Coutinho Evandro Silva Freire, Bloch Kátia Vergetti, Rodrigues Laura C
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Cad Saude Publica. 2009 Feb;25(2):455-9. doi: 10.1590/s0102-311x2009000200024.
The circumstances associated with falls among elderly people have been well described in some developed countries, but little is known about such accidents in middle-income countries. The aim of this paper is to report the circumstances and characteristics associated with falls leading to severe fractures among elderly people living in Rio de Janeiro, Brazil. Cases were obtained from two case-control studies on risk factors for severe fractures due to falls among individuals 60 years or older. Fallers were stratified according to clinical and socio-demographic variables and circumstances of the accident. Women comprised three-fourths of the sample. The femur was the most frequently fractured bone, more common among individuals over 70 years of age. Most falls occurred at home, between 6:00 AM and 6:00 PM, but the rooms where they occurred differed according to gender and age. Most individuals did not attribute their falls to tripping or slipping. This sample's data did not differ substantially from studies in developed countries.
在一些发达国家，与老年人跌倒相关的情况已有详尽描述，但对于中等收入国家此类事故却知之甚少。本文旨在报告巴西里约热内卢老年人中导致严重骨折的跌倒相关情况及特征。病例来自两项针对60岁及以上人群因跌倒导致严重骨折的危险因素的病例对照研究。根据临床、社会人口统计学变量及事故情况对跌倒者进行分层。女性占样本的四分之三。股骨是最常发生骨折的部位，在70岁以上人群中更为常见。大多数跌倒发生在家中，上午6点至下午6点之间，但跌倒发生的房间因性别和年龄而异。大多数人并不将跌倒归因于绊倒或滑倒。该样本的数据与发达国家的研究结果没有实质性差异。
