Jiang Juan, Long Jianxiong, Ling Weijun, Huang Guifeng, Guo Xiaojing, Su Li
School of Public Health, Guangxi Medical University, 22 Shuangyong Road, Nanning, Guangxi 530021, China.
School of Public Health, Guangxi Medical University, 22 Shuangyong Road, Nanning, Guangxi 530021, China.
Arch Gerontol Geriatr. 2015 Sep-Oct;61(2):131-9. doi: 10.1016/j.archger.2015.06.003. Epub 2015 Jun 12.
The fall-related injuries of old people have attracted increasing attention particularly because of the continuous aging of the population. In this meta-analysis, we aim to present the incidence and sub-groups of fall-related injuries among old people in mainland China.
A systematic electronic literature search was performed using four Chinese and two English databases. The selected papers were cross-sectional studies in mainland China, the participants of which were recruited based on inclusion and exclusion criteria. Data were collected through face-to-face interviews using questionnaire. The risk of bias was assessed using the Reporting of Observational Studies in Epidemiology (STROBE), and the pooled rates were estimated by DerSimonian and Laird random-effects model.
A total of 40 cross-sectional studies that focused on 128,691 participants who were aged 60 years were included in this review. On the one hand, 54.95 per 1000 (overall), 45.94 per 1000 (males), 78.89 per 1000 (females), 25.95 per 1000 (60 years to 69 years), 33.03 per 1000 (70 years to 79 years), and 62.74 per 1000 (≥80 years) were estimated for the pooled incidence of fall-related injury. On the other hand, 91.72 per 1000 (overall), 94.54 per 1000 (males), and 144.93 per 1000 (females) were estimated for person-time incidence of fall-related injury. Higher incidence rates were observed in females compared with males, and these rates continued to increase along with age.
A moderate level of fall-related injuries was observed among old people in mainland China.
由于人口老龄化持续加剧，老年人跌倒相关伤害日益受到关注。在本荟萃分析中，我们旨在呈现中国大陆老年人跌倒相关伤害的发生率及亚组情况。
使用四个中文数据库和两个英文数据库进行系统的电子文献检索。所选论文为中国大陆的横断面研究，其参与者根据纳入和排除标准招募。通过问卷调查进行面对面访谈收集数据。使用流行病学观察性研究报告（STROBE）评估偏倚风险，并采用DerSimonian和Laird随机效应模型估计合并率。
本综述共纳入40项横断面研究，涉及128,691名60岁及以上参与者。一方面，跌倒相关伤害的合并发生率估计为每1000人中有54.95例（总体）、45.94例（男性）、78.89例（女性）、25.95例（60至69岁）、33.03例（70至79岁）和62.74例（≥80岁）。另一方面，跌倒相关伤害的人时发生率估计为每1000人中有91.72例（总体）、94.54例（男性）和144.93例（女性）。女性的发生率高于男性，且这些发生率随年龄持续上升。
中国大陆老年人中观察到中度水平的跌倒相关伤害。
