的男性随后的死亡风险增加(相对风险3.2,95%CI 1.7-6.0)。随后的死亡率在下降但未达到显著水平的妇女中增加(相对风险1.6,95%CI 0.9-2.7)。
A sample of 761 subjects 70 years and over was drawn from general-practice records of a rural township. Each subject was assessed and followed for 1 year to determine the incidence of and fctors related to falls. The fall rate (number of falls per 100 person-years) increased from 47 for those aged 70-74 years to 121 for those 80 years and over. There was no sex difference in fall rate but men were more likely than women to fall outside and at greater levels of activity. Twenty per cent of falls were associated with trips and slips but we found no evidence that inspection of homes and installaton of safety features would have decreased the fall rate. Ten per cent of falls resulted in significant injury. Men who fell had an increased subsequent risk of death compared with those who did not fall (relative risk 3.2, 95% CI 1.7-6.0). Subsequent mortality was increased among women who fell but not to significant levels (relative risk 1.6, 95% CI 0.9-2.7).