High Prevalence of Falls, Fear of Falling, and Impaired Balance in Older Adults with Pain in the United States: Findings from the 2011 National Health and Aging Trends Study
High Prevalence of Falls, Fear of Falling, and Impaired Balance in Older Adults with Pain in the United States: Findings from the 2011 National Health and Aging Trends Study
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DOI：
10.1111/jgs.13072
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发表时间：
2014-10-01
影响因子：
6.3
通讯作者：
Turk, Dennis C.
中科院分区：
文献类型：
--
作者：
Patel, Kushang V.;Phelan, Elizabeth A.;Turk, Dennis C.
根据美国老年人的疼痛状况，确定临床相关跌倒相关结局的患病率。设计2011年国家健康和老龄化趋势研究的横断面分析，65岁及以上的医疗保险登记者样本（回应率71.0%）。个人评估是在抽样研究参与者的家庭或住宿护理机构进行的。（n = 7，601，代表3530万医疗保险受益人）. MeasurementsParticipants被问到他们是否被疼痛和疼痛的位置所困扰，以及关于平衡和协调、害怕跌倒和福尔斯的问题。在过去一年中，有疼痛的参与者中复发性福尔斯的患病率（2次福尔斯）为19.5%，无疼痛的参与者为7.4%（年龄和性别调整的患病率比（PR）= 2.63，95%置信区间（CI）= 2.28 - 3.05）。有疼痛的患者中有18.0%的患者因害怕跌倒而限制活动，无疼痛的患者中有4.4%的患者因害怕跌倒而限制活动（校正后的PR = 3.98，95% CI = 3.24 - 4.87）。平衡和福尔斯结局的发生率随疼痛部位数量的增加而增加。例如，在没有疼痛的参与者中，限制活动的平衡和协调问题的患病率为6.6%，在一个部位疼痛的参与者中为11.6%，在两个部位疼痛的参与者中为17.7%，在三个部位疼痛的参与者中为25.0%，在四个或更多部位疼痛的参与者中为41.4%（P
ObjectivesTo determine the prevalence of clinically relevant falls-related outcomes according to pain status in older adults in the United States.DesignCross-sectional analysis of the 2011 National Health and Aging Trends Study, a sample of Medicare enrollees aged 65 and older (response rate 71.0%).SettingIn-person assessments were conducted in the home or residential care facility of the sampled study participant.ParticipantsIndividuals aged 65 and older (n=7,601, representing 35.3 million Medicare beneficiaries).MeasurementsParticipants were asked whether they had been bothered by pain and the location of pain, as well as questions about balance and coordination, fear of falling, and falls.ResultsFifty-three percent of the participants reported bothersome pain. The prevalence of recurrent falls in the past year (2 falls) was 19.5% in participants with pain and 7.4% in those without (age- and sex-adjusted prevalence ratio (PR)=2.63, 95% confidence interval (CI)=2.28-3.05). The prevalence of fear of falling that limits activity was 18.0% in those with pain and 4.4% in those without (adjusted PR=3.98, 95% CI=3.24-4.87). Prevalence of balance and falls outcomes increased with number of pain sites. For example, prevalence of problems with balance and coordination that limited activity was 6.6% in participants with no pain, 11.6% in those with one site of pain, 17.7% in those with two sites, 25.0% in those with three sites, and 41.4% in those with four or more sites (P