Four-wheeled walker related injuries in older adults in the Netherlands
Four-wheeled walker related injuries in older adults in the Netherlands
复制标题
DOI：
10.1136/injuryprev-2012-040593
复制
发表时间：
2014-02-01
影响因子：
3.7
通讯作者：
van der Cammen, T. J. M.
中科院分区：
文献类型：
--
作者：
van Riel, K. M. M.;Hartholt, K. A.;van der Cammen, T. J. M.
背景随着全球人口老龄化，移动设备的使用比以往任何时候都多。在目前的文献中，还没有达成共识，是否可用的移动设备安全地提高其用户的移动性。此外，缺乏证据表明，在使用四轮步行者时发生损伤的风险和类型。目的评估老年人的损伤风险和损伤模式（>= 65岁），在荷兰急诊科（艾德）就诊，由于使用四轮步行者而受伤。设计和设置在本研究中，荷兰损伤监测系统用于获得荷兰成年人群（>= 65岁）在使用四轮步行者时受伤的年度艾德就诊的全国代表性样本。荷兰的四轮步行者使用者的数量是从国家保险局获得的。艾德访问的数量除以四轮步行者用户的数量来计算年龄和性别特异性的伤害risks.Results每年1869老年人访问了艾德后，持续受伤，而使用四轮步行者。福尔斯是造成伤害的主要原因（96%）。受伤风险为每100名四轮步行机使用者3.1人。女性（每100名吸毒者中有3.5人）的风险高于男性（每100名吸毒者中有2.0人）。85岁及以上的女性受伤风险最高（每100名使用者中有6.2人受伤）。大多数损伤为骨折（60%），其中髋部骨折（25%）是最常见的损伤。近一半的四轮步行者相关伤害需要住院治疗，主要是由于髋部骨折。每次受伤的医疗费用约为12 000美元。结论本研究提供的证据表明，老年人在使用四轮步行者时跌倒是严重受伤的高风险。
Background With ageing populations worldwide, mobility devices are used more than ever. In the current literature there is no consensus whether the available mobility devices safely improve the mobility of their users. Also, evidence is lacking concerning the risks and types of injuries sustained while using a four-wheeled walker.Objective To assess injury risks and injury patterns in older adults (>= 65 years) who presented at Emergency Departments (ED) in the Netherlands with an injury due to using a four-wheeled walker.Design and setting In this study, the Dutch Injury Surveillance System was used to obtain a national representative sample of annual ED visits in the Netherlands in the adult population (>= 65 years) sustaining an injury while using a four-wheeled walker. The numbers of four-wheeled walker users in the Netherlands were obtained from the national insurance board. The numbers of ED visits were divided by the numbers of four-wheeled walker users to calculate age- and sex-specific injury risks.Results Annually 1869 older adults visited an ED after sustaining an injury while using a four-wheeled walker. Falls were the main cause of injury (96%). The injury risk was 3.1 per 100 users of four-wheeled walkers. Women (3.5 per 100 users) had a higher risk than men (2.0 per 100 users). Injury risk was the highest in women aged 85 years and older (6.2 per 100 users). The majority of injuries were fractures (60%) with hip fracture (25%) being the most common injury. Nearly half of all four-wheeled walker related injuries required hospitalisation, mostly due to hip fractures. Healthcare costs per injury were approximately (sic) 12 000.Conclusions This study presents evidence that older adults experiencing a fall while using a four-wheeled walker are at high risk to suffer severe injuries.