老年人跌倒：范围与预防。
Falls in the elderly: spectrum and prevention.
机构信息
Parkwood Hospital, St Joseph's Health Care, 801 Commissioners Rd E, London, ON N6C 5J1.
出版信息
Can Fam Physician. 2011 Jul;57(7):771-6.
Abstract
OBJECTIVE
To provide family physicians with a practical, evidence-based approach to fall prevention in the elderly.
SOURCES OF INFORMATION
MEDLINE was searched using terms relevant to falls among the elderly in the community and in institutions. Relevant English-language papers published from 1980 to July 2010 were reviewed. Relevant geriatric society guidelines were reviewed as well.
MAIN MESSAGE
Falls are a common and serious health problem with devastating consequences. Several risk factors have been identified in the literature. Falls can be prevented through several evidence-based interventions, which can be either single or multicomponent interventions. Identifying at-risk patients is the most important part of management, as applying preventive measures in this vulnerable population can have a profound effect on public health.
CONCLUSION
Family physicians have a pivotal role in screening older patients for risk of falls, and applying preventive strategies for patients at risk.
摘要
目的
为家庭医生提供一种实用的、基于循证医学的方法，以预防老年人跌倒。
信息来源
使用与社区和机构中老年人跌倒相关的术语，对 MEDLINE 进行检索。综述了 1980 年至 2010 年 7 月发表的相关英文文献。还综述了相关老年病学会的指南。
主要信息
跌倒在老年人中是一个常见且严重的健康问题，后果严重。文献中已经确定了几个风险因素。可以通过一些基于证据的干预措施来预防跌倒，这些措施可以是单一的或多组分的干预措施。识别高危患者是管理的最重要部分，因为在这个脆弱的人群中应用预防措施对公共健康有深远的影响。
结论
家庭医生在为老年患者筛查跌倒风险以及为有风险的患者应用预防策略方面起着关键作用。
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本文引用的文献
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Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis.社区居住老年人跌倒的风险因素：系统评价和荟萃分析。
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Primary care screening and intervention helps prevent falls among elderly.初级保健筛查与干预有助于预防老年人跌倒。
JAMA. 2010 May 26;303(20):2019-20. doi: 10.1001/jama.2010.640.
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