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[关于老年人意外跌倒所致一系列死亡病例的描述性研究。]

[Descriptive study of a series of deaths due to accidental falls in the elderly.].

作者信息

Caballero Casanoves Priscila, Barbería Marcalain Eneko, Suelves Joanxich Josep M, García Sayago Francisco

机构信息

Instituto de Medicina Legal y Ciencias Forenses de Catalunya. Tarragona. España.

Facultat de Medicina i Ciències de la Salut. Universitat Rovira i Virgili. Reus. España.

出版信息

Rev Esp Salud Publica. 2021 Oct 20;95:e202110179.

Abstract

OBJECTIVE

Accidental falls are a growing public health problem. The objective was to describe the characteristics of deaths due to accidental falls in people over 65 from the forensic source.

METHODS

Descriptive observational study of deceased at over 65 undergoing judicial autopsy in Tarragona between the years 2013-2017 whose basic cause of death was coded as accidental fall (W00-W19 of the International Classification of Diseases - 10th edition).

RESULTS

89 cases were identified (42.7% women). The mean age of the deceased females (82.9 years) was significantly higher than that of the males (77.6 years). The cause of death was a head injury in 77.5% of cases. 78.7% had previously been assisted in a hospital center. Falls from one level to another were significantly more lethal (60% vs 40%), and were associated with those corpses not coming from hospital. 82% had prescribed at least one drug (57.5% more than 5). 85.4% had a pathological history. Comorbidity was significantly higher in females and in corpses from hospital and lower in falls from one level to another.

CONCLUSIONS

The data, based on forensic sources, show the presence of risk factors associated with the fatality of accidental falls in ≥65 years of age. More studies are needed to understand its role in these injuries.

摘要

目的

意外跌倒正成为一个日益严重的公共卫生问题。目的是描述来自法医资料的65岁以上人群因意外跌倒导致死亡的特征。

方法

对2013年至2017年在塔拉戈纳接受司法尸检的65岁以上死者进行描述性观察研究,其根本死因编码为意外跌倒(国际疾病分类第10版的W00-W19)。

结果

共识别出89例(女性占42.7%)。死亡女性的平均年龄(82.9岁)显著高于男性(77.6岁)。77.5%的病例死因是头部受伤。78.7%的人此前曾在医院中心接受过护理。从一个平面跌倒至另一个平面的情况致死率显著更高(6

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