INJURY AND FUNCTIONAL DECLINE IN ELDERLY FALLERS

正如2000年健康人物目标所确认的那样，跌倒和他们的 后遗症是常见的、可能可以预防的残疾来源 在老年人中。这项研究的目标是，在最初的资助期间 是为了确定跌倒的频率和危险因素， 严重受伤，以及其他跌倒后遗症。这项研究的目标是 续期将是继续这些调查的下一步， 即检查与以下各项相关的健康、功能和成本结果 瀑布及其后遗症。 这项建议的具体目的是：L)确定是否，并 跌倒的程度、跌倒和/或跌倒后遗症是 老年人的不良功能和健康后果；以及2) 确定与跌倒和跌倒后遗症相关的医疗费用。 有待研究的跌倒后遗症包括受伤、害怕跌倒、低血压 与跌倒相关的疗效，以及跌倒后无法在没有帮助的情况下站起来。 不利的健康和功能后果包括新的发病或增加 在身体表现、基本和工具性活动方面的残疾 日常生活，高级身体和社会活动以及 增加家庭服务和制度化。 在更新期间，拟议的研究旨在补充 社区老年人代表性样本的现有丰富数据集 具有其他使用情况和支出数据的人员。1,103 参与者代表了非制度化新闻的概率样本 康涅狄格州黑文市居民，在 1989年至1990年入学，现在的平均年龄为82.4岁(5.2岁)。 已经收集的关于参与者的数据包括：1)以下三次访谈 1989年和1993年期间，人口，社会，心理，医学， 确定了物理性能和功能数据；2)3年 关于以下事件的发生、情况和后果的每日监测数据 以及3)住院和死亡的持续监测。这些 数据将补充：L)审查所有队列的病历 成员须确定慢性疾病的存在和是否发生 介入医疗事件；2)来自HCFA的医疗费用数据；以及 3)康涅狄格州长期护理登记处的养老院数据。 计划中的调查将有助于确定是否以及在多大程度上， 跌倒及其后遗症在残疾增加中起到了一定作用， 依赖性和医疗保健成本被视为人的年龄，而反过来， 跌倒和受伤预防计划可能会影响健康， 越来越多的老年人的功能和医疗保健费用 人。

As recognized in the Healthy People 2000 objectives, falls and their sequelae represent common, potentially preventable sources of disability among older persons. The goal of this study, during its initial funding period, was to determine the frequency of, and risk factors for falls, serious injuries, and other fall sequelae. The goal of the study during the renewal period will be to continue these investigations the next step, namely to examine the health, functional, and cost outcomes associated with falls and their sequelae. The specific aims of this proposal are: l) to determine whether, and to what extent, falls and/or fall sequelae are independent determinants of adverse functional and health outcomes in elderly persons; and 2) to determine the health care costs associated with falling and fall sequelae. The fall sequelae to be studied include injuries, fear of falling, low fall-related efficacy, and inability to get up without help after a fall. The adverse health and functional outcomes include new onset or increased disability in physical performance, basic and instrumental activities of daily living, and advanced physical and social activities as well as increased home services and institutionalization. The proposed study, during the renewal period, is designed to supplement an existing rich dataset on a representative sample of community elderly persons with additional utilization and expenditure data. The 1,103 participants represent a probability sample of non-institutionalized New Haven, Connecticut residents who were at least 72 years of age at time of enrollment in 1989-1990 and are now a mean age of 82.4 (5.2) years old. Data already collected on participants include: 1) three interviews between 1989 and 1993 during which demographic, social, psychological, medical, physical performance, and functional data were ascertained; 2) 3 years of daily surveillance data on occurrence, circumstances, and consequences of falls; and 3) ongoing surveillance for hospitalizations and death. These data will be supplemented with: l) reviews of medical records of all cohort members to ascertain the presence of chronic diseases and occurrence of intervening medical events; 2) medical care expenditure data from HCFA; and 3) nursing home data from the Connecticut Long Term Care Registry. The planned investigations will help determine whether, and to what extent, falls and their sequelae play a role in the increased disability, dependence, and health care costs seen as persons age and whether, in turn, fall and injury prevention programs are likely to impact on the health, functioning, and health care costs of the increasing numbers of elderly persons.