Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON.
Can J Public Health. 2012 Jul 18;103(5):e332-7. doi: 10.1007/BF03404436.
To conduct an environmental scan to identify the scope of literature on consumer products and injuries in seniors and to fill in some of the information gaps by exploring the relationship between assistive devices (AD) and fall-related injuries.
The environmental scan included primary literature identified in Medline and EMBASE databases and grey literature was identified in Google and consumer product safety sites in the US, Canada, the UK, and Australia.Weighted logistic regression was then used to examine the relationship between socio-demographic factors, frailty indicators, and AD use at the time of the fall, and the type of health services utilized and psychological consequences of the fall based on data from the 2008-2009 Canadian Community Health Survey on Healthy Aging.
The majority of the articles on consumer products and injuries reported secondary database sources and did not directly link the consumer product's influence on a given injury. We found AD use at the time of a fall was associated with hospitalization, worry about re-injury, and limiting one's activities due to this worry, even after adjustment for socio-demographic variables. When frailty variables were included in the model, however, AD use was no longer statistically significant.
This study provides preliminary information on the relationship between AD use and fall-related outcomes. However, the current data are not sufficient to draw specific conclusions. More detailed questions regarding AD use for the entire population and additional questions regarding the contribution of the AD to the injury will help to provide a richer understanding of this relationship.
进行环境扫描,以确定有关老年人消费品和伤害的文献范围,并通过探索辅助设备(AD)与跌倒相关伤害之间的关系来填补一些信息空白。
环境扫描包括在 Medline 和 EMBASE 数据库中确定的主要文献,以及在美国、加拿大、英国和澳大利亚的 Google 和消费者产品安全网站中确定的灰色文献。然后,使用加权逻辑回归来检查在跌倒时社会人口统计学因素、脆弱性指标和 AD 使用与跌倒时利用的健康服务类型以及跌倒的心理后果之间的关系,这些数据来自 2008-2009 年加拿大健康老龄化社区健康调查。
大多数关于消费品和伤害的文章报告了二级数据库来源,并且没有直接将消费品对特定伤害的影响联系起来。我们发现,在跌倒时使用 AD 与住院、担心再次受伤以及由于担心而限制活动有关,即使在调整了社会人口统计学变量后也是如此。然而,当在模型中包含脆弱性变量时,AD 使用不再具有统计学意义。
本研究提供了有关 AD 使用与跌倒相关结果之间关系的初步信息。然而,目前的数据还不足以得出具体结论。更详细地询问整个人口的 AD 使用情况以及有关 AD 对伤害的贡献的其他问题将有助于更深入地了解这种关系。