MMWR Morb Mortal Wkly Rep. 2020 Jul 10;69(27):875-881. doi: 10.15585/mmwr.mm6927a5.
Falls are the leading cause of injury among adults aged ≥65 years (older adults) in the United States. In 2018, an estimated 3 million emergency department visits, more than 950,000 hospitalizations or transfers to another facility (e.g., trauma center), and approximately 32,000 deaths resulted from fall-related injuries among older adults.* Deaths from falls are increasing, with the largest increases occurring among persons aged ≥85 years (1). To describe the percentages and rates of nonfatal falls by age group and demographic characteristics and trends in falls and fall-related injuries over time, data were analyzed from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) and were compared with data from 2012, 2014, and 2016. In 2018, 27.5% of older adults reported falling at least once in the past year, and 10.2% reported an injury from a fall in the past year. The percentages of older adults reporting a fall increased between 2012 and 2016 and decreased slightly between 2016 and 2018. Falls are preventable, and health care providers can help their older patients reduce their risk for falls. Screening older patients for fall risk, assessing modifiable risk factors (e.g., use of psychoactive medications or poor gait and balance), and recommending interventions to reduce this risk (e.g., medication management or referral to physical therapy) can prevent older adult falls (https://www.cdc.gov/steadi).
在美国,65 岁及以上(老年人)成年人受伤的主要原因是跌倒。2018 年,估计有 300 万次急诊就诊、超过 95 万次住院或转至其他机构(如创伤中心),以及约 32000 名老年人因跌倒相关伤害而死亡。*老年人跌倒死亡人数呈上升趋势,其中≥85 岁人群的增幅最大(1)。为了描述按年龄组和人口统计学特征划分的非致命跌倒的百分比和发生率,以及随时间推移的跌倒和跌倒相关伤害的趋势,对 2018 年行为风险因素监测系统(BRFSS)的数据进行了分析,并与 2012 年、2014 年和 2016 年的数据进行了比较。2018 年,27.5%的老年人报告在过去一年中至少跌倒过一次,10.2%的老年人报告在过去一年中因跌倒而受伤。报告跌倒的老年人比例在 2012 年至 2016 年之间有所增加,而在 2016 年至 2018 年之间略有下降。跌倒是可以预防的,医疗保健提供者可以帮助他们的老年患者降低跌倒风险。对老年患者进行跌倒风险筛查、评估可改变的风险因素(例如,使用精神药物或步态和平衡不良),并建议采取干预措施降低这种风险(例如,药物管理或转介至物理治疗)可以预防老年人跌倒(https://www.cdc.gov/steadi)。