THE INCIDENCE OF FALL INJURY EVENTS AMONG THE ELDERLY IN A DEFINED POPULATION
THE INCIDENCE OF FALL INJURY EVENTS AMONG THE ELDERLY IN A DEFINED POPULATION
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DOI：
10.1093/oxfordjournals.aje.a115594
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发表时间：
1990-06-01
影响因子：
5
通讯作者：
WAXWEILER, RJ
中科院分区：
文献类型：
--
作者：
SATTIN, RW;HUBER, DAL;WAXWEILER, RJ
在美国，跌倒是老年人受伤致死的主要原因，每年约有三分之一的老年人跌倒。然而，在以人口为基础的环境中，对坠落伤害事件发生率的可靠估计并不容易。因此，作者分析了1985年7月至1987年6月期间基于人口的监测数据，该数据来自美国佛罗里达州迈阿密海滩的一项研究，目的是评估老年人中的瀑布。对于老年男性和女性(主要是白人)来说，跌倒伤害事件进入急性医疗关注率随着年龄的增长呈指数级增长，85岁或以上的人达到最高水平，男性为138.5‰，女性为158.8‰。与男性相比，女性除颅骨外其他骨折的发生率更高。然而，男性在跌倒受伤事件后死亡的可能性几乎是女性的两倍。在通过监测系统确定的坠落损伤事件中，约42%的人入院治疗。平均住院时间为11.6天，其中髋部骨折为15.5天，颅骨骨折/颅内损伤为9.8天，所有其他骨折为11.2天，所有其他伤害为9.1天。在发生在家中并需要住院的跌伤事件中，大约50%的人会被送往疗养院。
Falls are a leading cause of death from injury among older persons in the United States, and about one in three older persons falls each year. Yet, reliable estimates of the incidence of fall injury events in population-based setting are not readily available. Therefore, the authors analyzed population-based surveillance data, between July 1985 and June 1987, from the Study to Assess Falls Among the Elderly, Miami Beach, Florida (USA). The rate of fall injury events coming to acute medical attention increased exponentially with age for both elderly men and women (predominantly white), reaching a high for those aged 85 years or more of 138.5 per 1,000 for males and 158.8 per 1,000 for females. Compared with males, females had a higher incidence of fractures other than skull. Males were nearly twice as likely to die, however, following a fall injury event than were females. Of those fall injury events identified through the surveillance system, about 42% resulted in hospital admission. The mean length of hospital stay was 11.6 days overall and was 15.5 days for hip fracture, 9.8 days for skull fracture/intracranial injury, 11.2 days for all other fractures, and 9.1 days for all other injuries. About 50% of fall injury events that occurred at home and required hospital admission resulted in a person being discharged to a nursing home.