Emergency department visits for fall-related fractures among older adults in the USA: a retrospective cross-sectional analysis of the National Electronic Injury Surveillance System All Injury Program, 2001-2008.
Emergency department visits for fall-related fractures among older adults in the USA: a retrospective cross-sectional analysis of the National Electronic Injury Surveillance System All Injury Program, 2001-2008.
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DOI：
10.1136/bmjopen-2012-001722
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发表时间：
2013-01-24
期刊：
影响因子：
2.9
通讯作者：
Orces CH
中科院分区：
文献类型：
--
作者：
Orces CH
描述在美国医院急诊科接受治疗的老年人中意外跌倒相关骨折的人口学特征和发生率。回顾性观察性研究。医院急诊科参加国家电子伤害监测系统所有伤害计划(NEISS-AIP)。NISS-AIP被用来生成2001年至2008年间65岁或65岁以上成年人因意外跌倒相关骨折而前往医院急诊就诊的全国估计数。使用人口普查估计作为分母，以计算每10万 000人的年龄特定和年龄调整后的骨折发生率。与跌倒相关的骨折发生率和ED处置。根据70例 199例，估计有405万老年人在8年内因跌倒相关骨折而在美国医院急诊室接受治疗。三分之二的伤害发生在家里，69.5%(95%可信区间59.7%到77.8%)的受影响个人是白人。与跌倒相关的骨折发生率随着年龄的增长而逐渐增加，在女性中平均高出两倍。在住院患者中，女性和下躯干骨折分别占住院人数的75.2%和65.1%。急诊室治疗的跌倒相关骨折的估计数量从2001年的574例 500例增加到2008年的714例 800例，增加了24.4%。按性别划分，年龄调整后的跌倒相关骨折发生率以男性为主，年增长率为1.9%(95%CI−为0.1%至4.0%)，而女性的骨折发生率保持稳定在0.9%(95%CI−为0.7%至2.5%)。在美国医院急诊室接受治疗的65岁或65岁以上的人中，年龄最大的老年人、女性和下躯干骨折占与跌倒相关的骨折的大部分。增加老年人跌倒相关骨折的急诊率和住院率值得进一步研究。
To describe the demographic characteristics and incidence of unintentional fall-related fractures among older adults treated in the US hospital emergency departments (EDs). Retrospective observational study. Hospitals’ ED participants in the National Electronic Injury Surveillance System All Injury Program (NEISS-AIP). The NEISS-AIP was used to generate national estimates of hospital ED visits for unintentional fall-related fracture among adults aged 65 years or older between 2001 and 2008. Census population estimates were used as the denominator to calculate age-specific and age-adjusted fracture rates per 100 000 persons. Fall-related fracture rates and ED disposition. On the basis of 70 199 cases, an estimated 4.05 million older adults were treated in US hospital EDs for fall-related fracture during the 8-year period. Two-thirds of the injuries occurred at home and 69.5% (95% CI 59.7% to 77.8%) of the affected individuals were white. Fall-related fracture rates increased gradually with age and were on average twofold higher among women. Of those hospitalised, women and fractures of the lower trunk represented 75.2% and 65.1% of the admissions, respectively. The estimated number of fall-related fractures treated in EDs increased from 574 500 in 2001 to 714 800 in 2008, a 24.4% increase. By gender, a non-significant upward trend in age-adjusted fall-related fracture rates was predominantly seen among men at an annual rate of 1.9% (95% CI −0.1% to 4.0%), whereas fracture rates among women remained stable at 0.9% (95% CI −0.7% to 2.5%) per year. The oldest old, women and lower trunk fractures account for the majority of fall-related fractures among persons aged 65 years or older treated in US hospital EDs. Increasing ED visits and hospitalisations for fall-related fracture among older adults deserve further research.
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影响因子：
6.2
作者：
Cauley, Jane A.;Wu, LieLing;Robbins, John
通讯作者：
Robbins, John
影响因子：
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作者：
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120.7
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作者：
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通讯作者：
KAPLAN, F
影响因子：
4.2
作者：
Cauley, Jane A.
通讯作者：
Cauley, Jane A.