Fall-induced injuries and deaths among older adults
Fall-induced injuries and deaths among older adults
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DOI：
10.1001/jama.281.20.1895
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发表时间：
1999-05-26
影响因子：
120.7
通讯作者：
Vuori, I
中科院分区：
文献类型：
--
作者：
Kannus, P;Parkkari, J;Vuori, I
背景虽然老年人中各种跌倒引起的损伤和死亡正在增加，但对这些事件的流行病学知之甚少。目的确定明确定义的白色人群中老年人跌倒引起的损伤和死亡的数量和发生率的趋势。使用芬兰国家医院出院登记和芬兰官方死亡原因统计。参与者所有年龄在50岁或以上的人谁是在芬兰入院的第一次跌倒的主要治疗-从1970年到1995年，1971年至1995年同一年龄组中所有跌倒导致的死亡。主要结果指标（每10万人）的跌倒引起的伤害和死亡在每年的研究。50岁及以上的芬兰人中因跌倒而受伤的总人数和人口调整后的人数（每10万人）都大幅增加。跌伤总人数由一九七零年的5622人增至一九九五年的21574人，增幅达284%，而比率则由每10万人494人增至1398人，增幅达183%。年龄调整后的发病率也增加了这两个妇女（从1970年的648人增加到1995年的1 469人，增加了127%）（从1970年的434人增加到1995年的972人，增加了124%），此外，由于总人口福尔斯下降而死亡的人数从1971年的441人增加到1995年的793人，增加了80%，从1971年的38个增加到1995年的51个，增加了34%。然而，经过年龄调整后，跌倒引起的死亡的发生率并没有显示出明显的上升趋势，结论在一个定义明确的白色人群中，老年人跌倒引起的伤害的数量正在增加，不能简单地用人口统计学的变化来解释。应采取预防措施，控制这些伤害日益增加的负担。幸运的是，跌倒引起的死亡的年龄调整发生率没有显示出随时间增加的趋势。
Context Although various fall-induced injuries and deaths among older adults are increasing, little is known about the epidemiology of these events.Objective To determine the trends in the number and incidence of fall-induced injuries and deaths of older adults in a well-defined white population.Design and Setting Secular trend analysis of the population of Finland, using the Finnish National Hospital Discharge Register and the Official Cause-of-Death Statistics of Finland.Participants All persons aged 50 years or older who were admitted to hospitals in Finland for primary treatment of a first fall-induced injury from the years of 1970 to 1995, and for com parison, all fall-induced deaths in the same age group from the years 1971 to 1995.Main Outcome Measure The number and the age-specific and age-adjusted incidence rate (per 100 000 persons) of fall-induced injuries and deaths in each year of the study.Results For the study period, both the total and population-adjusted number (per 100 000 persons) of Finns aged 50 years or older with fall-induced injury increased substantially. Total fall-induced injuries increased from 5622 in 1970 to 21 574 in 1995, a 284% increase, and the rate increased from 494 to 1398 per 100 000 persons, a 183% increase. The age-adjusted incidence also increased in both women (from 648 in 1970 to 1469 in 1995, a 127% increase) and men (from 434 in 1970 to 972 in 1995, a 124% increase), Moreover, the number of deaths due to falls in the overall population increased from 441 in 1971 to 793 in 1995, an 80% increase, and the rate increased from 38 in 1971 to 51 in 1995, a 34% increase. However, after age adjustment the incidence of fall-induced death did not show a clear upward trend,Conclusions In a well-defined white population, the number of older persons with fall-induced injuries is increasing at a rate that cannot be explained simply by demographic changes. Preventive measures should be adopted to control the increasing burden of these injuries. Fortunately, the age-adjusted incidence of the fall-induced deaths shows no increasing trend over time.