Risk factors for falls and fall-related injuries in adults 85 years of age and older.
Risk factors for falls and fall-related injuries in adults 85 years of age and older.
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DOI：
10.1016/j.archger.2011.06.008
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发表时间：
2012-05
影响因子：
4
通讯作者：
Layde PM
中科院分区：
文献类型：
--
作者：
Grundstrom AC;Guse CE;Layde PM
福尔斯是老年人发病和死亡的主要原因。以前没有关于福尔斯危险因素的研究集中在85岁及以上的成年人身上，这是成年人中增长最快的部分。我们研究了65岁及以上成人福尔斯和跌倒相关损伤的人口统计学、健康和行为危险因素，特别关注85岁及以上的成人。我们分析了2008年行为风险因素监测系统（BRFSS）的自我报告信息。有120，923名65岁或以上的人和12，684名85岁或以上的人提供数据。在85岁或以上的人中，21.3%的人报告在过去3个月内至少有一次跌倒，7.2%的人报告至少有一次跌倒相关的伤害需要医疗护理或限制活动一天或更长时间。低于平均水平的一般健康状况、男性、自觉睡眠不足、需要辅助设备的健康问题、饮酒、体重指数增加和中风史都与福尔斯或跌倒相关损伤的风险增加独立相关。85岁及以上人群跌倒的风险更大，似乎是由于整体健康状况随年龄增长而恶化;在整体健康状况良好的人群中，85岁及以上的成年人跌倒的风险并不比65-84岁的人高。我们的研究结果表明，那些有福尔斯和跌倒相关伤害危险因素的人可能是基于证据的跌倒预防计划的适当目标。
Falls are a leading cause of morbidity and mortality in older adults. No previous studies on risk factors for falls have focused on adults 85 years and older, the most rapidly growing segment of adults. We examined demographic, health, and behavioral risk factors for falls and fall-related injuries in adults 65 years and older, with a particular focus on adults 85 years and older. We analyzed self-reported information from the Behavioral Risk Factor Surveillance System (BRFSS) for 2008. Data was available for 120,923 people aged 65 or older and 12,684 people aged 85 or older. Of those aged 85 or older, 21.3% reported at least one fall in the past 3 months and 7.2% reported at least one fall related injury requiring medical care or limiting activity for a day or longer. Below average general health, male sex, perceived insufficient sleep, health problems requiring assistive devices, alcohol consumption, increasing body mass index and history of stroke were all independently associated with a greater risk of falls or fall related injuries. The greater risk of falling in those 85 years and older appeared to be due to the deterioration of overall health status with age; among those with excellent overall health status, there was no greater risk of falling in adults 85 years and older compared to those 65–84 years of age. Our results suggest that those with risk factors for falls and fall-related injuries may be appropriate targets for evidence-based fall prevention programs.
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影响因子：
2.5
作者：
Hill-Westmoreland, EE;Soeken, K;Spellbring, AM
通讯作者：
Spellbring, AM
DOI：
10.1093/gerona/62.1.62
发表时间：
2007-01-01
影响因子：
5.1
作者：
Hill, Elizabeth Latimer;Cumming, Robert G.;Le Couteur, David G.
通讯作者：
Le Couteur, David G.
DOI：
10.1111/j.1532-5415.2004.52411.x
发表时间：
2004-09-01
影响因子：
6.3
作者：
Clemson, L;Cumming, RG;Taylor, K
通讯作者：
Taylor, K
DOI：
10.1682/jrrd.2007.10.0169
发表时间：
2008-01-01
影响因子：
--
作者：
Costello, Ellen;Edelstein, Joan E.
通讯作者：
Edelstein, Joan E.
DOI：
10.1111/j.1532-5415.1992.tb01955.x
发表时间：
1992-07-01
影响因子：
6.3
作者：
NELSON, DE;SATTIN, RW;STEVENS, JA
通讯作者：
STEVENS, JA