INJURY AND FUNCTIONAL DECLINE IN ELDERLY FALLERS

老年跌倒者的损伤和功能衰退

• 批准号: 3118548
• 负责人: MARY E TINETTI
• 金额: $ 33.76万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-05-01 至 1994-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3118548
• 关键词: accidental falls; disabling disease; disease /disorder proneness /risk; epidemiology; human morbidity; human old age (65+); human subject; immobilization of body part; injury prevention; interview; longitudinal human study

Falls are an important health problem for elderly persons because of resulting suffering and functional decline. In our earlier study, 30% of the community elderly subjects fell; 25% of the fallers suffered a serious injury. Serious injury was associated with functional decline-as measured by decreased mobility- independent of number of falls or physical ability. The aims of the proposed project are: 1) to identify the incidence of, and risk factors for, serious injuries during a fall; and 2) to verify the independent contribution of serious injury to decline in mobility among elderly fallers. The project is a five-year study of the estimated 1,029 eligible members of the Yale Health and Aging Cohort who agree to participate. Hypothesized risk factors for serious injury include factors associated with force of impact of the fall and factors associated with protective responses of the faller. The outcome variables will be serious injury and change in mobility during the study period. Risk and outcome variables will be ascertained during baseline and yearly assessments as well as during followup contacts. Followup contacts include: 1) weekly postcards; 2) immediate telephone calls to ascertain circumstances of fall; and 3) quarterly telephone interviews for all subjects. Each subject will be followed for three years. If, as we postulate, much of the suffering, health care expense, and loss of function associated with falling results from injury, then the factors associated with injury should be identified and targeted in preventive programs. The modifiable risk factors identified in this study will allow the development of targeted, effective preventive programs. This proposal is a revised version of Application AG07449.

跌倒是老年人的一个重要健康问题，因为 造成的痛苦和功能衰退。在我们之前的 研究显示，30%的社区老年受试者跌倒；25%的 坠落者受了重伤。严重的伤害与 功能衰退--以行动能力减退来衡量-- 与摔倒次数或体能无关。 拟议项目的目的是：1)确定事件的发生 坠落过程中严重受伤的原因和危险因素； 验证重伤对下降的独立贡献 在老年衰退者的行动能力方面。 该项目是对估计1,029名符合条件的人进行的为期五年的研究 耶鲁大学健康和老龄队列的成员同意 参与进来。假设的严重伤害风险因素包括 与跌落的冲击力相关的因素和因素 与跌倒者的保护性反应有关。结果是 变量将是严重的受伤和运动能力的变化 学习期间。风险和结果变量将被确定 在基线和年度评估期间以及在跟踪期间 联系人。后续联系方式包括：1)每周明信片；2) 立即拨打电话，以确定坠落情况；以及 3)对所有受试者进行季度电话采访。每个科目 将被跟踪三年。 如果，就像我们假设的那样，大部分痛苦，医疗保健费用， 以及因受伤而导致的跌倒相关的功能丧失， 然后，应确定与伤害相关的因素，并 在预防计划中有针对性。可更改的风险因素 这项研究中确定的将允许开发有针对性的、 有效的预防计划。 本提案是申请AG07449的修订版。