FALL FREQUENCY AND CHARACTERISTICS AND THE RISK OF HIP-FRACTURES

FALL FREQUENCY AND CHARACTERISTICS AND THE RISK OF HIP-FRACTURES
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DOI:
10.1111/j.1532-5415.1994.tb06540.x
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发表时间:
1994-07-01
影响因子:
6.3
通讯作者:
KLINEBERG, RJ
KLINEBERG, RJ
中科院分区:
医学1区
文献类型:
--
作者:
CUMMING, RG;KLINEBERG, RJ

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目的:本研究的两个目的是调查福尔斯史与髋部骨折风险之间的关系,并确定确定福尔斯的特征,以确定髋部骨折是否会发生。在研究福尔斯频率和髋部骨折风险(年龄范围65-100岁)的部分中,有412名受试者(205例病例,207例对照)。髋关节骨折相关的福尔斯和其他福尔斯之间的差异进行了研究,在209个认知完整的科目:84个控制下降至少一次,在过去的3年和125 cases.MEASUREMENTS:数据收集与采访者管理的问卷调查。这种关系在男性中比在女性中更强。只有1个统计学显著的跌倒特征与髋部骨折风险相关;转弯时跌倒比朝一个方向行走时跌倒更容易导致髋部骨折(年龄和性别调整的比值比:7.9,95%置信区间:1.4-43.0)。
OBJECTIVES: The 2 objectives of this study were to investigate the association between history of falls and risk of hip fracture and to identify characteristics of falls that determine whether or not a hip fracture will occur.DESIGN: Population-based case-control study.SETTING: Subjects were selected from the community and from nursing homes in Sydney, Australia.PATIENTS: There were 412 subjects (205 cases, 207 controls) in the part of the study concerned with falls frequency and risk of hip fracture (age range 65-100 years). Differences between hip fracture-related falls and other falls were studied in 209 cognitively intact subjects: 84 controls who had fallen at least once in the previous 3 years and 125 cases.MEASUREMENTS: Data were collected with an interviewer-administered questionnaire.MAIN RESULTS: There was a strong relationship between reported number of falls in the past year and risk of hip fracture. This relationship was stronger among men than among women. There was only 1 statistically significant fall characteristic associated with risk of hip fracture; falling while turning was much more likely to lead to a hip fracture than falling when walking in one direction (age- and sex-adjusted odds ratio: 7.9, 95% confidence interval: 1.4-43.0).