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痴呆患者跌倒风险筛查与评估:范围综述。

Fall Risk Screening and Assessment for People Living With Dementia: A Scoping Review.

机构信息

School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, SK, CA.

出版信息

J Appl Gerontol. 2023 Sep;42(9):2025-2035. doi: 10.1177/07334648231168983. Epub 2023 Apr 20.

DOI:10.1177/07334648231168983
PMID:37078271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466966/
Abstract

Falls are the leading cause of injury and hospitalization for older adults in Canada and the second leading cause of unintentional injury deaths worldwide. For people living with dementia (PLWD), falls have an even greater impact, but the standard testing methods for fall risk screening and assessment are often not practical for this population. The purpose of this scoping review is to identify and summarize recent research, practice guidelines and gray literature which have considered fall risk screening and assessment for PLWD. Database search results revealed a dearth in the literature that can support researchers and healthcare providers when considering which option/s are the most suitable for PLWD. Further primary studies into the validity of using the various tests with PLWD are needed if researchers and healthcare providers are to be empowered via the literature and clinical practice guidelines to provide the best possible fall risk care for PLWD.

摘要

在加拿大,老年人跌倒已成为受伤和住院的主要原因,也是全球意外受伤死亡的第二大主要原因。对于患有痴呆症的人(PLWD)来说,跌倒的影响更大,但跌倒风险筛查和评估的标准测试方法通常不适用于这一人群。本范围综述的目的是确定和总结最近的研究、实践指南和灰色文献,这些研究和文献考虑了 PLWD 的跌倒风险筛查和评估。数据库搜索结果显示,文献中缺乏能够支持研究人员和医疗保健提供者的信息,帮助他们确定哪种选择最适合 PLWD。如果研究人员和医疗保健提供者希望通过文献和临床实践指南获得授权,为 PLWD 提供尽可能好的跌倒风险护理,那么需要进一步对各种测试在 PLWD 中的有效性进行研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509f/10466966/9f56f6ad4bb2/10.1177_07334648231168983-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509f/10466966/9f56f6ad4bb2/10.1177_07334648231168983-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509f/10466966/9f56f6ad4bb2/10.1177_07334648231168983-fig1.jpg

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本文引用的文献

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Alzheimers Dement. 2023 Jul;19(7):2888-2897. doi: 10.1002/alz.12916. Epub 2023 Jan 12.
2
Global Prevalence of Young-Onset Dementia: A Systematic Review and Meta-analysis.全球早发性痴呆症的患病率:一项系统评价和荟萃分析。
JAMA Neurol. 2021 Sep 1;78(9):1080-1090. doi: 10.1001/jamaneurol.2021.2161.
3
Scoping Review of Clinical Practice Guidelines for Fall Risk Screening and Assessment in Older Adults across the Care Continuum.老年人群跌倒风险筛查和评估的临床实践指南在整个医疗保健连续体中的范围综述。
Can J Aging. 2021 Jun;40(2):206-223. doi: 10.1017/S0714980820000112. Epub 2020 Sep 28.
4
Determinants of overburdening among informal carers: a systematic review.非正规照护者负担过重的决定因素:系统评价。
BMC Geriatr. 2020 Aug 26;20(1):304. doi: 10.1186/s12877-020-01708-3.
5
Review of Gait, Cognition, and Fall Risks with Implications for Fall Prevention in Older Adults with Dementia.痴呆老年人步态、认知和跌倒风险评估及其对跌倒预防的影响综述。
Dement Geriatr Cogn Disord. 2019;48(1-2):17-29. doi: 10.1159/000504340. Epub 2019 Nov 19.
6
Recommended motor assessments based on psychometric properties in individuals with dementia: a systematic review.基于心理测量特性的痴呆症患者运动评估推荐:一项系统综述。
Eur Rev Aging Phys Act. 2019 Nov 3;16:20. doi: 10.1186/s11556-019-0228-z. eCollection 2019.
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Gait parameters and characteristics associated with increased risk of falls in people with dementia: a systematic review.痴呆症患者中与跌倒风险增加相关的步态参数和特征:一项系统综述。
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