Tsur Atzmon, Shakeer Nael, Segal Zvi, Itah Dorit, Eluz Dana
Rehabilitation Department, Galilee Medical Center, Nahariya.
Bar Ilan University Faculty of Medicine, Safed.
Harefuah. 2017 May;156(5):294-297.
Among the reasons described as possibly causing falls in older and elderly people are extrinsic factors such as bumping into objects, slipping on a wet floor, etc., and intrinsic factors - those that occur suddenly without warning.
To investigate the connection between the reasons for falls, extrinsic or intrinsic and different medical and nonmedical factors.
The survey included 82 people, 53 women and 29 men, who fell and broke their hip, underwent surgery, and were treated at the Rehabilitation Department. Data showed that 39 people fell due to extrinsic factors and 43 due to intrinsic reasons. We examined the correlation with several factors, both medical and non-medical, that may have influenced the scenario of each group.
Falls due to extrinsic reasons took place at all hours of the day and night, mainly in people who were alone and who wore shoes or sandals at the time of the fall and who either suffered from slight or no disturbances in attention and concentration. Falls due to intrinsic reasons occurred mainly during rest or sleep hours, in people who walked barefoot or with socks or slippers and who suffered moderate or severe disturbances in attention and concentration.
Although the differences in the extrinsic vs. intrinsic reasons for falls that led to broken hips were fairly clear, it would be difficult to recommend new tools for prevention of this phenomenon. Trying to predict an infrequent future event such as a traumatic fall is inherently difficult.
在被认为可能导致老年人跌倒的原因中,有外部因素,如撞到物体、在湿滑地面滑倒等,还有内在因素——那些毫无预兆突然发生的因素。
调查跌倒原因(外部或内在)与不同医学和非医学因素之间的联系。
该调查纳入了82人,其中53名女性和29名男性,他们因跌倒导致髋部骨折,接受了手术,并在康复科接受治疗。数据显示,39人因外部因素跌倒,43人因内在因素跌倒。我们研究了与可能影响每组情况的多种医学和非医学因素的相关性。
因外部因素导致的跌倒在白天和夜晚的任何时间都可能发生,主要发生在独自跌倒的人身上,他们跌倒时穿着鞋子或凉鞋,注意力和专注力仅有轻微干扰或没有干扰。因内在因素导致的跌倒主要发生在休息或睡眠时间,发生在赤脚行走或穿着袜子或拖鞋的人身上,他们的注意力和专注力受到中度或重度干扰。
尽管导致髋部骨折的跌倒外在与内在原因差异相当明显,但很难推荐预防这一现象的新工具。试图预测像创伤性跌倒这样的罕见未来事件本身就很困难。