INJURY AND FUNCTIONAL DECLINE IN ELDERLY FALLERS

正如2000年健康人目标所承认的，福尔斯及其 后遗症是常见的、有可能预防的残疾来源 在老年人中。这项研究的目标是，在最初的资助期间， 期间，是为了确定福尔斯的频率和危险因素， 严重伤害和其他跌倒后遗症。研究的目的是在 续期期间将继续这些调查的下一步， 即检查与以下方面相关的健康、功能和成本结果： 福尔斯及其后遗症。 本建议的具体目标是：l）确定是否，以及 何种程度、福尔斯和/或跌倒后遗症是 老年人的不良功能和健康结果;以及2） 确定与跌倒和跌倒后遗症相关的医疗保健费用。 要研究的跌倒后遗症包括受伤、害怕跌倒、低血糖、 与跌倒有关的功效，以及跌倒后在没有帮助的情况下无法起床。 不良健康和功能结局包括新发或增加 残疾人的身体机能、基本活动和工具活动 日常生活，先进的身体和社会活动，以及 增加家庭服务和机构化。 在续期期间，拟议的研究旨在补充 现有丰富的社区老年人代表性样本数据集 拥有额外使用和支出数据的人。1103人 参与者代表了非制度化新的概率样本， 康涅狄格州海文市的居民，在2010年12月31日之前至少72岁， 1989-1990年入学，现在的平均年龄为82.4（5.2）岁。 已经收集的参与者数据包括：1）三次访谈， 1989年和1993年期间，人口、社会、心理、医疗、 物理性能和功能数据; 2）3年的 每日监测数据的发生，情况和后果， 福尔斯;和3）持续监测住院和死亡。这些 数据将补充：l）审查所有队列的医疗记录 成员确定是否存在慢性疾病和发生 干预医疗事件; 2）来自HCFA的医疗保健支出数据;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， 福尔斯及其后遗症在残疾增加中发挥作用， 依赖性，以及随着年龄增长而产生的医疗保健费用，以及反过来， 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保健费用 人士

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.