Do elderly people at more severe activity of daily living limitation stages fall more?
Do elderly people at more severe activity of daily living limitation stages fall more?
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DOI：
10.1097/phm.0b013e31825596af
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发表时间：
2012-07
影响因子：
3
通讯作者：
Stineman MG
中科院分区：
文献类型：
--
作者：
Henry-Sánchez JT;Kurichi JE;Xie D;Pan Q;Stineman MG
Henry-Sánchez JT，Kurichi JE，Xie D，Pan Q，Stineman MG：老年人在日常生活限制阶段的活动更严重吗？美国物理医学康复杂志2012;91：601-610。本研究的目的是探讨日常生活活动（ADL）阶段和未满足的需求的家庭可访问性功能的感知与跌倒史。参与者来自1994年进行的第二次老龄化纵向调查的全国代表性样本。样本包括9250名70岁以上的社区居民。在考虑社会人口学特征和合并症后，使用多项逻辑回归模型，探讨了ADL阶段和对过去一年内（无，一次或多次）发生的家庭无障碍功能未满足需求的感知之间的关系。与无限制（ADL-0）的人相比，严重限制（ADL-III）的人跌倒一次以上的校正相对风险达到峰值4.30（95%置信区间，3.29-5.61），然后在完全限制（ADL-IV）的人中下降。对于那些缺乏家庭可达性特征的人，调整后的一次和多次跌倒的相对风险分别为1.42（95%置信区间，1.07-1.87）和1.85（95%置信区间，1.44-2.36）。跌倒的风险似乎最大的那些家庭缺乏无障碍功能，并在中间ADL限制阶段达到峰值，大概是在一个点，当人们有显着的残疾，但足够的功能，以保持部分活跃。
Henry-Sánchez JT, Kurichi JE, Xie D, Pan Q, Stineman MG: Do elderly people at more severe activity of daily living limitation stages fall more? Am J Phys Med Rehabil 2012;91:601–610. The aim of this study was to explore how activity of daily living (ADL) stages and the perception of unmet needs for home accessibility features associate with a history of falling. Participants were from a nationally representative sample from the Second Longitudinal Survey of Aging conducted in 1994. The sample included 9250 community-dwelling persons 70 yrs or older. The associations of ADL stage and perception of unmet needs for home accessibility features with a history of falling within the past year (none, once, or multiple times) were explored after accounting for sociodemographic characteristics and comorbidities using a multinomial logistic regression model. The adjusted relative risk of falling more than once peaked at 4.30 (95% confidence interval, 3.29–5.61) for persons with severe limitation (ADL-III) compared those with no limitation (ADL-0) then declined for those at complete limitation (ADL-IV). The adjusted relative risks of falling once and multiple times were 1.42 (95% confidence interval, 1.07–1.87) and 1.85 (95% confidence interval, 1.44–2.36), respectively, for those lacking home accessibility features. Risk of falling appeared greatest for those whose homes lacked accessibility features and peaked at intermediate ADL limitation stages, presumably at a point when people have significant disabilities but sufficient function to remain partially active.