Life-space mobility declines associated with incident falls and fractures.
Life-space mobility declines associated with incident falls and fractures.
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DOI：
10.1111/jgs.12787
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发表时间：
2014-05
影响因子：
6.3
通讯作者：
Allman RM
中科院分区：
文献类型：
--
作者：
Lo AX;Brown CJ;Sawyer P;Kennedy RE;Allman RM
确定福尔斯和骨折对社区老年人生活空间活动能力的影响。前瞻性、观察性研究，包括基线家庭评估和为期4年的6个月电话随访。美国中部亚拉巴马：从医疗保险受益人随机样本中招募970名年龄≥ 65岁的社区居民，按性别、种族和城市/农村居住地分层。社会人口因素，病史，抑郁症状（使用老年抑郁量表），认知功能（使用简易精神状态检查），移动相关症状，交通困难，和医疗保健利用进行了评估，在基线的参与者在家里采访。在基线访谈时和每隔6个月通过电话随访评估生活空间活动性以及任何福尔斯或损伤（包括骨折）。454名（47%）参与者报告在4年随访期间至少有一次跌倒。从跌倒发生的六个月间隔的开始到结束，生活空间评分下降了3.2分，调整了其他已知的生活空间流动性下降的预测因素。跌倒和受伤（-4.7分）、跌倒和骨折（-14.2分）的间隔生命空间评分下降幅度逐渐增大，跌倒和髋部骨折（-23.6分）的间隔生命空间评分下降幅度最大。福尔斯，无论是否与损伤相关，在随后的六个月内与生活空间活动性的降低独立相关。需要进一步的研究来确定社区居住的老年人在没有任何伤害的情况下发生福尔斯事件的生活空间活动能力下降的原因。
To determine the impact of falls and fractures on life-space mobility in a cohort of community-dwelling older adults. Prospective, observational study with a baseline in-home assessment and 6-month telephone follow-up interviews over 4 years. Central Alabama, U.S.A. Nine hundred seventy community-dwelling adults age ≥ 65 years, recruited from a random sample of Medicare beneficiaries were stratified by sex, race, and urban/rural residence. Sociodemographic factors, medical history, depressive symptoms (using the Geriatric Depression Scale), cognitive function (using the Mini-Mental State Examination), mobility-related symptoms, transportation difficulty, and healthcare utilization were assessed during a baseline in-home interview of participants. Life-space mobility, as well as any falls or injuries (including fractures) were assessed both at the baseline interview and at six-month intervals by follow-up telephone calls. Four hundred and fifty-four (47%) participants reported at least one fall during the 4-year follow-up. The life-space score decreased 3.2 points from the beginning to the end of the six-month interval during which a fall occurred, adjusting for other known predictors of decline in life-space mobility. The decrease in interval life-space score was progressively greater for a fall and an injury (−4.7 points), a fall and a fracture (−14.2 points), and was highest for a fall and a hip fracture (−23.6 points). Falls, whether associated with an injury or not, were independently associated with a decrease in life-space mobility in the ensuing six months. Further studies are needed to determine reasons for life-space mobility decline among community-dwelling older adults with incident falls without any injuries.
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DOI：
10.1046/j.1532-5415.2002.50352.x
发表时间：
2002-08-01
影响因子：
6.3
作者：
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通讯作者：
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影响因子：
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影响因子：
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DOI：
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发表时间：
2010-12-01
影响因子：
6.3
作者：
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影响因子：
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