Shi Jing, Tao Yong-kang, Zhou Bai-yu, Duan Chun-bo, Zhang Chuan-fang, Qin Zhao-hui, Sun Zhen-qiu, Yu Pu-lin
Beijing Hospital, Ministry of Health, Beijing 100730, China.
China-Japan Friendship Hospital.
Zhonghua Liu Xing Bing Xue Za Zhi. 2013 Oct;34(10):967-9.
To investigate the incidence and risk factors for recurrent falls in community-dwelling elderly in Beijing.
A cross-sectional study was conducted in 472 elderly in the Longtan community of Dongcheng district,Beijing in 2009. Data on recurrent falls within the past 12 months were collected through face-to-face interview, with both single factor analysis and logistic regression analysis used to explore the related factors on recurrent falls in the elderly.
The incidence of recurrent falls among 472 older adults was 6.1% (29) within the past 12 months. Results from logistic regression analysis showed that factors as higher family monthly income(OR = 1.39, 95% CI:0.67-2.16), afraid of being fallen(OR = 2.23, 95% CI:1.47-3.85)and abnormal static balance(OR = 2.48, 95% CI:1.84-4.05)were risk factors, while bench height in the surrounding environment(OR = 0.49, 95% CI:0.21-1.12)and easiness of access to daily supplies (OR = 0.41, 95%CI:0.14-1.16)were protective factors for recurrent falls.
The incidence of recurrent falls among the elderly from the communities in Beijing was high. Since falls could be caused by various factors, intervention should be targeting on risk factors in a multi-dimensional way.
调查北京社区居住老年人反复跌倒的发生率及危险因素。
2009年对北京市东城区龙潭社区472名老年人进行横断面研究。通过面对面访谈收集过去12个月内反复跌倒的数据,采用单因素分析和逻辑回归分析探讨老年人反复跌倒的相关因素。
472名老年人在过去12个月内反复跌倒的发生率为6.1%(29例)。逻辑回归分析结果显示,家庭月收入较高(OR = 1.39,95%CI:0.67 - 2.16)、害怕跌倒(OR = 2.23,95%CI:1.47 - 3.85)和静态平衡异常(OR = 2.48,95%CI:1.84 - 4.05)是危险因素,而周围环境中的长椅高度(OR = 0.49,95%CI:0.21 - 1.12)和日常用品获取的便利性(OR = 0.41,95%CI:0.14 - 1.16)是反复跌倒的保护因素。
北京社区老年人反复跌倒的发生率较高。由于跌倒可能由多种因素引起,应针对危险因素进行多维度干预。