FORGETTING FALLS - THE LIMITED ACCURACY OF RECALL OF FALLS IN THE ELDERLY
FORGETTING FALLS - THE LIMITED ACCURACY OF RECALL OF FALLS IN THE ELDERLY
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DOI：
10.1111/j.1532-5415.1988.tb06155.x
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发表时间：
1988-07-01
影响因子：
6.3
通讯作者：
KIDD, S
中科院分区：
文献类型：
--
作者：
CUMMINGS, SR;NEVITT, MC;KIDD, S
为了确定老年受试者回忆起最近跌倒的准确程度，我们研究了304名60岁以上的门诊男性和女性，他们完成了一项为期12个月的跌倒危险因素前瞻性研究。我们开发了一套每周跟踪和家访的系统，以记录和确认所有跌倒。在这项研究中，179名参与者至少经历了一次跌倒，这一点得到了家庭访问的证实。在研究结束时，所有受试者都接受了电话采访，询问他们在之前的3个月、6个月或12个月内是否摔倒过。根据召回的时间段，13%到32%的被确认跌倒的人不记得在特定的时间段内摔倒。召回之前12个月的情况要好于3个月或6个月。在记录的跌倒次数和受试者在每个时期回忆的次数之间只有微弱的相关性(r=0.28到0.59)。那些在简易精神状态检查中得分较低的人更有可能忘记跌倒。我们的结论是，老年受试者通常不记得在过去3至12个月的特定时间段内发生的跌倒。研究人员和临床医生应该考虑使用除长期回忆之外的方法来确定和计算特定时间段的跌倒。
To determine how accurately elderly subjects recall recents falls, we studied 304 ambulatory men and women over the age of 60 years who completed a 12-month prospective study of risk factors for falling. We developed a system of weekly follow-up and home visits to record and confirm all falls. During the study, 179 participants suffered at least one fall that was confirmed by home visit. At the end of the study, all subjects were interviewed by telephone about whether they had suffered a fall during the preceding 3, 6, or 12 months. Depending on the time period of recall, 13% to 32% of those with confirmed falls did not recall falling during the specific period of time. Recall was better for the preceding 12 months than for 3 or 6 months. There were only weak correlations (r = 0.28 to 0.59) between the number of falls that were documented and the number that the subjects recalled during each of these periods. Those with lower scores on the Mini-Mental State Examination were more likely to forget falls. We conclude that elderly subjects often do not recall falls that occurred during specific periods of time over the preceding 3 to 12 months. Researchers and clinicians should consider using methods besides long-term recall for ascertaining and counting falls over specific periods of time.