Kingma J, Ten Duis H J
Department of Traumatology, University Hospital Groningen, The Netherlands.
Percept Mot Skills. 2000 Feb;90(1):62-72. doi: 10.2466/pms.2000.90.1.62.
This retrospective study investigated injuries due to accidental fall across the life span for which 19,593 patients were admitted to the Emergency Unit of the Groningen University Hospital during the period 1990 through 1997. 64% of the accidental falls were found for those in the age range between 10 years and 59 years; however, the proportion of accidental falls with regard to other causes of injuries by age group were the highest in youngsters (infants up to 9 years old) and in elderly persons (over 60 years old), 43% or more of these patients having falls with injuries. The clinically treated patients had on the average a statistically greater Injury Severity Score (7.2) than the outpatients (2.4). The highest percentages of medically treated inpatients were the patients of 60 years and over. Their mean ISS score was about the same for elderly inpatients, but the percentage of clinical treatment increased with age as well as the mortality. 30% of the injuries were found in the lower extremities and 30% in the upper extremities. Bone fracture was statistically significantly the major (36%) injury followed by contusion (20%). 34% of the accidental falls occurred at home, and statistically significantly more females, 50 years of age and older, were injured than males.
这项回顾性研究调查了1990年至1997年期间格罗宁根大学医院急诊科收治的19593例因意外跌倒导致的各年龄段损伤情况。64%的意外跌倒发生在10岁至59岁的人群中；然而，按年龄组划分，意外跌倒在其他损伤原因中所占比例在儿童（9岁及以下婴儿）和老年人（60岁以上）中最高，这些患者中有43%以上因跌倒受伤。接受临床治疗的患者平均损伤严重程度评分（7.2）在统计学上高于门诊患者（2.4）。接受医学治疗的住院患者中比例最高的是60岁及以上的患者。老年住院患者的平均损伤严重程度评分大致相同，但临床治疗的比例随年龄以及死亡率的增加而上升。30%的损伤发生在下肢，30%发生在上肢。从统计学上看，骨折是主要损伤（36%），其次是挫伤（20%）。34%的意外跌倒发生在家中，从统计学上看，50岁及以上的女性比男性受伤更多。
