Health Care Utilization and Functional Status in the Aged Following a Fall

Health Care Utilization and Functional Status in the Aged Following a Fall
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跌倒后老年人的医疗保健利用和功能状态

DOI:
--
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发表时间:
1991
期刊:
影响因子:
3
通讯作者:
V. Mor
V. Mor
中科院分区:
医学3区
文献类型:
--
作者:
Douglas P. Keil;P. O'Sullivan;J. Teno;V. Mor

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老年人的跌倒可能会导致卫生保健利用率的增加和功能状态的下降。对老龄化的纵向研究进行了分析,以检验以下假设:在前一年跌倒后的老年人中,使用医疗保健系统的人数比没有跌倒的老年人更多,跌倒的人比没有跌倒的人更有可能功能下降。在控制了年龄、性别、自我感觉健康状况和日常生活困难后,一次性跌倒者,尤其是反复跌倒者(前一年跌倒2次或更多)比未跌倒者更有可能随后住院、入住疗养院和频繁接触医生。同样,一次性跌倒者,尤其是反复跌倒者,报告日常生活活动、日常生活工具性活动以及对身体要求更高的活动的后续困难的风险更大。这些发现突显了跌倒对医疗保健系统和个人的重大影响。
Falls in the aged may lead to increases in health care utilization and declines in functional status. The Longitudinal Study of Aging was analyzed to test the hypotheses that use of the health care system is greater in elderly persons subsequent to a fall in the preceding year than in those who have not fallen and that fallers are more likely to decline in function than are nonfallers. One-time fallers and, especially repeated fallers, (2 or more falls in the preceding year) were at greater risk of subsequent hospitalization, nursing home admission, and frequent physician contact than were nonfallers, after controlling for age, sex, self-perceived health status, and difficulties with activities of daily living. Similarly, one-time fallers, and especially repeated fallers, were at greater risk of reporting subsequent difficulties with activities of daily living, instrumental activities of daily living, and more physically demanding activities. These findings highlight the significant impact that falls have on the health care system and on the individual.
老年人跌倒受伤。
DOI: --
发表时间: 1985
影响因子: 3.3
作者:
Baker,SP;Harvey,AH
通讯作者: Harvey,AH