老年人的一次简单跌倒：实则并非那么简单。

A simple fall in the elderly: not so simple.

作者信息

Bergeron Eric, Clement Julien, Lavoie André, Ratte Sebastien, Bamvita Jean-Marie, Aumont Francois, Clas David

机构信息

Trauma Department, Charles-LeMoyne Hospital, University of Sherbrooke, Quebec, Canada.

出版信息

J Trauma. 2006 Feb;60(2):268-73. doi: 10.1097/01.ta.0000197651.00482.c5.

DOI:10.1097/01.ta.0000197651.00482.c5

PMID:16508481

Abstract

BACKGROUND

The goal of this study was to evaluate the burden of falls in the elderly in a Canadian tertiary trauma center.

METHODS

Patients admitted to Charles-LeMoyne Hospital with a low velocity fall (LVF) from April 1, 1993 to March 31, 2000 were individually reviewed. Elderly was defined as age 65 years and older. A region was considered to be injured if Abbreviated Injury Scale was greater than or equal to 2.

RESULTS

There were 2,333 patients with LVF, 41.4% of all blunt trauma admissions. Median Injury Severity Score was 9 for elderly compared with 5 for young (p < 0.001). Injuries were significantly more frequent to head, face, thorax, and lower limbs in the elderly. Mortality (13.4% versus 0.9%; p < 0.001), length of stay (median = 15 versus 3 days; p < 0.001) and long-term care facility reference (19.3% versus 1.1%, p < 0.001) were significantly higher in the elderly.

CONCLUSIONS

LVF is a frequent cause of admission for trauma in the elderly. Despite the apparent benign nature of the mechanism, LVF is associated with more severe injuries and worse outcome.

摘要

背景

本研究的目的是评估加拿大一家三级创伤中心老年患者跌倒的负担。

方法

对1993年4月1日至2000年3月31日期间因低速跌倒（LVF）入住查尔斯 - 勒莫因医院的患者进行了个体回顾。老年人定义为年龄65岁及以上。如果简明损伤定级（AIS）大于或等于2，则认为该区域受伤。

结果

有2333例低速跌倒患者，占所有钝性创伤入院患者的41.4%。老年患者的损伤严重度评分中位数为9，而年轻患者为5（p < 0.001）。老年人头部、面部、胸部和下肢受伤的频率明显更高。老年人的死亡率（13.4%对0.9%；p < 0.001）、住院时间（中位数 = 15天对3天；p < 0.001）和长期护理机构转诊率（19.3%对1.1%，p < 0.001）显著更高。