Buczak-Stec Elzbieta, Goryński Paweł
Department of Organization, Health Economics and Hospital Management, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Przegl Epidemiol. 2013;67(1):57-62, 141-4.
Falls among elderly people causing hospitalization are considered one of the most important public health problems. Our objective was to analyse fall related hospital admissions among seniors (> or = 65 years old) in Poland in 2010. The analyses were conducted with regard to gender, place of residence and age. Additionally, the health consequences of falls among elderly people were studied. Injuries and other consequences of external causes, were expressed in the form of three-character ICD-10 codes representing the underlying disease (S00-T98).
Data on hospital admissions resulting from falls among seniors were obtained from the database held at the Department - Centre for Monitoring and Analyses of Population Health Status and Health Care System by the National Institute of Public Health - National Institute of Hygiene.
Analysis has shown that the hospitalization ratio due to falls is much higher for women than for men. On average, 1 024 per 100 000 women are hospitalized due to a fall, while the number for men is 649. For every analysed age group women are at a higher risk of hospitalization due to a fall than men. In 2010 nearly 70% of hospital admissions of elderly people due to a fall were caused by a fall on the same level as a result of tripping or slipping (31 712 hospitalizations). No differences in relation to gender were observed. Risk of hospitalization due to a fall increases with age. For people over 80 years of age it is 2.5 times higher than for people in the 65-69 age group (1 459 and 570 per 100 000 respectively). It was observed that the length of hospital stay increases with age. There were no significant differences between the number of hospitalizations depending on the place of residence. The analysis showed that differences in the length of stay for women and men are statistically significant. However, there was no statistically significant difference between the lengths of stay depending on a place of residence. Almost one-third of hospitalizations (31.4%) resulted from femur fracture (14 356 hospitalizations). Women are more likely to suffer from a femur fracture.
A comparison of results of research conducted, among other countries, in the United States, The Netherlands, and Denmark, as well as Polish demographic prognosis, has shown that an increase of fall related hospital admissions among senior citizens is to be expected in Poland in oncoming years.
老年人跌倒导致住院被视为最重要的公共卫生问题之一。我们的目标是分析2010年波兰老年人（≥65岁）中与跌倒相关的住院情况。分析针对性别、居住地和年龄进行。此外，还研究了老年人跌倒的健康后果。伤害及其他外部原因导致的后果，以代表潜在疾病的三位数字ICD - 10编码（S00 - T98）的形式表示。
老年人跌倒导致住院的数据来自国家公共卫生研究所 - 国家卫生研究所人口健康状况与医疗保健系统监测与分析中心保存的数据库。
分析表明，女性因跌倒导致的住院率远高于男性。平均而言，每10万名女性中有1024人因跌倒住院，而男性为649人。在每个分析的年龄组中，女性因跌倒住院的风险都高于男性。2010年，老年人因跌倒住院的近70%是由绊倒或滑倒导致的在同一平面上的跌倒引起的（31712例住院）。未观察到性别差异。因跌倒导致住院的风险随年龄增加。80岁以上人群的风险比65 - 69岁年龄组的人群高2.5倍（分别为每10万人中1459人和570人）。观察到住院时间随年龄增加。住院人数在居住地方面没有显著差异。分析表明，女性和男性住院时间的差异具有统计学意义。然而，根据居住地的住院时间没有统计学上的显著差异。近三分之一的住院（31.4%）是由股骨骨折导致的（14356例住院）。女性更易发生股骨骨折。
与美国、荷兰和丹麦等其他国家进行的研究结果以及波兰人口统计学预测相比较，结果显示波兰未来几年老年公民中与跌倒相关的住院人数预计将会增加。
