Chippendale Tracy, Gentile Patricia A, James Melissa K
Steinhardt School of Culture, Education, and Human Development, Department of Occupational Therapy, New York University, New York, USA.
Department of Surgery, Jamaica Hospital Medical Center, Jamaica, New York, USA.
Aust Occup Ther J. 2017 Oct;64(5):350-357. doi: 10.1111/1440-1630.12380. Epub 2017 May 15.
BACKGROUND/AIM: Health promotion and prevention is an important component of occupational therapy practice. Falls are one of the most common causes of ER visits among older adults and injurious falls requiring trauma care can have a significant impact on the health and quality of life of elders. The aim of this study was to compare characteristics and consequences of falls among older adult trauma patients across different age groups with an eye towards informing injury prevention programs.
A retrospective study using the trauma database from a level one trauma centre in the U.S. (N = 711) was conducted. We compared patient and fall characteristics across age groups and then used logistic regression to estimate odds ratios for hospital length of stay >4 days, discharge disposition, and injury severity (ISS >15).
Associations between age group and fall height, location and alcohol use at the time of the fall were statistically significant (P < 0.0001). As compared to the reference group (85 and older), younger age groups had lower odds ratios for discharge to a facility for rehabilitation.
Results highlight differences among age groups of fallers admitted for trauma care and can help to inform injury prevention programs related to outdoor and indoor falls.
背景/目的：健康促进与预防是职业治疗实践的重要组成部分。跌倒 是老年人急诊就诊的最常见原因之一，需要创伤护理的伤害性跌倒会对老年人的健康和生活质量产生重大影响。本研究的目的是比较不同年龄组老年创伤患者跌倒的特征和后果，以便为伤害预防计划提供参考。
利用美国一家一级创伤中心的创伤数据库进行了一项回顾性研究（N = 711）。我们比较了各年龄组患者和跌倒特征，然后使用逻辑回归来估计住院时间>4天、出院处置和损伤严重程度（损伤严重度评分>15）的比值比。
年龄组与跌倒高度、跌倒地点以及跌倒时饮酒之间的关联具有统计学意义（P < 0.0001）。与参照组（85岁及以上）相比，较年轻年龄组转至康复机构的比值比更低。
结果突出了因创伤护理入院的跌倒者年龄组之间的差异，并有助于为与户外和室内跌倒相关的伤害预防计划提供参考。
