AGE AND SEX INFLUENCES ON FALL CHARACTERISTICS
AGE AND SEX INFLUENCES ON FALL CHARACTERISTICS
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DOI：
10.1136/ard.53.11.773
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发表时间：
1994-11-01
影响因子：
27.4
通讯作者：
WOOLF, AD
中科院分区：
文献类型：
--
作者：
ONEILL, TW;VARLOW, J;WOOLF, AD
调查年龄和性别的影响下降characteristics. Methods，共1243名（517名男性和726名女性）年龄在50岁以上，并从人口为基础的抽样框架被邀请完成一个访谈管理的问卷调查有关的描述性特征的福尔斯经历了在过去的四个月。收集的信息包括有关身体的一部分，打击地面的细节，下降的方向，创伤的水平和是否受伤或骨折sustained. Results-172主题报告下降在过去的四个月。限制分析142名从站立高度或更低的高度跌倒的受试者，50-64岁的女性跌倒在手上的可能性是老年女性的两倍多。（OR = 2.2; 95%置信区间（CI）0.8至6.2），在所有年龄段（50岁以上），与男性相比，（OR = 3.4; 95% CI 1.0 - 11.5）。与老年男性相比，50-64岁的男性更容易侧身跌倒（OR = 5.1; 95%CI 1.5至17.4），不太可能向前跌倒（OR = 0.4; 95%CI 0.1至1.1）。特别是，这种变化可能解释了髋部骨折和Colles骨折的发生模式。
Objective-To investigate age and sex influences on fall characteristics.Methods-A total of 1243 subjects (517 males and 726 females) aged 50 years and over and drawn from population based sampling frames were invited to complete an interviewer administered questionnaire concerning descriptive characteristics of falls experienced in the previous four months. Information collected included details about the part of the body to strike the ground, direction of the fall, level of trauma and whether or not injury or fracture was sustained.Results-One hundred and seventy two subjects reported a fall in the previous four months. Restricting analysis to the 142 subjects who fell from a standing height or less, females aged 50-64 years were more than twice as Likely to fall onto their hand compared with older females (odds ratio (OR) = 2.2; 95% confidence interval (CI) 0.8 to 6.2) and at all ages (50+) were more than three times as likely to fall on their hip compared with males (OR = 3.4; 95% CI 1.0 to 11.5). Compared with older males, males aged 50-64 were more likely to fall sideways (OR = 5.1; 95% CI 1.5 to 17.4) and less likely to fall forwards (OR = 0.4; 95% CI 0.1 to 1.1).Conclusion-There is a potentially clinically important variation in fall type by age and sex. In particular, this variation might explain patterns of occurrence of hip and Colles' fracture.