McMaster University, School of Rehabilitation Science, Faculty of Health Sciences, 1400 Main St W.- IAHS Bldg. Rm 402, Hamilton, ON, Canada L8S 1C7.
Arch Gerontol Geriatr. 2011 Jan-Feb;52(1):e1-10. doi: 10.1016/j.archger.2010.02.014. Epub 2010 Mar 23.
The assessment of risk of injury in the home is important for older adults when considering whether they are able to live independently. The purpose of this systematic review is to determine the frequency of injury for persons with dementia and the general older adult population, from three sources: fires/burns, medication self-administration errors and wandering. Relevant articles (n=74) were screened and 16 studies were retained for independent review. The studies, although subject to selection and information bias, showed low proportions of morbidity and mortality from the three sources of injury. Data did not allow direct comparison of morbidity and mortality for persons with dementia and the general older adult population; however, data trends suggested greater event frequencies with medication self-administration and wandering for persons with dementia. Assessment targeting these sources of injury should have less emphasis in the general older adult population compared to persons with dementia.
对老年人进行家庭伤害风险评估很重要，因为这涉及到他们是否能够独立生活。本系统评价的目的是从火灾/烧伤、药物自我给药错误和走失三个方面确定痴呆症患者和一般老年人的受伤频率。对相关文章（n=74）进行筛选，保留 16 项研究进行独立评估。尽管这些研究受到选择和信息偏倚的影响，但显示出三种伤害源导致发病率和死亡率较低的比例。数据不允许对痴呆症患者和一般老年人的发病率和死亡率进行直接比较；然而，数据趋势表明，药物自我给药和走失的事件频率更高。与痴呆症患者相比，针对这些伤害源的评估应在一般老年人中得到较少的重视。
