Emmelot-Vonk M H
Klinisch geriater, UMC Utrecht, afdeling geriatrie.
Tijdschr Gerontol Geriatr. 2005 Sep;36(4):161-7.
Falls are a major health problem among elderly people, because of the incidence and because of the consequences. Current practice commonly focuses on the injury with little attention of the underlying cause, the risk factors for a new fall and the possibilities for future prevention. Most of the falls are a result of multiple risk factors. Several of this risk factors are potentially modifiable. The Dutch Falls Prevention Collaboration have made a protocol to assist health care professionals at a standardised and evidence based way with their assessment of fall risk. With the risk factors identified in the assessment it is possible to make an individual multifactorial fall prevention program. Such an intervention can give a significant reduction of falls in the elderly. The protocol is presented in this article.
跌倒在老年人中是一个重大的健康问题，无论是从发病率还是后果来看。目前的做法通常侧重于损伤，而很少关注潜在原因、再次跌倒的风险因素以及未来预防的可能性。大多数跌倒都是多种风险因素共同作用的结果。其中一些风险因素是有可能改变的。荷兰跌倒预防协作组织制定了一项协议，以标准化和循证的方式协助医护人员评估跌倒风险。根据评估中确定的风险因素，可以制定个性化的多因素跌倒预防计划。这样的干预措施可以显著减少老年人的跌倒情况。本文介绍了该协议。
