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三级医疗中心老年人群常见跌倒类型、相关危险因素及预防措施

Common Types of Falls in the Elderly Population, Their Associated Risk Factors and Prevention in a Tertiary Care Center.

作者信息

Attar Meshari, Alsinnari Yaser M, Alqarni Mohammed S, Bukhari Ziad M, Alzahrani Abdulmalek, Abukhodair Abdulkarim W, Qadi Ammar, Alotibi Maryam, Jastaniah Nisreen A

机构信息

Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Internal Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

出版信息

Cureus. 2021 May 6;13(5):e14863. doi: 10.7759/cureus.14863.

DOI:10.7759/cureus.14863
PMID:34113501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8184103/
Abstract

Introduction Falls in elderlies are one of the leading causes of emergency visits worldwide. It is also a major cause of morbidity and mortality and imposes a significant burden on health care costs. This study investigates risk factors in elderlies aged 65 and above that contribute to falls. Methodology This study is a cross-sectional study using a non-probability consecutive sampling technique. The records of 300 clinical data of elderly who underwent falls were collected from all confirmed cases of falls from January 2015 to January 2020, at National Guard Hospital in Jeddah, Kingdom of Saudi Arabia. Results Patients included in this study were ranged in age from 65 to 85 years with a mean age of 77.6 years (SD = 8.1 years). Among our population, 149 (53.4%) were males, and 130 (46.6%) were females. Some comorbidities were associated with our population such as diabetes mellitus (69.2%, n = 193), hypertension (75.3%, n = 210), smoking (6.1%, n = 6.1), and polypharmacy (18.3%, n = 51). Conclusion Understanding and evaluating risk factors can help to decrease or even prevent falls. Smoking and dementia are strongly related to increased mortality rate. Some outcomes of falls such as head injuries and ICU admission had a strong association to increased mortality. Physical therapy or occupational therapy found to be a strong factor to decrease fall recurrence.

摘要

引言

老年人跌倒在全球范围内是急诊就诊的主要原因之一。它也是发病和死亡的主要原因,给医疗保健成本带来巨大负担。本研究调查65岁及以上老年人中导致跌倒的风险因素。

方法

本研究是一项采用非概率连续抽样技术的横断面研究。从沙特阿拉伯王国吉达国民警卫队医院2015年1月至2020年1月所有确诊的跌倒病例中收集了300例跌倒老年人的临床数据记录。

结果

本研究纳入的患者年龄在65岁至85岁之间,平均年龄为77.6岁(标准差=8.1岁)。在我们的研究人群中,149名(53.4%)为男性,130名(46.6%)为女性。一些合并症与我们的研究人群相关,如糖尿病(69.2%,n = 193)、高血压(75.3%,n = 210)、吸烟(6.1%,n = 6.1)和多重用药(18.3%,n = 51)。

结论

了解和评估风险因素有助于减少甚至预防跌倒。吸烟和痴呆与死亡率增加密切相关。跌倒的一些后果,如头部受伤和入住重症监护病房与死亡率增加密切相关。物理治疗或职业治疗被发现是降低跌倒复发率的一个重要因素。

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