Thomas K E, Stevens J A, Sarmiento K, Wald M M
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
J Safety Res. 2008;39(3):269-72. doi: 10.1016/j.jsr.2008.05.001. Epub 2008 May 27.
PROBLEM: Among older adults, both unintentional falls and traumatic brain injuries (TBI) result in significant morbidity and mortality; however, only limited national data on fall-related TBI are available. METHOD: To examine the relationship between older adult falls and TBI deaths and hospitalizations, CDC analyzed 2005 data from the National Center for Health Statistics' National Vital Statistics System and the Agency for Healthcare Research and Quality's Nationwide Inpatient Sample. RESULTS: In 2005, among adults>or=65 years, there were 7946 fall-related TBI deaths and an estimated 56,423 hospitalizations for nonfatal fall-related TBI in the United States. Fall-related TBI accounted for 50.3% of unintentional fall deaths and 8.0% of nonfatal fall-related hospitalizations. SUMMARY: These findings underscore the need for greater dissemination and implementation of evidence-based fall prevention interventions.
问题:在老年人中,意外跌倒和创伤性脑损伤(TBI)都会导致显著的发病率和死亡率;然而,关于与跌倒相关的创伤性脑损伤的全国数据有限。 方法:为了研究老年人跌倒与创伤性脑损伤死亡及住院之间的关系,美国疾病控制与预防中心(CDC)分析了来自国家卫生统计中心的国家生命统计系统2005年的数据以及医疗保健研究与质量局的全国住院患者样本数据。 结果:2005年,在美国65岁及以上的成年人中,有7946例与跌倒相关的创伤性脑损伤死亡病例,估计有56423例因非致命性跌倒相关创伤性脑损伤而住院。与跌倒相关的创伤性脑损伤占意外跌倒死亡的50.3%,占非致命性跌倒相关住院的8.0%。 总结:这些发现强调了更广泛传播和实施基于证据的跌倒预防干预措施的必要性。
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