INJURY AND FUNCTIONAL DECLINE IN ELDERLY FALLERS

老年跌倒者的损伤和功能衰退

• 批准号: 3118551
• 负责人: MARY E TINETTI
• 金额: $ 31.39万
• 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/3118551
• 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.

福尔斯是老年人的重要健康问题， 导致的痛苦和功能衰退。 在我们早期 在一项研究中，30%的社区老年人跌倒; 25%的 坠落者受了重伤。 严重损伤与 随着功能的下降--通过移动性的下降来衡量-- 与福尔斯的次数或体能无关。 拟议项目的目的是：1）确定 跌倒时严重受伤的风险因素;以及2） 验证严重伤害对下降的独立贡献 在老年跌倒者中的移动性。 该项目是一项为期五年的研究，估计有1,029名符合条件的 耶鲁健康与老龄化队列的成员，他们同意 参加 严重伤害的假设风险因素包括 与坠落冲击力相关的因素以及 与跌倒者的保护性反应有关。 成果 变量将是严重的伤害和移动性的变化， 学习期间。 将确定风险和结果变量 基线和年度评估期间以及随访期间 联系人. 后续联系包括：1）每周明信片; 2） 立即致电确定跌倒情况;以及 3)每季度对所有受试者进行电话访谈。 每例受试者 将被追踪三年 如果像我们假设的那样，大部分的痛苦，医疗费用， 并且与跌倒相关的功能丧失是由损伤引起的， 然后，应确定与伤害相关的因素， 针对预防方案。 可改变的风险因素 在这项研究中确定的将允许发展有针对性的， 有效的预防方案。 本提案是申请AG 07449的修订版。