Nottingham Respiratory Research Unit, NIHR Nottingham BRC, School of Medicine, University of Nottingham, Nottingham, UK.
Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, UK.
Thorax. 2018 Nov;73(11):1079-1080. doi: 10.1136/thoraxjnl-2017-211008. Epub 2018 Mar 21.
A matched cohort study was conducted to determine the incidence of falls in patients following a diagnosis of COPD using a UK primary care database. 44 400 patients with COPD and 175 545 non-COPD subjects were identified. The incidence rate of fall per 1000 person-years in patients with COPD was higher (44.9; 95% CI 44.1 to 45.8) compared with non-COPD subjects (24.1; 95% CI 23.8 to 24.5) (P<0.0001). Patients with COPD were 55% more likely to have an incident record of fall than non-COPD subjects (adjusted HR, 1.55; 95% CI 1.50 to 1.59). The greater falls risk in patients with COPD needs consideration and modifiable factors addressed.
一项匹配队列研究旨在通过英国初级保健数据库确定 COPD 患者确诊后的跌倒发生率。共确定了 44400 例 COPD 患者和 175545 例非 COPD 患者。与非 COPD 患者（24.1；95%CI 23.8 至 24.5）相比，COPD 患者的跌倒发生率更高（每 1000 人年 44.9；95%CI 44.1 至 45.8）（P<0.0001）。与非 COPD 患者相比，COPD 患者发生跌倒事件的可能性高 55%（校正 HR，1.55；95%CI 1.50 至 1.59）。COPD 患者的跌倒风险更高，需要考虑并解决可改变的因素。
