FALLS BY ELDERLY PEOPLE AT HOME - PREVALENCE AND ASSOCIATED FACTORS

FALLS BY ELDERLY PEOPLE AT HOME - PREVALENCE AND ASSOCIATED FACTORS
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DOI:
10.1093/ageing/17.6.365
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发表时间:
1988-11-01
期刊:
影响因子:
6.7
通讯作者:
BASSEY, EJ
BASSEY, EJ
中科院分区:
医学1区
文献类型:
--
作者:
BLAKE, AJ;MORGAN, K;BASSEY, EJ

文献摘要

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在社区健康和体力活动调查中成功访问的1042名年龄在65岁及以上的人中,35%(n=356)报告在前一年中有一次或多次摔倒。虽然男女总体比例为2.7:1,但随着年龄的增长,这一比例趋于一致。在那些报告跌倒的人中,行动能力受到了严重损害。当被问及跌倒的原因时,53%的人报告被绊倒,8%的人头晕,6%的人报告停电。另有19%的人无法给出原因。跌倒与利尿剂、抗高血压药或镇静剂的使用之间没有关联,但发现跌倒与安眠药和抗抑郁药的使用有显著关联。对选定的医学和人体测量变量的判别分析表明,优势手的握力以及报告的关节炎、眩晕和足部困难的症状对最近摔倒的报道影响最大。
Of 1042 individuals aged 65 years and over who were successfully interviewed in community survey of health and physical activity, 35% (n = 356) reported one or more falls in the preceding year. Although the overall ratio of female fallers to male fallers was 2.7:1, this ratio approached unity with advancing age. Mobility was significantly impaired in those reporting falls. Asked to provide a reason for their falls, 53% reported tripping, 8% dizziness and 6% reported blackouts. A further 19% were unable to give a reason. There was no association between falls and the use of diuretics, antihypertensives or transquilizers, but a significant association between falls and the use of hypnotics and antidepressants was found. Discriminant analysis of selected medical and anthropometric variables indicated that handgrip strength in the dominant hand and reported symptoms of arthritis, giddiness and foot difficulties were most influential in predicting reports of recent falls.