RISK-FACTORS FOR RECURRENT NONSYNCOPAL FALLS - A PROSPECTIVE-STUDY
RISK-FACTORS FOR RECURRENT NONSYNCOPAL FALLS - A PROSPECTIVE-STUDY
复制标题
DOI：
10.1001/jama.261.18.2663
复制
发表时间：
1989-05-12
影响因子：
120.7
通讯作者：
BLACK, D
中科院分区：
文献类型：
--
作者：
NEVITT, MC;CUMMINGS, SR;BLACK, D
跌倒是对老年人健康的重大威胁。我们评估了 325 名 60 岁或以上社区居民在前一年跌倒的潜在危险因素，然后每周进行随访，为期一年，以确定非晕厥跌倒及其后果。单次跌倒的危险因素及其后果很少。单次跌倒的风险因素很少且相对较弱，但多次跌倒的风险因素更容易预测。在多变量分析中，我们发现对于从椅子上站起来有困难、双人行走困难、关节炎、帕金森病、上一年跌倒三次或以上、上一年受伤跌倒的人以及白人来说，两次或两次以上跌倒的几率会增加。每年发生两次或两次以上跌倒的受试者比例从没有或其中一个风险因素的 0.10 增加到有四个或更多风险因素的 0.69。对于最近有跌倒史的老年人，可以通过一些简单的问题和检查来预测多次非晕厥跌倒的风险。
Falls are a major threat to the health of older persons. We evaluated potential risk factors for falls in 325 community-dwelling persons aged 60 years or older who had fallen during the previous year, then followed up weekly for 1 year to ascertain nonsyncopal falls and their consequences. Risk factors for having a single fall were few and their consequences. Risk factors for having a single fall were few and relatively weak, but multiple falls were more predictable. In multivariate analyses, we found increased odds of two or more falls for persons who had difficulty standing up from a chair, difficulty performing a tandem walk, arthritis, Parkinson''s disease, three or more falls during the previous year, and a fall with injury during the previous year, and for whites. The proportion of subjecyts with two or more falls per year increased from 0.10 for those with none or one of these risk factors to 0.69 for those with four or more risk factors. Among older persons with a history of a recent fall, the risk of multiple nonsyncopal falls can be predicted from a few simple questions and examinations.