Department of Emergency Medicine and Emergency Care Research Core, Washington University in St Louis School of Medicine, Campus Box 8072, 660 South Euclid Avenue, St Louis, MO 63110, USA.
Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, 5 Emerson, 119 C, Boston, MA 02114, USA.
Clin Geriatr Med. 2019 May;35(2):205-219. doi: 10.1016/j.cger.2019.01.009. Epub 2019 Mar 1.
"Standing-level falls represent the most frequent cause of trauma-related death in older adults and a common emergency department (ED) presentation. However, these patients rarely receive guideline-directed screening and interventions during or following an episode of care. Reducing injurious falls in an aging society begins with prehospital evaluations and continues through definitive risk assessments and interventions that usually occur after ED care. Although ongoing obstacles to ED-initiated, evidence-based older adult fall-reduction strategies include the absence of a compelling emergency medicine evidence basis, innovations under way include validation of pragmatic screening instruments and incorporation of contemporary technology to improve fall detection rates."
站立位跌倒在老年人中是创伤相关死亡的最常见原因，也是急诊科（ED）常见的就诊原因。然而，这些患者在护理期间或之后很少接受指南指导的筛查和干预。在老龄化社会中减少伤害性跌倒，需要从院前评估开始，并通过明确的风险评估和干预措施来延续，这些措施通常在 ED 治疗后进行。尽管 ED 启动的基于证据的老年跌倒预防策略仍存在持续的障碍，包括缺乏紧急医学证据基础，但正在进行的创新包括验证实用的筛查工具，并结合现代技术来提高跌倒检测率。
