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居家老年人的意外事故:一项基于社区的研究,评估患病率、类型、地点和损伤情况。

Accidents in older people living at home: a community-based study assessing prevalence, type, location and injuries.

作者信息

Carter S E, Campbell E M, Sanson-Fisher R W, Gillespie W J

机构信息

Hunter Centre for Health Advancement, Locked Bag 10, Wallsend, New South Wales 2287.

出版信息

Aust N Z J Public Health. 2000 Dec;24(6):633-6. doi: 10.1111/j.1467-842x.2000.tb00532.x.

DOI:10.1111/j.1467-842x.2000.tb00532.x
PMID:11215016
Abstract

OBJECTIVES

To assess the prevalence, type, location of and injuries from home accidents, including falls and other accidents, and to explore whether variables including socio-demographic characteristics, medication use and home hazards were associated with all home accidents and falls.

METHOD

657 older people were interviewed about accidents in the previous four weeks. For a subsample (n = 425), a home hazard check was completed.

RESULTS

Of the 101 accidents reported, 51% (n = 51) were falls and 50% (n = 50) were other accidents. The most common location for all accidents was outside (30%). Most resulted in minor injury to the legs (43%) or arms (39%). Medical treatment was sought for 14% of accidents. Having more than five hazards and infrequent home visits by healthcare providers were associated with having at least one accident and at least one fall. Use of a walking aid was also associated with falling.

CONCLUSION

Rates of falls and other accidents are considerable.

IMPLICATIONS

Work is required to confirm the importance of the relationships suggested and to provide data on the burden of injury associated with non-fall accidents.

摘要

目的

评估家庭事故的发生率、类型、发生地点及由此导致的伤害,包括跌倒及其他事故,并探究社会人口学特征、药物使用及家庭危险因素等变量是否与所有家庭事故及跌倒有关。

方法

对657名老年人进行访谈,询问其过去四周内发生的事故。对一个子样本(n = 425)进行了家庭危险因素检查。

结果

在报告的101起事故中,51%(n = 51)为跌倒,50%(n = 50)为其他事故。所有事故最常见的发生地点是室外(30%)。大多数事故导致腿部(43%)或手臂(39%)受轻伤。14%的事故寻求了医疗救治。存在五种以上危险因素以及医疗保健人员不经常家访与至少发生一起事故和至少一次跌倒有关。使用助行器也与跌倒有关。

结论

跌倒和其他事故的发生率相当高。

启示

需要开展工作以确认所提示关系的重要性,并提供与非跌倒事故相关的伤害负担数据。

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