Department of Epidemiology and Biostatistics, EMGO Institute for health and care research, VU University Medical Center, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Best Pract Res Clin Rheumatol. 2009 Dec;23(6):797-804. doi: 10.1016/j.berh.2009.09.004.
In old age, 5-10% percent of all falls result in a fracture, and up to 90% of all fractures result from a fall. This article describes the link between fall risk and fracture risk in community-dwelling older persons. Which factors attribute to both the fall risk and the fracture risk? Which falls result in a fracture? Which tools are available to predict falls and fractures? Directions for the use of prediction tools in clinical practice are given. Challenges for future research include further validation of existing prediction tools and evaluation of the cost-effectiveness of treatment after screening.
在老年人中，5-10%的跌倒会导致骨折，而高达 90%的骨折是由跌倒引起的。本文描述了社区居住的老年人中跌倒风险和骨折风险之间的联系。哪些因素既与跌倒风险又与骨折风险有关？哪些跌倒会导致骨折？有哪些工具可用于预测跌倒和骨折？给出了在临床实践中使用预测工具的指导方针。未来研究的挑战包括进一步验证现有预测工具和评估筛选后的治疗成本效益。
