Suppr超能文献

2018 年美国≥65 岁成年人因部分非致命性伤害而急诊就诊和住院的情况。

Emergency Department Visits and Hospitalizations for Selected Nonfatal Injuries Among Adults Aged ≥65 Years - United States, 2018.

出版信息

MMWR Morb Mortal Wkly Rep. 2021 May 7;70(18):661-666. doi: 10.15585/mmwr.mm7018a1.

Abstract

Approximately 60,000 older adults (aged ≥65 years) die from unintentional injuries each year; in 2019 these included 34,000 fall deaths, 8,000 traffic-related motor vehicle crash deaths, and 3,000 drug poisoning deaths (1). In addition, >9,000 suicide deaths occur among older adults each year (1). Deaths among older adults account for 33% of these unintentional injury deaths and 19% of suicide deaths among all age groups (1). Nonfatal injuries from these causes are more common in this age group and can lead to long-term health consequences, such as brain injury and loss of independence. This study included 2018 data from the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project (HCUP) to determine the prevalence of selected nonfatal injuries among older adults treated in emergency departments (EDs) and hospitals. Injury mechanisms among the leading causes of injury death in older adults were studied, including unintentional falls, unintentional traffic-related motor vehicle crashes, unintentional opioid overdoses, and self-harm (suicidal and nonsuicidal by any mechanism). In 2018, an estimated 2.4 million ED visits and >700,000 hospitalizations from these injuries occurred among adults aged ≥65 years. Unintentional falls accounted for >90% of the selected ED visits and hospitalizations. Injuries among older adults can be prevented (2). Educational campaigns, such as CDC's Still Going Strong* awareness campaign, that use positive messages can encourage older adults to take steps to prevent injuries. Health care providers can help prevent injuries by recommending that older patients participate in effective interventions, including referrals to physical therapy and deprescribing certain medications..

摘要

每年约有 6 万名老年人(年龄≥65 岁)死于意外伤害;2019 年,这些伤害包括 34000 例跌倒死亡、8000 例与交通相关的机动车碰撞死亡和 3000 例药物中毒死亡(1)。此外,每年有超过 9000 名老年人自杀(1)。老年人的死亡占这些非故意伤害死亡的 33%,占所有年龄组自杀死亡的 19%(1)。在这个年龄段,这些原因导致的非致命性伤害更为常见,并可能导致长期的健康后果,如脑损伤和丧失独立性。本研究包括 2018 年美国医疗保健研究与质量局医疗保健成本和利用项目(HCUP)的数据,以确定在急诊室(ED)和医院治疗的老年人中选定的非致命性伤害的流行率。研究了导致老年人伤害死亡的主要原因的伤害机制,包括非故意跌倒、非故意与交通相关的机动车碰撞、非故意阿片类药物过量和自我伤害(自杀和任何机制的非自杀)。2018 年,估计有 240 万例老年人因这些伤害到急诊就诊,超过 70 万人住院。非故意跌倒占这些急诊就诊和住院的 90%以上。老年人的伤害是可以预防的(2)。CDC 的“依然坚强*”意识运动等使用积极信息的教育活动可以鼓励老年人采取措施预防伤害。医疗保健提供者可以通过建议老年患者参与有效的干预措施,包括转介物理治疗和减少某些药物的使用,帮助预防伤害。

相似文献

3
Fatal and nonfatal unintentional injuries in adult women, United States.
J Womens Health (Larchmt). 2004 Sep;13(7):754-63. doi: 10.1089/jwh.2004.13.754.
8
Injury hospitalizations in Canada 2018/19.
Health Promot Chronic Dis Prev Can. 2020 Sep;40(9):281-287. doi: 10.24095/hpcdp.40.9.03.
9
Surveillance for injuries and violence among older adults.
MMWR CDC Surveill Summ. 1999 Dec 17;48(8):27-50.
10
Head injuries (TBI) to adults and children in motor vehicle crashes.
Traffic Inj Prev. 2017 Aug 18;18(6):616-622. doi: 10.1080/15389588.2017.1285023. Epub 2017 Jan 23.

引用本文的文献

1
Factors Affecting Home Injuries in Older Adults: An Analysis Using Binary Logistic Regression.
Health Sci Rep. 2025 Jul 15;8(7):e71055. doi: 10.1002/hsr2.71055. eCollection 2025 Jul.
2
An Emergency Department Virtual Observation Unit Fall Prevention Program: A Pilot Acceptability Study.
Cureus. 2025 Feb 6;17(2):e78624. doi: 10.7759/cureus.78624. eCollection 2025 Feb.
3
Older Adults' Experiences of Emergency Department Admission Decisions: A Qualitative Study in a Public Safety Net Hospital.
J Gen Intern Med. 2025 May;40(7):1567-1575. doi: 10.1007/s11606-024-09250-3. Epub 2024 Dec 9.
5
Assessing fall risk in osteoporosis patients: a comparative study of age-matched fallers and nonfallers.
Front Digit Health. 2024 Jul 10;6:1387193. doi: 10.3389/fdgth.2024.1387193. eCollection 2024.
6
Exploring the Effectiveness of Emergency Medical Services Becoming Active in Fall Prevention: A Literature Review.
Cureus. 2024 Jun 2;16(6):e61541. doi: 10.7759/cureus.61541. eCollection 2024 Jun.
9
Technological prospecting of patents related to monitoring accidents due to falls in hospitals.
Rev Bras Enferm. 2024 Feb 26;77(1):e20230084. doi: 10.1590/0034-7167-2023-0084. eCollection 2024.
10
Delayed Diagnosis of Intracranial Trauma.
Cureus. 2023 Oct 26;15(10):e47738. doi: 10.7759/cureus.47738. eCollection 2023 Oct.

本文引用的文献

1
Self-harm in older adults: systematic review.
Br J Psychiatry. 2019 Apr;214(4):186-200. doi: 10.1192/bjp.2019.11. Epub 2019 Feb 21.
3
Use of opioids and other analgesics by older adults in the United States, 1999-2010.
Pain Med. 2015 Feb;16(2):319-27. doi: 10.1111/pme.12613. Epub 2014 Oct 28.
4
Risk factors for falls among older adults: a review of the literature.
Maturitas. 2013 May;75(1):51-61. doi: 10.1016/j.maturitas.2013.02.009. Epub 2013 Mar 22.
5
Interventions for preventing falls in older people living in the community.
Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.
6
Risk of injury associated with opioid use in older adults.
J Am Geriatr Soc. 2010 Sep;58(9):1664-70. doi: 10.1111/j.1532-5415.2010.03015.x.
7
Self-poisoning in older adults: patterns of drug ingestion and clinical outcomes.
Age Ageing. 2009 Jul;38(4):407-11. doi: 10.1093/ageing/afp046. Epub 2009 Apr 21.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验