Aldailami Danyah, Banta Jim E, McCleary Karl J, Mataya Ronald, Ramadan Majed M, Chinnock Richard, Suprono Montry S
School of Public Health, Loma Linda University, Loma Linda, CA, USA.
School of Medicine, Loma Linda University, Loma Linda, CA, USA.
Int J Inj Contr Saf Promot. 2022 Jun;29(2):186-192. doi: 10.1080/17457300.2021.1975769. Epub 2021 Nov 25.
Falls are the leading cause of injuries and death among the elderly in the United States (U.S.). This study examined unintentional fall related-injuries and potential associations between various consumer products. Data was analyzed from the National Electronic Injury Surveillance System (NEISS) of hospital emergency department (ED) visits for unintentional injuries among the elderly between 2007 and 2017. Multiple logistic regression was used to examine the association between consumer products and fall-related injury ED visits. A total of 537,703 injury-related ED visits were analyzed. Two-thirds of visits were fall-related. Of those, 33% were among those 85 years and older, 62.5% occurred at home, 37.6% had head trauma, and 28.7% resulted in hospitalization. Flooring materials accounted for 29.1% of injuries. Ladders were significantly associated with fall-related injuries (adjusted odds ratio [AOR] 5.48, 95% confidence interval [CI] 4.72-6.36), followed by flooring materials (AOR 3.09, 95% CI 2.60-3.67), and porches and balconies (AOR 2.61, 95% CI 2.30-2.96). Several common consumer products are associated with fall-related injuries among the elderly. Increased awareness and education are critical.
跌倒是美国老年人受伤和死亡的主要原因。本研究调查了与意外跌倒相关的伤害以及各类消费品之间的潜在关联。分析了2007年至2017年间医院急诊科因老年人意外受伤而就诊的国家电子伤害监测系统(NEISS)的数据。采用多元逻辑回归分析来研究消费品与因跌倒相关伤害而到急诊科就诊之间的关联。共分析了537,703次与伤害相关的急诊科就诊情况。其中三分之二的就诊与跌倒有关。在这些跌倒相关的就诊中,33%发生在85岁及以上的人群中,62.5%发生在家中,37.6%有头部外伤,28.7%导致住院治疗。地板材料导致的伤害占29.1%。梯子与跌倒相关伤害显著相关(调整后的优势比[AOR]为5.48,95%置信区间[CI]为4.72 - 6.36),其次是地板材料(AOR为3.09,95%CI为2.60 - 3.67),以及门廊和阳台(AOR为2.61,95%CI为2.30 - 2.96)。几种常见的消费品与老年人跌倒相关伤害有关。提高意识和开展教育至关重要。