Aging and Spinal Cord Injury: External Causes of Injury and Implications for Prevention.
Aging and Spinal Cord Injury: External Causes of Injury and Implications for Prevention.
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DOI：
10.1309/sci2103-218
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发表时间：
2015-01-01
影响因子：
2.9
通讯作者：
DeVivo, Michael J
中科院分区：
文献类型：
--
作者：
Chen, Yuying;Tang, Ying;DeVivo, Michael J
背景技术背景：尽管在脊髓损伤（SCI）的时间对老年人的一致趋势，鲜为人知的是SCI的外部原因在elderly.OBJECTIVE：检查环境的情况下，记录的国际疾病分类，第10次修订，临床修改代码，在SCI的时候，在老年adults.METHODS：在2005年或以后受伤的个人的数据从国家SCI数据库中检索。比较研究组之间的人口统计学、损伤概况和损伤的外部原因（年龄>60岁，n = 1，079）和参照组（年龄16-45岁，n = 3，579）使用卡方和Student t检验。在老年人中，福尔斯是SCI最常见的病因（60%），其次是交通事故（24%）和内科和外科护理并发症（12%）。在年轻组中，交通事故是SCI最常见的病因（49%），其次是福尔斯（22%）和袭击（21%）。福尔斯跌倒在同一水平（30%），从楼梯和台阶（22%），和其他滑倒，绊倒，绊倒（11%）是最常见的机制福尔斯在老年组。在机动车事故中，与另一辆车相撞时的汽车乘员受伤是老年人最常见的受伤机制（28%）。结论：迫切需要针对老年人制定有效的跌倒预防计划，以减少不断扩大的人口中的SCI。本研究中提供的老年人福尔斯和其他主要SCI原因的机制的详细信息，应告知高风险人员，活动和环境的未来干预措施的发展。
BACKGROUND: Despite a consistent trend toward older age at time of spinal cord injury (SCI), little is known about the external causes of SCI in the elderly.OBJECTIVE: To examine environmental circumstances, documented by International Classification of Diseases, 10th Revision, Clinical Modification codes, at time of SCI among older adults.METHODS: Data on individuals injured in 2005 or later were retrieved from the National SCI Database. Demographics, injury profiles, and external causes of injury were compared between the study group (age >60 years, n = 1,079) and reference group (age 16-45 years, n = 3,579) using chi-square and Student t tests.RESULTS: Among the elderly, falls were the most common etiology of SCI (60%), followed by transport accidents (24%) and complications of medical and surgical care (12%). In the younger group, transport accidents were the most common etiology of SCI (49%), followed by falls (22%) and assault (21%). Falls on the same level (30%), from stairs and steps (22%), and other slipping, tripping, and stumbling (11%) were the most common mechanisms of falls in the elderly group. Among motor vehicle accidents, car occupant injured in a collision with another car was the most common mechanism of injury among the elderly (28%).CONCLUSIONS: There is an urgent need for effective fall prevention programs among the elderly to reduce SCI in this expanding population. Details on the mechanisms of falls and other major causes of SCI among the elderly provided in this study should inform the development of future interventions for high-risk persons, activities, and environments.