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哪些因素可预测跌倒?对于需要助行器或居家帮助服务的社区居住老年人而言,跌倒的情况及后果又是什么?

What Predicts Falls, and what are the Circumstances and Consequences of Falls in Community-Dwelling Older Adults Who Need Walking Aids or Home Help Service.

作者信息

Tuvemo Johnson Susanna, Anens Elisabeth, Johansson Ann-Christin, Hellström Karin

机构信息

Department of Women's and Childrens Health, Physiotherapy, Uppsala University, Uppsala, Sweden.

School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.

出版信息

Gerontol Geriatr Med. 2022 Jun 3;8:23337214221098900. doi: 10.1177/23337214221098900. eCollection 2022 Jan-Dec.

Abstract

The objective was to analyze predictive variables for falls in older community-dwelling adults who needed walking aids or home help service, to describe the circumstances and consequences of falls and fall injuries, and to describe the activities preceding falls, = 175, mean age 83 years. Falls were self-reported monthly in a fall calendar and were followed up by a telephone interview. A logistic regression analysis was performed to investigate predictive baseline variables for falls. Injuries were reported in 82 of the 185 fall events. Previous falls and a high level of education had a significant association with falls odds ratios 1.9 (95% CI 1.3-2.7), and 2.7 (95% CI 1.4-5.3). Activities preceding the falls were classified according to the International Classification of Functioning (ICF). Falls and fall injuries were most common while moving around within the home and rising from sitting to standing.

摘要

目的是分析需要助行器或居家帮助服务的社区老年居民跌倒的预测变量,描述跌倒及跌倒损伤的情况和后果,并描述跌倒前的活动,样本量n = 175,平均年龄83岁。通过在跌倒日历中每月进行自我报告来记录跌倒情况,并通过电话访谈进行随访。进行逻辑回归分析以研究跌倒的预测基线变量。在185次跌倒事件中,有82次报告了损伤情况。既往跌倒和高学历与跌倒几率显著相关,比值比分别为1.9(95%可信区间1.3 - 2.7)和2.7(95%可信区间1.4 - 5.3)。跌倒前的活动根据国际功能分类(ICF)进行分类。在家中走动以及从坐姿到站立姿势时跌倒和跌倒损伤最为常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3145/9168864/1939572e4386/10.1177_23337214221098900-fig1.jpg

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