居住型老年护理机构与社区居住老年人中与跌倒相关的创伤性脑损伤比较：一项基于人群的研究。
Comparison of fall-related traumatic brain injury in residential aged care and community-dwelling older people: A population-based study.
作者信息
Harvey Lara A, Mitchell Rebecca, Brodaty Henry, Draper Brian, Close Jacqueline Ct
机构信息
Falls, Balance and Injury Research Centre, Neuroscience Research Australia, New South Wales, Australia.
School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
出版信息
Australas J Ageing. 2017 Jun;36(2):144-150. doi: 10.1111/ajag.12422.
OBJECTIVE
To compare trends, causes, and outcomes of fall-related traumatic brain injury (TBI) between community-dwelling (CD) individuals and residential aged care facility (RACF) residents.
METHODS
Hospitalisation and RACF administrative data for 6635 individuals aged ≥65 years admitted to all NSW hospitals for fall-related TBI from 2008-2009 to 2012-2013 were linked.
RESULTS
Of the 6944 hospitalisations, 20.8% were for RACF residents. Age-standardised hospitalisation rates were almost fourfold higher for RACF residents than CD individuals (standardised rate ratio 3.7; 95% CI 3.4-4.1); but increased at a similar annual rate of 9.2% (95% CI 0.3-19.0) and 7.2% (95% CI 5.6-8.9), respectively. Compared to CD individuals: a higher proportion of falls in RACF residents were furniture-related (21.4% vs 9.9%); resulted in haemorrhage (82.5% vs 73.7%); and death (23.1% vs 14.9%). Overall, 7.7% of hospitalisations for CD individuals resulted in new permanent RACF placement.
CONCLUSION
Residential aged care facility residents have higher hospitalisation rates and poorer health outcomes than their CD counterparts.
目的
比较社区居住（CD）个体与老年护理机构（RACF）居民中与跌倒相关的创伤性脑损伤（TBI）的趋势、原因及后果。
方法
将2008 - 2009年至2012 - 2013年期间因与跌倒相关的TBI入住新南威尔士州所有医院的6635名65岁及以上个体的住院数据与RACF管理数据相链接。
结果
在6944次住院病例中，20.8%为RACF居民。RACF居民的年龄标准化住院率几乎是CD个体的四倍（标准化率比为3.7；95%可信区间为3.4 - 4.1）；但年增长率相似，分别为9.2%（95%可信区间为0.3 - 19.0）和7.2%（95%可信区间为5.6 - 8.9）。与CD个体相比：RACF居民中与家具相关的跌倒比例更高（21.4%对9.9%）；导致出血的比例更高（82.5%对73.7%）；以及死亡比例更高（23.1%对14.9%）。总体而言，CD个体的住院病例中有7.7%导致新的永久性RACF安置。
结论
老年护理机构居民的住院率高于社区居住的同龄人，且健康结局更差。
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