Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States.
Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States.
复制标题
DOI：
10.1371/journal.pone.0150939
复制
发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Courtney TK
中科院分区：
文献类型：
--
作者：
Verma SK;Willetts JL;Corns HL;Marucci-Wellman HR;Lombardi DA;Courtney TK
在美国，福尔斯是造成意外伤害的主要原因;然而，缺乏对所有社区居住成年人的全国估计数。这项研究估计了美国社区居民中按年龄和性别划分的全国福尔斯和跌倒相关伤害的发生率，以及整个成年人寿命期间跌倒相关伤害的趋势。来自国家健康访谈调查（NHIS）2008年平衡和头晕补充的全国代表性数据用于制定全国福尔斯估计值，来自NHIS的汇总数据用于计算2004-2013年美国跌倒相关伤害的估计值和相关趋势。意外跌倒相关伤害的费用来自CDC的基于网络的伤害统计查询和报告系统。12%的社区居住的美国成年人报告说，在过去的一年里，估计总共有8000万次福尔斯跌倒，每100人年有37.2次福尔斯跌倒。平均每年发生990万起与跌倒有关的伤害，每100人年发生4.38起与跌倒有关的伤害。在过去的三个月里，2.0%的老年人（65岁以上），1.1%的中年人（45-64岁）和0.7%的年轻人（18-44岁）报告了与跌倒有关的伤害。在社区居住的成年人中，32.3%发生在老年人，35.3%发生在中年人，32.3%发生在年轻人。从2004年到2013年，年龄调整后的跌倒相关伤害率在老年女性中每年增加4%（95%CI 1%-7%）。2010年，美国成年人每年因意外跌倒导致死亡、住院或在急诊室接受治疗的总终身费用为1110亿美元。福尔斯和与跌倒相关的伤害对所有年龄的成年人来说都是一个重大的健康和安全问题。研究结果表明，成人跌倒预防工作应考虑整个成人寿命，以确保更大的公共卫生效益。
Falls are the leading cause of unintentional injuries in the U.S.; however, national estimates for all community-dwelling adults are lacking. This study estimated the national incidence of falls and fall-related injuries among community-dwelling U.S. adults by age and gender and the trends in fall-related injuries across the adult life span. Nationally representative data from the National Health Interview Survey (NHIS) 2008 Balance and Dizziness supplement was used to develop national estimates of falls, and pooled data from the NHIS was used to calculate estimates of fall-related injuries in the U.S. and related trends from 2004–2013. Costs of unintentional fall-related injuries were extracted from the CDC’s Web-based Injury Statistics Query and Reporting System. Twelve percent of community-dwelling U.S. adults reported falling in the previous year for a total estimate of 80 million falls at a rate of 37.2 falls per 100 person-years. On average, 9.9 million fall-related injuries occurred each year with a rate of 4.38 fall-related injuries per 100 person-years. In the previous three months, 2.0% of older adults (65+), 1.1% of middle-aged adults (45–64) and 0.7% of young adults (18–44) reported a fall-related injury. Of all fall-related injuries among community-dwelling adults, 32.3% occurred among older adults, 35.3% among middle-aged adults and 32.3% among younger adults. The age-adjusted rate of fall-related injuries increased 4% per year among older women (95% CI 1%–7%) from 2004 to 2013. Among U.S. adults, the total lifetime cost of annual unintentional fall-related injuries that resulted in a fatality, hospitalization or treatment in an emergency department was 111 billion U.S. dollars in 2010. Falls and fall-related injuries represent a significant health and safety problem for adults of all ages. The findings suggest that adult fall prevention efforts should consider the entire adult lifespan to ensure a greater public health benefit.