Falls and their prevention in elderly people: What does the evidence show?

Falls and their prevention in elderly people: What does the evidence show?
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DOI:
10.1016/j.mcna.2006.05.013
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发表时间:
2006-09-01
影响因子:
5.9
通讯作者:
Josephson, Karen R.
Josephson, Karen R.
中科院分区:
医学2区
文献类型:
--
作者:
Rubenstein, Laurence Z.;Josephson, Karen R.

文献摘要

被引文献

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跌倒是一种常见和复杂的老年综合征,会导致相当大的死亡率、发病率、功能减退和过早进入疗养院。跌倒有多种诱因和易感危险因素,这使得其诊断、治疗,特别是预防,是临床上一项艰巨的挑战。尽管如此,还是可以做很多事情来降低跌倒的风险,提高跌倒倾向者的生活质量。本文概述了跌倒的流行病学、跌倒的主要原因和危险因素、可用的预防跌倒干预措施的类型以及这些干预措施的有效性的证据。
Falls are a common and complex geriatric syndrome that cause considerable mortality, morbidity, reduced functioning, and premature nursing home admissions. Falls have multiple precipitating causes and predisposing risk factors, which make their diagnosis, treatment, and particularly, prevention, a difficult clinical challenge. Nonetheless, much can be done to reduce the risk for falls and to improve the quality of life for fall-prone individuals. This article provides an overview of the epidemiology of falls, their major causes and risk factors, the types of available fall-prevention interventions, and the evidence on the efficacy of these interventions.