Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study.
Changes in Fall Rates From Before to During the COVID-19 Pandemic: Findings From the Prospective AMBROSIA Study.
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DOI：
10.1093/gerona/glac131
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发表时间：
2023-03-30
影响因子：
5.1
通讯作者：
Reynolds, Kristi
中科院分区：
文献类型：
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作者：
Bowling, C. Barrett;Wei, Rong X.;Qian, Lei;Shimbo, Daichi;Schwartz, Joseph E.;Muntner, Paul;Cannavale, Kimberly L.;Harrison, Teresa N.;Reynolds, Kristi
2019 年冠状病毒病 (COVID-19) 社会疏远政策导致社区活动减少，但尚未描述这段时间内的下降率。这项前瞻性研究纳入了参与老年人动态血压 (AMBROSIA) 队列的≥65 岁成年人，并且完成了≥1 个月的跌倒日历（2019 年 8 月至 2021 年 3 月；n = 250）。对月份进行分组，以对应加利福尼亚州洛杉矶 2020 年秋季分阶段重新开放（8 月至 10 月）和 2020 年冬季高峰期间（11 月至 1 月）的就地避难政策，并与一年前（即大流行之前）的同月进行比较。参与者的平均年龄（标准差 [SD]）为 75.2 (6.1) 岁，其中 49.6% 为白人，53.2% 为女性。我们在随访过程中获得了 2 795 个秋季日历。总体而言，110 名 (44.0%) 参与者总共报告了 421 次跌倒（每 100 个日历月 15.1 次）。 2020 年 8 月，疫情期间最高月下降率为每 100 个日历月 22.9 例（95% 置信区间 [CI] 16.4–31.1）。2021 年 2 月，疫情期间最低下降率为每 100 个日历月 8.6 例（95% CI 3.5–17.8）。疫情期间，2020 年 8 月、9 月和 10 月的下降率高于 2020 年 8 月、9 月和 10 月的下降率。下降率低于上年（比率 1.8 [95% CI 1.1–2.9]），2020 年 11 月、12 月和 2021 年 1 月的下降率低于上年（比率 0.5 [95% CI 0.4–0.8]）。随着大流行的持续以及老年人在就地避难期后恢复社区活动，提供者应注意跌倒的风险。
Coronavirus disease 2019 (COVID-19) social distancing policies resulted in reductions in community movement, however, fall rates during this time have not been described. This prospective study included adults ≥65 years old participating in the Ambulatory Blood Pressure in Older Adults (AMBROSIA) cohort and who completed ≥1 monthly falls calendar (August 2019–March 2021; n = 250). Months were grouped to correspond to the fall 2020 phased reopening (August–October) and the shelter-in-place policy during the winter 2020 surge (November–January) in Los Angeles, California and compared to the same months, 1 year earlier (ie, before the pandemic). Participants had a mean (standard deviation [SD]) age of 75.2 (6.1) years, 49.6% were White, and 53.2% were women. We obtained 2 795 falls calendars during follow-up. Overall, 110 (44.0%) participants reported a total of 421 falls (rate 15.1 per 100 calendar months). The highest monthly fall rate during the pandemic was 22.9 (95% confidence interval [CI] 16.4–31.1) per 100 calendar-months in August 2020. The lowest fall rate during the pandemic was 8.6 (95% CI 3.5–17.8) per 100 calendar-months in February 2021. During the pandemic, fall rates in August, September, and October 2020 were higher than the previous year (rate ratio 1.8 [95% CI 1.1–2.9]), and fall rates in November and December 2020 and January 2021 were lower than the previous year (rate ratio 0.5 [95% CI 0.4–0.8]). As the pandemic continues and older adults resume community mobility after a shelter-in-place period, providers should pay attention to the risk of falls.
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DOI：
10.1093/gerona/glab211
发表时间：
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期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
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影响因子：
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