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2014年美国65岁及以上成年人的跌倒与跌倒伤害情况

Falls and Fall Injuries Among Adults Aged ≥65 Years - United States, 2014.

作者信息

Bergen Gwen, Stevens Mark R, Burns Elizabeth R

出版信息

MMWR Morb Mortal Wkly Rep. 2016 Sep 23;65(37):993-998. doi: 10.15585/mmwr.mm6537a2.

Abstract

Falls are the leading cause of fatal and nonfatal injuries among adults aged ≥65 years (older adults). During 2014, approximately 27,000 older adults died because of falls; 2.8 million were treated in emergency departments for fall-related injuries, and approximately 800,000 of these patients were subsequently hospitalized.* To estimate the numbers, percentages, and rates of falls and fall injuries among older adults by selected characteristics and state, CDC analyzed data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) survey. In 2014, 28.7% of older adults reported falling; the estimated 29.0 million falls resulted in 7.0 million injuries. Known effective strategies for reducing the number of older adult falls include a multifactorial clinical approach (e.g., gait and balance assessment, strength and balance exercises, and medication review). Health care providers can play an important role in fall prevention by screening older adults for fall risk, reviewing and managing medications linked to falls, and recommending vitamin D supplements to improve bone, muscle, and nerve health and reduce the risk for falls.

摘要

跌倒是65岁及以上成年人(老年人)致命和非致命伤害的主要原因。2014年期间,约有2.7万名老年人因跌倒死亡;280万人因跌倒相关伤害在急诊科接受治疗,其中约80万名患者随后住院。*为按选定特征和州估计老年人跌倒及跌倒伤害的数量、百分比和发生率,美国疾病控制与预防中心(CDC)分析了2014年行为危险因素监测系统(BRFSS)调查的数据。2014年,28.7%的老年人报告有跌倒经历;估计2900万次跌倒导致700万人受伤。已知的减少老年人跌倒数量的有效策略包括多因素临床方法(如步态和平衡评估、力量和平衡锻炼以及药物审查)。医疗保健提供者可通过筛查老年人的跌倒风险、审查和管理与跌倒相关的药物以及推荐维生素D补充剂以改善骨骼、肌肉和神经健康并降低跌倒风险,在预防跌倒方面发挥重要作用。

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