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老年人消费品与跌倒相关的伤害。

Consumer products and fall-related injuries in seniors.

机构信息

Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON.

出版信息

Can J Public Health. 2012 Jul 18;103(5):e332-7. doi: 10.1007/BF03404436.

DOI:10.1007/BF03404436
PMID:23617983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6973749/
Abstract

OBJECTIVE

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

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本文引用的文献

1
Epidemiology of falls in older age.老年人跌倒的流行病学
Can J Aging. 2011 Mar;30(1):7-19. doi: 10.1017/S071498081000070X. Epub 2011 Mar 15.
2
Unintentional falls in older adults: a methodological historical review.
Can J Aging. 2011 Mar;30(1):21-32. doi: 10.1017/S0714980810000735. Epub 2011 Mar 1.
3
International comparison of cost of falls in older adults living in the community: a systematic review.社区老年人跌倒成本的国际比较:系统评价。
Osteoporos Int. 2010 Aug;21(8):1295-306. doi: 10.1007/s00198-009-1162-0. Epub 2010 Feb 27.
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Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.利用老年人跌倒调查方法来确定社区居住老年人跌倒的全系统原因。
Gerontologist. 2009 Oct;49(5):685-96. doi: 10.1093/geront/gnp059. Epub 2009 Jun 12.
5
Interventions for preventing falls in older people living in the community.针对社区老年人预防跌倒的干预措施。
Cochrane Database Syst Rev. 2009 Apr 15(2):CD007146. doi: 10.1002/14651858.CD007146.pub2.
6
Self-reported falls and fall-related injuries among persons aged>or=65 years--United States, 2006.2006年美国65岁及以上人群自我报告的跌倒及与跌倒相关的伤害情况
J Safety Res. 2008;39(3):345-9. doi: 10.1016/j.jsr.2008.05.002. Epub 2008 Jun 4.
7
A review of nonoccupational ladder-related injuries in Victoria: as easy as falling off a ladder.维多利亚州非职业性与梯子相关伤害的综述:就像从梯子上摔下来一样容易。
J Trauma. 2008 Jun;64(6):1608-12. doi: 10.1097/TA.0b013e31804aa444.
8
Falls and the physical environment: a review and a new multifactorial falls-risk conceptual framework.跌倒与物理环境:综述及新的多因素跌倒风险概念框架
Can J Occup Ther. 2008 Apr;75(2):82-95. doi: 10.1177/000841740807500204.
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Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons.跌倒恐惧:老年人中的测量策略、患病率、风险因素及后果
Age Ageing. 2008 Jan;37(1):19-24. doi: 10.1093/ageing/afm169.
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Falls in the elderly: what can be done?老年人跌倒:能做些什么?
Int Nurs Rev. 2007 Jun;54(2):191-6. doi: 10.1111/j.1466-7657.2007.00505.x.