Stel Vianda S, Smit Johannes H, Pluijm Saskia M F, Lips Paul
Institute for Research in Extramural Medicine (EMGO Institute) Department of Endocrinology, VU University Medical Center, Amsterdam, The Netherlands.
Age Ageing. 2004 Jan;33(1):58-65. doi: 10.1093/ageing/afh028.
(1) to examine consequences of falls in older men and women and (2) to examine risk factors for health service use and functional decline among older fallers.
the study was performed within the Longitudinal Aging Study Amsterdam. In 1998/1999, potential risk factors were assessed during the third data collection. In 1999/2000, 204 community-dwelling persons (> or =65 years) who reported at least one fall in the year before the interview, were asked about consequences of their last fall, including physical injury, health service use, treatment and functional decline (i.e. decline in functional status, social and physical activities).
as a consequence of falling, respondents reported physical injury (68.1%), major injury (5.9%), health service use (23.5%), treatment (17.2%), and decline in functional status (35.3%), and social (16.7%) and physical activities (15.2%). Using multivariate logistic regression, specific risk factors for health service use after falling could not be identified. Female gender (OR = 2.8, 95% CI = 1.5-5.1), higher medication use (OR = 1.5, 95% CI = 1.0-2.2) and depressive symptoms (OR = 1.9, 95% CI = 1.3-2.8) were independently associated with functional decline after falling. Depressive symptoms (OR = 2.0, 95% CI = 1.2-3.3) and falls inside (OR = 2.6, 95% CI = 1.1-6.5) were risk factors for decline in social activities, while female gender (OR = 2.7, 95% CI = 1.1-7.0) and depressive symptoms (OR = 1.9, 95% CI = 1.2-3.0) were risk factors for decline in physical activities after falling.
almost 70% of the respondents suffered physical injury, almost one-quarter used health services and more than one-third suffered functional decline after falling. No risk factors were found for health service use needed after falling. Female gender, higher medication use, depressive symptoms and falls inside were risk factors for functional decline after falling.
（1）研究老年男性和女性跌倒的后果；（2）研究老年跌倒者使用医疗服务和功能衰退的风险因素。
本研究在阿姆斯特丹纵向衰老研究中进行。1998/1999年，在第三次数据收集期间评估潜在风险因素。1999/2000年，对204名社区居住者（≥65岁）进行调查，这些人在访谈前一年报告至少跌倒过一次，询问他们最近一次跌倒的后果，包括身体受伤、医疗服务使用、治疗和功能衰退（即功能状态、社交和身体活动的衰退）。
由于跌倒，受访者报告身体受伤（68.1%）、重伤（5.9%）、使用医疗服务（23.5%）、接受治疗（17.2%），以及功能状态衰退（35.3%）、社交活动衰退（16.7%）和身体活动衰退（15.2%）。使用多因素逻辑回归分析，未发现跌倒后使用医疗服务的特定风险因素。女性（比值比=2.8，95%置信区间=1.5-5.1）、用药量增加（比值比=1.5，95%置信区间=1.0-2.2）和抑郁症状（比值比=1.9，95%置信区间=1.3-2.8）与跌倒后功能衰退独立相关。抑郁症状（比值比=2.0，95%置信区间=1.2-3.3）和室内跌倒（比值比=2.6，95%置信区间=1.1-6.5）是社交活动衰退的风险因素，而女性（比值比=2.7，95%置信区间=1.1-7.0）和抑郁症状（比值比=1.9，95%置信区间=1.2-3.0）是跌倒后身体活动衰退的风险因素。
近70%的受访者跌倒后身体受伤，近四分之一的人使用了医疗服务，超过三分之一的人跌倒后功能衰退。未发现跌倒后所需医疗服务使用的风险因素。女性、用药量增加、抑郁症状和室内跌倒是跌倒后功能衰退的风险因素。
