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2006年美国65岁及以上人群自我报告的跌倒及与跌倒相关的伤害情况

Self-reported falls and fall-related injuries among persons aged>or=65 years--United States, 2006.

作者信息

Stevens J A, Mack K A, Paulozzi L J, Ballesteros M F

机构信息

National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30340, USA.

出版信息

J Safety Res. 2008;39(3):345-9. doi: 10.1016/j.jsr.2008.05.002. Epub 2008 Jun 4.

Abstract

PROBLEM

In 2005, 15,802 persons aged>or=65 years died from fall injuries. How many older adults seek outpatient treatment for minor or moderate fall injuries is unknown.

METHOD

To estimate the percentage of older adults who fell during the preceding three months, the Centers for Disease Control and Prevention (CDC) analyzed data from two questions about falls included in the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey.

RESULTS

Approximately 5.8 million (15.9%) persons aged>or=65 years reported falling at least once during the preceding three months, and 1.8 million (31.3%) of those who fell sustained an injury that resulted in a doctor visit or restricted activity for at least one day.

DISCUSSION

This report presents the first national estimates of the number and proportion of persons reporting fall-related injuries associated with either doctor visits or restricted activity.

SUMMARY

The prevalence of falls reinforces the need for broader use of scientifically proven fall-prevention interventions.

IMPACT ON INDUSTRY

Falls and fall-related injuries represent an enormous burden to individuals, society, and to our health care system. Because the U.S. population is aging, this problem will increase unless we take preventive action by broadly implementing evidence-based fall prevention programs. Such programs could appreciably decrease the incidence and health care costs of fall injuries, as well as greatly improve the quality of life for older adults.

摘要

问题

2005年,15802名65岁及以上的人死于跌倒伤害。有多少老年人因轻度或中度跌倒伤害寻求门诊治疗尚不清楚。

方法

为了估计前三个月内跌倒的老年人的百分比,疾病控制和预防中心(CDC)分析了2006年行为危险因素监测系统(BRFSS)调查中关于跌倒的两个问题的数据。

结果

约580万(15.9%)65岁及以上的人报告在前三个月内至少跌倒过一次,其中180万(31.3%)跌倒者受伤,导致就医或活动受限至少一天。

讨论

本报告首次对与就医或活动受限相关的跌倒相关伤害的人数和比例进行了全国性估计。

总结

跌倒的普遍性凸显了更广泛使用经科学验证的跌倒预防干预措施的必要性。

对行业的影响

跌倒和与跌倒相关的伤害给个人、社会和我们的医疗保健系统带来了巨大负担。由于美国人口老龄化,除非我们通过广泛实施基于证据的跌倒预防计划采取预防行动,否则这个问题将会加剧。此类计划可以显著降低跌倒伤害的发生率和医疗保健成本,并极大地改善老年人的生活质量。

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